v3-ActCode
type: CodeSystem
node role: treeRoot
id:
  v: v3-ActCode
text:
  status:
    v: generated
  div: Generated Narrative: CodeSystem v3-ActCode Properties This code system defines the following properties for its concepts Name Code URI Type Description Not Selectable notSelectable http://hl7.org/fhir/concept-properties#notSelectable boolean Indicates that the code is abstract - only intended to be used as a selector for other concepts status status http://hl7.org/fhir/concept-properties#status code A property that indicates the status of the concept. One of active, experimental, deprecated, retired Child child http://hl7.org/fhir/concept-properties#child code The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute deprecationDate deprecationDate http://hl7.org/fhir/concept-properties#deprecationDate dateTime The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged Concepts This case-sensitive code system http://terminology.hl7.org/CodeSystem/v3-ActCode defines the following codes in a Is-A hierarchy: Lvl Code Display Definition Deprecated Not Selectable status Child deprecationDate 1 _ActAccountCode ActAccountCode An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash. true 2 ACCTRECEIVABLE account receivable An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter. 2 CASH Cash Cash 2 CC credit card Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products. 3 AE American Express American Express 3 DN Din…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value: code
    v: draft
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 1
extension:
  extension:
    url:
      v: packageId
    value: id
      v: hl7.fhir.uv.xver-r4.r4b
  extension:
    url:
      v: version
    value: string
      v: 0.0.1-snapshot-2
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: sd
url:
  v: http://terminology.hl7.org/CodeSystem/v3-ActCode
version:
  v: 2018-08-12
name:
  v: v3.ActCode
title:
  v: v3 Code System ActCode
status:
  v: active
experimental:
  v: false
date:
  v: 2018-08-12T00:00:00+10:00
publisher:
  v: Structured Documents
contact:
  name:
    v: Structured Documents
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/structure
description:
  v: A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
    display:
      v: World
case sensitive:
  v: true
value set:
  v: http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
  link: 3.0
  link: .0
hierarchy meaning:
  v: is-a
content:
  v: complete
property:
  code:
    v: notSelectable
  uri:
    v: http://hl7.org/fhir/concept-properties#notSelectable
  description:
    v: Indicates that the code is abstract - only intended to be used as a selector for other concepts
  type:
    v: boolean
property:
  code:
    v: status
  uri:
    v: http://hl7.org/fhir/concept-properties#status
  description:
    v: A property that indicates the status of the concept. One of active, experimental, deprecated, retired
  type:
    v: code
property:
  code:
    v: child
  uri:
    v: http://hl7.org/fhir/concept-properties#child
  description:
    v: The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute
  type:
    v: code
property:
  code:
    v: deprecationDate
  uri:
    v: http://hl7.org/fhir/concept-properties#deprecationDate
  description:
    v: The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged
  type:
    v: dateTime
concept:
  code:
    v: _ActAccountCode
  display:
    v: ActAccountCode
  definition:
    v: An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: ACCTRECEIVABLE
    display:
      v: account receivable
    definition:
      v: An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.
  concept:
    code:
      v: CASH
    display:
      v: Cash
    definition:
      v: Cash
  concept:
    code:
      v: CC
    display:
      v: credit card
    definition:
      v: Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.
    concept:
      code:
        v: AE
      display:
        v: American Express
      definition:
        v: American Express
    concept:
      code:
        v: DN
      display:
        v: Diner's Club
      definition:
        v: Diner's Club
    concept:
      code:
        v: DV
      display:
        v: Discover Card
      definition:
        v: Discover Card
    concept:
      code:
        v: MC
      display:
        v: Master Card
      definition:
        v: Master Card
    concept:
      code:
        v: V
      display:
        v: Visa
      definition:
        v: Visa
  concept:
    code:
      v: PBILLACCT
    display:
      v: patient billing account
    definition:
      v: An account representing charges and credits (financial transactions) for a patient's encounter.
concept:
  code:
    v: _ActAdjudicationCode
  display:
    v: ActAdjudicationCode
  definition:
    v: Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true

code:
  v: _ActAdjudicationGroupCode
display:
  v: ActAdjudicationGroupCode
definition:
  v: Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CONT
  display:
    v: contract
  definition:
    v: Transaction counts and value totals by Contract Identifier.
concept:
  code:
    v: DAY
  display:
    v: day
  definition:
    v: Transaction counts and value totals for each calendar day within the date range specified.
concept:
  code:
    v: LOC
  display:
    v: location
  definition:
    v: Transaction counts and value totals by service location (e.g clinic).
concept:
  code:
    v: MONTH
  display:
    v: month
  definition:
    v: Transaction counts and value totals for each calendar month within the date range specified.
concept:
  code:
    v: PERIOD
  display:
    v: period
  definition:
    v: Transaction counts and value totals for the date range specified.
concept:
  code:
    v: PROV
  display:
    v: provider
  definition:
    v: Transaction counts and value totals by Provider Identifier.
concept:
  code:
    v: WEEK
  display:
    v: week
  definition:
    v: Transaction counts and value totals for each calendar week within the date range specified.
concept:
  code:
    v: YEAR
  display:
    v: year
  definition:
    v: Transaction counts and value totals for each calendar year within the date range specified.

code:
  v: AA
display:
  v: adjudicated with adjustments
definition:
  v: The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
concept:
  code:
    v: ANF
  display:
    v: adjudicated with adjustments and no financial impact
  definition:
    v: The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

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

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

code:
  v: _ActAdjudicationResultActionCode
display:
  v: ActAdjudicationResultActionCode
definition:
  v: Actions to be carried out by the recipient of the Adjudication Result information.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: DISPLAY
  display:
    v: Display
  definition:
    v: The adjudication result associated is to be displayed to the receiver of the adjudication result.
concept:
  code:
    v: FORM
  display:
    v: Print on Form
  definition:
    v: The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.

code:
  v: _ActBillableModifierCode
display:
  v: ActBillableModifierCode
definition:
  v: Definition:An identifying modifier code for healthcare interventions or procedures.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CPTM
  display:
    v: CPT modifier codes
  definition:
    v: Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
concept:
  code:
    v: HCPCSA
  display:
    v: HCPCS Level II and Carrier-assigned
  definition:
    v: Description:HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.

code:
  v: _ActBillingArrangementCode
display:
  v: ActBillingArrangementCode
definition:
  v: The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: BLK
  display:
    v: block funding
  definition:
    v: A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.
concept:
  code:
    v: CAP
  display:
    v: capitation funding
  definition:
    v: A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).
concept:
  code:
    v: CONTF
  display:
    v: contract funding
  definition:
    v: A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.
concept:
  code:
    v: FINBILL
  display:
    v: financial
  definition:
    v: A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.
concept:
  code:
    v: ROST
  display:
    v: roster funding
  definition:
    v: A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
concept:
  code:
    v: SESS
  display:
    v: sessional funding
  definition:
    v: A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.
concept:
  code:
    v: FFS
  display:
    v: fee for service
  definition:
    v: A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.
  property:
    code:
      v: status
    value: code
      v: retired
  concept:
    code:
      v: FFPS
    display:
      v: first fill, part fill, partial strength
    definition:
      v: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)
  concept:
    code:
      v: FFCS
    display:
      v: first fill complete, partial strength
    definition:
      v: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
  concept:
    code:
      v: TFS
    display:
      v: trial fill partial strength
    definition:
      v: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

code:
  v: _ActBoundedROICode
display:
  v: ActBoundedROICode
definition:
  v: Type of bounded ROI.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ROIFS
  display:
    v: fully specified ROI
  definition:
    v: A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.
concept:
  code:
    v: ROIPS
  display:
    v: partially specified ROI
  definition:
    v: A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.

code:
  v: _ActCareProvisionCode
display:
  v: act care provision
definition:
  v: Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActCredentialedCareCode
  display:
    v: act credentialed care
  definition:
    v: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. Example:Hospital license; physician license; clinic accreditation.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActCredentialedCareProvisionPersonCode
    display:
      v: act credentialed care provision peron
    definition:
      v: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: CACC
      display:
        v: certified anatomic pathology and clinical pathology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CAIC
      display:
        v: certified allergy and immunology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CAMC
      display:
        v: certified aerospace medicine care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CANC
      display:
        v: certified anesthesiology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CAPC
      display:
        v: certified anatomic pathology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CBGC
      display:
        v: certified clinical biochemical genetics care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CCCC
      display:
        v: certified clinical cytogenetics care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CCGC
      display:
        v: certified clinical genetics (M.D.) care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CCPC
      display:
        v: certified clinical pathology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CCSC
      display:
        v: certified colon and rectal surgery care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CDEC
      display:
        v: certified dermatology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CDRC
      display:
        v: certified diagnostic radiology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CEMC
      display:
        v: certified emergency medicine care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CFPC
      display:
        v: certified family practice care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CIMC
      display:
        v: certified internal medicine care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CMGC
      display:
        v: certified clinical molecular genetics care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CNEC
      display:
        v: certified neurology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
    concept:
      code:
        v: CNMC
      display:
        v: certified nuclear medicine care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CNQC
      display:
        v: certified neurology with special qualifications in child neurology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: CNSC
      display:
        v: certified neurological surgery care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: COGC
      display:
        v: certified obstetrics and gynecology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: COMC
      display:
        v: certified occupational medicine care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: COPC
      display:
        v: certified ophthalmology care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    concept:
      code:
        v: COSC
      display:
        v: certified orthopaedic surgery care
      definition:
        v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: COTC
display:
  v: certified otolaryngology care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CPEC
display:
  v: certified pediatrics care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CPGC
display:
  v: certified Ph.D. medical genetics care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CPHC
display:
  v: certified public health and general preventive medicine care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CPRC
display:
  v: certified physical medicine and rehabilitation care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CPSC
display:
  v: certified plastic surgery care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CPYC
display:
  v: certified psychiatry care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CROC
display:
  v: certified radiation oncology care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CRPC
display:
  v: certified radiological physics care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CSUC
display:
  v: certified surgery care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CTSC
display:
  v: certified thoracic surgery care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CURC
display:
  v: certified urology care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: CVSC
display:
  v: certified vascular surgery care
definition:
  v: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

code:
  v: LGPC
display:
  v: licensed general physician care
definition:
  v: Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.

code:
  v: _ActCredentialedCareProvisionProgramCode
display:
  v: act credentialed care provision program
definition:
  v: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: AALC
  display:
    v: accredited assisted living care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: AAMC
  display:
    v: accredited ambulatory care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: ABHC
  display:
    v: accredited behavioral health care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: ACAC
  display:
    v: accredited critical access hospital care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: ACHC
  display:
    v: accredited hospital care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: AHOC
  display:
    v: accredited home care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: ALTC
  display:
    v: accredited long term care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: AOSC
  display:
    v: accredited office-based surgery care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
concept:
  code:
    v: CACS
  display:
    v: certified acute coronary syndrome care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CAMI
  display:
    v: certified acute myocardial infarction care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CAST
  display:
    v: certified asthma care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CBAR
  display:
    v: certified bariatric surgery care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CCAD
  display:
    v: certified coronary artery disease care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CCAR
  display:
    v: certified cardiac care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CDEP
  display:
    v: certified depression care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CDGD
  display:
    v: certified digestive/gastrointestinal disorders care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CDIA
  display:
    v: certified diabetes care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CEPI
  display:
    v: certified epilepsy care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CFEL
  display:
    v: certified frail elderly care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CHFC
  display:
    v: certified heart failure care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CHRO
  display:
    v: certified high risk obstetrics care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CHYP
  display:
    v: certified hyperlipidemia care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CMIH
  display:
    v: certified migraine headache care
  definition:
    v: Description:.
concept:
  code:
    v: CMSC
  display:
    v: certified multiple sclerosis care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: COJR
  display:
    v: certified orthopedic joint replacement care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: CONC
  display:
    v: certified oncology care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
concept:
  code:
    v: COPD
  display:
    v: certified chronic obstructive pulmonary disease care
  definition:
    v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CORT
display:
  v: certified organ transplant care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CPAD
display:
  v: certified parkinsons disease care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CPND
display:
  v: certified pneumonia disease care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CPST
display:
  v: certified primary stroke center care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CSDM
display:
  v: certified stroke disease management care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CSIC
display:
  v: certified sickle cell care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CSLD
display:
  v: certified sleep disorders care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CSPT
display:
  v: certified spine treatment care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CTBU
display:
  v: certified trauma/burn center care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CVDC
display:
  v: certified vascular diseases care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CWMA
display:
  v: certified wound management care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: CWOH
display:
  v: certified women's health care
definition:
  v: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

code:
  v: _ActEncounterCode
display:
  v: ActEncounterCode
definition:
  v: Domain provides codes that qualify the ActEncounterClass (ENC)
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: AMB
  display:
    v: ambulatory
  definition:
    v: A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
concept:
  code:
    v: EMER
  display:
    v: emergency
  definition:
    v: A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
concept:
  code:
    v: FLD
  display:
    v: field
  definition:
    v: A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
concept:
  code:
    v: HH
  display:
    v: home health
  definition:
    v: Healthcare encounter that takes place in the residence of the patient or a designee
concept:
  code:
    v: IMP
  display:
    v: inpatient encounter
  definition:
    v: A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
  concept:
    code:
      v: ACUTE
    display:
      v: inpatient acute
    definition:
      v: An acute inpatient encounter.
  concept:
    code:
      v: NONAC
    display:
      v: inpatient non-acute
    definition:
      v: Any category of inpatient encounter except 'acute'
concept:
  code:
    v: OBSENC
  display:
    v: observation encounter
  definition:
    v: An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.
concept:
  code:
    v: PRENC
  display:
    v: pre-admission
  definition:
    v: A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.
concept:
  code:
    v: SS
  display:
    v: short stay
  definition:
    v: An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
concept:
  code:
    v: VR
  display:
    v: virtual
  definition:
    v: A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.

code:
  v: _ActMedicalServiceCode
display:
  v: ActMedicalServiceCode
definition:
  v: General category of medical service provided to the patient during their encounter.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ALC
  display:
    v: Alternative Level of Care
  definition:
    v: Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.
concept:
  code:
    v: CARD
  display:
    v: Cardiology
  definition:
    v: Provision of diagnosis and treatment of diseases and disorders affecting the heart
concept:
  code:
    v: CHR
  display:
    v: Chronic
  definition:
    v: Provision of recurring care for chronic illness.
concept:
  code:
    v: DNTL
  display:
    v: Dental
  definition:
    v: Provision of treatment for oral health and/or dental surgery.
concept:
  code:
    v: DRGRHB
  display:
    v: Drug Rehab
  definition:
    v: Provision of treatment for drug abuse.
concept:
  code:
    v: GENRL
  display:
    v: General
  definition:
    v: General care performed by a general practitioner or family doctor as a responsible provider for a patient.
concept:
  code:
    v: MED
  display:
    v: Medical
  definition:
    v: Provision of diagnostic and/or therapeutic treatment.
concept:
  code:
    v: OBS
  display:
    v: Obstetrics
  definition:
    v: Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.
concept:
  code:
    v: ONC
  display:
    v: Oncology
  definition:
    v: Provision of treatment and/or diagnosis related to tumors and/or cancer.
concept:
  code:
    v: PALL
  display:
    v: Palliative
  definition:
    v: Provision of care for patients who are living or dying from an advanced illness.
concept:
  code:
    v: PED
  display:
    v: Pediatrics
  definition:
    v: Provision of diagnosis and treatment of diseases and disorders affecting children.
concept:
  code:
    v: PHAR
  display:
    v: Pharmaceutical
  definition:
    v: Pharmaceutical care performed by a pharmacist.
concept:
  code:
    v: PHYRHB
  display:
    v: Physical Rehab
  definition:
    v: Provision of treatment for physical injury.
concept:
  code:
    v: PSYCH
  display:
    v: Psychiatric
  definition:
    v: Provision of treatment of psychiatric disorder relating to mental illness.
concept:
  code:
    v: SURG
  display:
    v: Surgical
  definition:
    v: Provision of surgical treatment.

code:
  v: _ActClaimAttachmentCategoryCode
display:
  v: ActClaimAttachmentCategoryCode
definition:
  v: Description: Coded types of attachments included to support a healthcare claim.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: AUTOATTCH
  display:
    v: auto attachment
  definition:
    v: Description: Automobile Information Attachment
concept:
  code:
    v: DOCUMENT
  display:
    v: document
  definition:
    v: Description: Document Attachment
concept:
  code:
    v: HEALTHREC
  display:
    v: health record
  definition:
    v: Description: Health Record Attachment
concept:
  code:
    v: IMG
  display:
    v: image attachment
  definition:
    v: Description: Image Attachment
concept:
  code:
    v: LABRESULTS
  display:
    v: lab results
  definition:
    v: Description: Lab Results Attachment
concept:
  code:
    v: MODEL
  display:
    v: model
  definition:
    v: Description: Digital Model Attachment
concept:
  code:
    v: WIATTCH
  display:
    v: work injury report attachment
  definition:
    v: Description: Work Injury related additional Information Attachment
concept:
  code:
    v: XRAY
  display:
    v: x-ray
  definition:
    v: Description: Digital X-Ray Attachment

code:
  v: _ActConsentType
display:
  v: ActConsentType
definition:
  v: Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ICOL
  display:
    v: information collection
  definition:
    v: Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.
concept:
  code:
    v: IDSCL
  display:
    v: information disclosure
  definition:
    v: Definition: Consent to have collected healthcare information disclosed.
concept:
  code:
    v: INFA
  display:
    v: information access
  definition:
    v: Definition: Consent to access healthcare information.
  concept:
    code:
      v: INFAO
    display:
      v: access only
    definition:
      v: Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be. Example: Opened and then emailed or screen printed for use outside of the consent directive purpose.
  concept:
    code:
      v: INFASO
    display:
      v: access and save only
    definition:
      v: Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
concept:
  code:
    v: IRDSCL
  display:
    v: information redisclosure
  definition:
    v: Definition: Information re-disclosed without the patient's consent.
concept:
  code:
    v: RESEARCH
  display:
    v: research information access
  definition:
    v: Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
  concept:
    code:
      v: RSDID
    display:
      v: de-identified information access
    definition:
      v: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.
  concept:
    code:
      v: RSREID
    display:
      v: re-identifiable information access
    definition:
      v: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. Example:: Where there is a need to inform the subject of potential health issues.

code:
  v: _ActContainerRegistrationCode
display:
  v: ActContainerRegistrationCode
definition:
  v: Constrains the ActCode to the domain of Container Registration
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ID
  display:
    v: Identified
  definition:
    v: Used by one system to inform another that it has received a container.
concept:
  code:
    v: IP
  display:
    v: In Position
  definition:
    v: Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
concept:
  code:
    v: L
  display:
    v: Left Equipment
  definition:
    v: Used by one system to inform another that the container has been released from that system.
concept:
  code:
    v: M
  display:
    v: Missing
  definition:
    v: Used by one system to inform another that the container did not arrive at its next expected location.
concept:
  code:
    v: O
  display:
    v: In Process
  definition:
    v: Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.
concept:
  code:
    v: R
  display:
    v: Process Completed
  definition:
    v: Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.
concept:
  code:
    v: X
  display:
    v: Container Unavailable
  definition:
    v: Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).

code:
  v: _ActControlVariable
display:
  v: ActControlVariable
definition:
  v: An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: AUTO
  display:
    v: auto-repeat permission
  definition:
    v: Specifies whether or not automatic repeat testing is to be initiated on specimens.
concept:
  code:
    v: ENDC
  display:
    v: endogenous content
  definition:
    v: A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.
concept:
  code:
    v: REFLEX
  display:
    v: reflex permission
  definition:
    v: Specifies whether or not further testing may be automatically or manually initiated on specimens.

code:
  v: _ActCoverageConfirmationCode
display:
  v: ActCoverageConfirmationCode
definition:
  v: Response to an insurance coverage eligibility query or authorization request.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActCoverageAuthorizationConfirmationCode
  display:
    v: ActCoverageAuthorizationConfirmationCode
  definition:
    v: Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: AUTH
    display:
      v: Authorized
    definition:
      v: Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
  concept:
    code:
      v: NAUTH
    display:
      v: Not Authorized
    definition:
      v: Authorization for specified healthcare service(s) and/or product(s) denied.
concept:
  code:
    v: _ActCoverageEligibilityConfirmationCode
  display:
    v: ActCoverageEligibilityConfirmationCode
  definition:
    v: Indication of eligibility coverage for healthcare service(s) and/or product(s).
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  property:
    code:
      v: status
    value: code
      v: retired
  concept:
    code:
      v: ELG
    display:
      v: Eligible
    definition:
      v: Insurance coverage is in effect for healthcare service(s) and/or product(s).
    property:
      code:
        v: status
      value: code
        v: retired
  concept:
    code:
      v: NELG
    display:
      v: Not Eligible
    definition:
      v: Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
    property:
      code:
        v: status
      value: code
        v: retired

code:
  v: _ActCoverageLimitCode
display:
  v: ActCoverageLimitCode
definition:
  v: Criteria that are applicable to the authorized coverage.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActCoverageQuantityLimitCode
  display:
    v: ActCoverageQuantityLimitCode
  definition:
    v: Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: COVPRD
    display:
      v: coverage period
    definition:
      v: Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
  concept:
    code:
      v: LFEMX
    display:
      v: life time maximum
    definition:
      v: Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
  concept:
    code:
      v: NETAMT
    display:
      v: Net Amount
    definition:
      v: Maximum net amount that will be covered for the product or service specified.
  concept:
    code:
      v: PRDMX
    display:
      v: period maximum
    definition:
      v: Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.
  concept:
    code:
      v: UNITPRICE
    display:
      v: Unit Price
    definition:
      v: Maximum unit price that will be covered for the authorized product or service.
  concept:
    code:
      v: UNITQTY
    display:
      v: Unit Quantity
    definition:
      v: Maximum number of items that will be covered of the product or service specified.
concept:
  code:
    v: COVMX
  display:
    v: coverage maximum
  definition:
    v: Definition: Codes representing the maximum coverate or financial participation requirements.
  property:
    code:
      v: child
    value: code
      v: LFEMX
  property:
    code:
      v: child
    value: code
      v: PRDMX
concept:
  code:
    v: _ActCoveredPartyLimitCode
  display:
    v: ActCoveredPartyLimitCode
  definition:
    v: Codes representing the types of covered parties that may receive covered benefits under a policy or program.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  property:
    code:
      v: status
    value: code
      v: retired

code:
  v: _ActCoverageTypeCode
display:
  v: ActCoverageTypeCode
definition:
  v: Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActInsurancePolicyCode
  display:
    v: ActInsurancePolicyCode
  definition:
    v: Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: EHCPOL
    display:
      v: extended healthcare
    definition:
      v: Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
  concept:
    code:
      v: HSAPOL
    display:
      v: health spending account
    definition:
      v: Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.
  concept:
    code:
      v: AUTOPOL
    display:
      v: automobile
    definition:
      v: Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
    concept:
      code:
        v: COL
      display:
        v: collision coverage policy
      definition:
        v: Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.
    concept:
      code:
        v: UNINSMOT
      display:
        v: uninsured motorist policy
      definition:
        v: Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.
  concept:
    code:
      v: PUBLICPOL
    display:
      v: public healthcare
    definition:
      v: Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).
    concept:
      code:
        v: DENTPRG
      display:
        v: dental program
      definition:
        v: Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.
    concept:
      code:
        v: DISEASEPRG
      display:
        v: public health program
      definition:
        v: Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. Example: Reproductive health, sexually transmitted disease, and end renal disease programs.
    concept:
      code:
        v: MANDPOL
      display:
        v: mandatory health program
      definition:
        v: mandatory health program
    concept:
      code:
        v: MENTPRG
      display:
        v: mental health program
      definition:
        v: Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
    concept:
      code:
        v: SAFNET
      display:
        v: safety net clinic program
      definition:
        v: Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.
    concept:
      code:
        v: SUBPRG
      display:
        v: substance use program
      definition:
        v: Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
    concept:
      code:
        v: SUBSIDIZ
      display:
        v: subsidized health program
      definition:
        v: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
  concept:
    code:
      v: WCBPOL
    display:
      v: worker's compensation
    definition:
      v: Insurance policy for injuries sustained in the work place or in the course of employment.
concept:
  code:
    v: _ActInsuranceTypeCode
  display:
    v: ActInsuranceTypeCode
  definition:
    v: Definition: Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. Discussion: In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  property:
    code:
      v: child
    value: code
      v: AUTOPOL
  concept:
    code:
      v: _ActHealthInsuranceTypeCode
    display:
      v: ActHealthInsuranceTypeCode
    definition:
      v: Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    property:
      code:
        v: child
      value: code
        v: EHCPOL
    property:
      code:
        v: child
      value: code
        v: HSAPOL
    property:
      code:
        v: child
      value: code
        v: POS
    concept:
      code:
        v: DENTAL
      display:
        v: dental care policy
      definition:
        v: Definition: A health insurance policy that that covers benefits for dental services.
    concept:
      code:
        v: DISEASE
      display:
        v: disease specific policy
      definition:
        v: Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.
    concept:
      code:
        v: DRUGPOL
      display:
        v: drug policy
      definition:
        v: Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
    concept:
      code:
        v: HIP
      display:
        v: health insurance plan policy
      definition:
        v: Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.
    concept:
      code:
        v: LTC
      display:
        v: long term care policy
      definition:
        v: Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including: Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing Care in the community, such as in an adult day care facility Supervised care provided in an assisted living facility Skilled care provided in a nursing home
    concept:
      code:
        v: MCPOL

v: CANPRG

v: women's cancer detection program

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

v: ENDRENAL

v: end renal program

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

v: HIVAIDS

v: HIV-AIDS program

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

v: SUBSIDMC

v: subsidized managed care program

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

v: SUBSUPP

v: subsidized supplemental health program

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

v: managed care policy

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

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

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

code:
  v: PPO
display:
  v: preferred provider organization policy
definition:
  v: Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.

code:
  v: MENTPOL
display:
  v: mental health policy
definition:
  v: Definition: A health insurance policy that covers benefits for mental health services and prescriptions.

code:
  v: SUBPOL
display:
  v: substance use policy
definition:
  v: Definition: A health insurance policy that covers benefits for substance use services.

code:
  v: VISPOL
display:
  v: vision care policy
definition:
  v: Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services. A health insurance policy that covers benefits for vision care services, prescriptions, and products.

code:
  v: DIS
display:
  v: disability insurance policy
definition:
  v: Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.

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

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

code:
  v: LIFE
display:
  v: life insurance policy
definition:
  v: Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion. Discussion:A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).
concept:
  code:
    v: ANNU
  display:
    v: annuity policy
  definition:
    v: Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals. For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.
concept:
  code:
    v: TLIFE
  display:
    v: term life insurance policy
  definition:
    v: Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.
concept:
  code:
    v: ULIFE
  display:
    v: universal life insurance policy
  definition:
    v: Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing

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

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

code:
  v: SURPL
display:
  v: surplus line insurance policy
definition:
  v: Definition: A risk or part of a risk for which there is no normal insurance market available. Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.

code:
  v: UMBRL
display:
  v: umbrella liability insurance policy
definition:
  v: Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.

code:
  v: _ActProgramTypeCode
display:
  v: ActProgramTypeCode
definition:
  v: Definition: A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. Discussion: Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: PUBLICPOL
property:
  code:
    v: child
  value: code
    v: WCBPOL
concept:
  code:
    v: CHAR
  display:
    v: charity program
  definition:
    v: Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.
concept:
  code:
    v: CRIME
  display:
    v: crime victim program
  definition:
    v: Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.
concept:
  code:
    v: EAP
  display:
    v: employee assistance program
  definition:
    v: Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.
concept:
  code:
    v: GOVEMP
  display:
    v: government employee health program
  definition:
    v: Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S.
concept:
  code:
    v: HIRISK
  display:
    v: high risk pool program
  definition:
    v: Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.
concept:
  code:
    v: IND
  display:
    v: indigenous peoples health program
  definition:
    v: Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S.
concept:
  code:
    v: MILITARY
  display:
    v: military health program
  definition:
    v: Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS.
concept:
  code:
    v: RETIRE
  display:
    v: retiree health program
  definition:
    v: Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.
concept:
  code:
    v: SOCIAL
  display:
    v: social service program
  definition:
    v: Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.
concept:
  code:
    v: VET
  display:
    v: veteran health program
  definition:
    v: Definition: Services provided directly and through contracted and operated veteran health programs.

code:
  v: _ActDetectedIssueManagementCode
display:
  v: ActDetectedIssueManagementCode
definition:
  v: Codes dealing with the management of Detected Issue observations
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActAdministrativeDetectedIssueManagementCode
  display:
    v: ActAdministrativeDetectedIssueManagementCode
  definition:
    v: Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _AuthorizationIssueManagementCode
    display:
      v: Authorization Issue Management Code
    definition:
      v: Authorization Issue Management Code
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: EMAUTH
      display:
        v: emergency authorization override
      definition:
        v: Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
concept:
  code:
    v: 1
  display:
    v: Therapy Appropriate
  definition:
    v: Confirmed drug therapy appropriate
  concept:
    code:
      v: 19
    display:
      v: Consulted Supplier
    definition:
      v: Consulted other supplier/pharmacy, therapy confirmed
  concept:
    code:
      v: 2
    display:
      v: Assessed Patient
    definition:
      v: Assessed patient, therapy is appropriate
  concept:
    code:
      v: 22
    display:
      v: appropriate indication or diagnosis
    definition:
      v: Description: The patient has the appropriate indication or diagnosis for the action to be taken.
  concept:
    code:
      v: 23
    display:
      v: prior therapy documented
    definition:
      v: Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
  concept:
    code:
      v: 3
    display:
      v: Patient Explanation
    definition:
      v: Patient gave adequate explanation
  concept:
    code:
      v: 4
    display:
      v: Consulted Other Source
    definition:
      v: Consulted other supply source, therapy still appropriate
  concept:
    code:
      v: 5
    display:
      v: Consulted Prescriber
    definition:
      v: Consulted prescriber, therapy confirmed
    concept:
      code:
        v: 6
      display:
        v: Prescriber Declined Change
      definition:
        v: Consulted prescriber and recommended change, prescriber declined
  concept:
    code:
      v: 7
    display:
      v: Interacting Therapy No Longer Active/Planned
    definition:
      v: Concurrent therapy triggering alert is no longer on-going or planned
concept:
  code:
    v: 14
  display:
    v: Supply Appropriate
  definition:
    v: Confirmed supply action appropriate
  concept:
    code:
      v: 15
    display:
      v: Replacement
    definition:
      v: Patient's existing supply was lost/wasted
  concept:
    code:
      v: 16
    display:
      v: Vacation Supply
    definition:
      v: Supply date is due to patient vacation
  concept:
    code:
      v: 17
    display:
      v: Weekend Supply
    definition:
      v: Supply date is intended to carry patient over weekend
  concept:
    code:
      v: 18
    display:
      v: Leave of Absence
    definition:
      v: Supply is intended for use during a leave of absence from an institution.
  concept:
    code:
      v: 20
    display:
      v: additional quantity on separate dispense
    definition:
      v: Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
concept:
  code:
    v: 8
  display:
    v: Other Action Taken
  definition:
    v: Order is performed as issued, but other action taken to mitigate potential adverse effects
  concept:
    code:
      v: 10
    display:
      v: Provided Patient Education
    definition:
      v: Provided education or training to the patient on appropriate therapy use
  concept:
    code:
      v: 11
    display:
      v: Added Concurrent Therapy
    definition:
      v: Instituted an additional therapy to mitigate potential negative effects
  concept:
    code:
      v: 12
    display:
      v: Temporarily Suspended Concurrent Therapy
    definition:
      v: Suspended existing therapy that triggered interaction for the duration of this therapy
  concept:
    code:
      v: 13
    display:
      v: Stopped Concurrent Therapy
    definition:
      v: Aborted existing therapy that triggered interaction.
  concept:
    code:
      v: 9
    display:
      v: Instituted Ongoing Monitoring Program
    definition:
      v: Arranged to monitor patient for adverse effects

v: 21

v: authorization confirmed

v: Description: Indicates that the permissions have been externally verified and the request should be processed.

code:
  v: _ActExposureCode
display:
  v: ActExposureCode
definition:
  v: Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CHLDCARE
  display:
    v: Day care - Child care Interaction
  definition:
    v: Description: Exposure participants' interaction occurred in a child care setting
concept:
  code:
    v: CONVEYNC
  display:
    v: Common Conveyance Interaction
  definition:
    v: Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).
concept:
  code:
    v: HLTHCARE
  display:
    v: Health Care Interaction - Not Patient Care
  definition:
    v: Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).
concept:
  code:
    v: HOMECARE
  display:
    v: Care Giver Interaction
  definition:
    v: Description: Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.
concept:
  code:
    v: HOSPPTNT
  display:
    v: Hospital Patient Interaction
  definition:
    v: Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
concept:
  code:
    v: HOSPVSTR
  display:
    v: Hospital Visitor Interaction
  definition:
    v: Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
concept:
  code:
    v: HOUSEHLD
  display:
    v: Household Interaction
  definition:
    v: Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.
concept:
  code:
    v: INMATE
  display:
    v: Inmate Interaction
  definition:
    v: Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
concept:
  code:
    v: INTIMATE
  display:
    v: Intimate Interaction
  definition:
    v: Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).
concept:
  code:
    v: LTRMCARE
  display:
    v: Long Term Care Facility Interaction
  definition:
    v: Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).
concept:
  code:
    v: PLACE
  display:
    v: Common Space Interaction
  definition:
    v: Description: An interaction where the exposure participants were both present in the same location/place/space.
concept:
  code:
    v: PTNTCARE
  display:
    v: Health Care Interaction - Patient Care
  definition:
    v: Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).
concept:
  code:
    v: SCHOOL2
  display:
    v: School Interaction
  definition:
    v: Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
concept:
  code:
    v: SOCIAL2
  display:
    v: Social/Extended Family Interaction
  definition:
    v: Description: An interaction where the exposure participants are social associates or members of the same extended family
concept:
  code:
    v: SUBSTNCE
  display:
    v: Common Substance Interaction
  definition:
    v: Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).
concept:
  code:
    v: TRAVINT
  display:
    v: Common Travel Interaction
  definition:
    v: Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).
concept:
  code:
    v: WORK2
  display:
    v: Work Interaction
  definition:
    v: Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.

code:
  v: _ActFinancialTransactionCode
display:
  v: ActFinancialTransactionCode
definition:
  v: ActFinancialTransactionCode
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CHRG
  display:
    v: Standard Charge
  definition:
    v: A type of transaction that represents a charge for a service or product. Expressed in monetary terms.
concept:
  code:
    v: REV
  display:
    v: Standard Charge Reversal
  definition:
    v: A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.

code:
  v: _ActIncidentCode
display:
  v: ActIncidentCode
definition:
  v: Set of codes indicating the type of incident or accident.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: MVA
  display:
    v: Motor vehicle accident
  definition:
    v: Incident or accident as the result of a motor vehicle accident
concept:
  code:
    v: SCHOOL
  display:
    v: School Accident
  definition:
    v: Incident or accident is the result of a school place accident.
concept:
  code:
    v: SPT
  display:
    v: Sporting Accident
  definition:
    v: Incident or accident is the result of a sporting accident.
concept:
  code:
    v: WPA
  display:
    v: Workplace accident
  definition:
    v: Incident or accident is the result of a work place accident

code:
  v: _ActInformationAccessCode
display:
  v: ActInformationAccessCode
definition:
  v: Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ACADR
  display:
    v: adverse drug reaction access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.
concept:
  code:
    v: ACALL
  display:
    v: all access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access all information for a patient.
concept:
  code:
    v: ACALLG
  display:
    v: allergy access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access allergy information for a patient.
concept:
  code:
    v: ACCONS
  display:
    v: informational consent access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.
concept:
  code:
    v: ACDEMO
  display:
    v: demographics access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access demographics information for a patient.
concept:
  code:
    v: ACDI
  display:
    v: diagnostic imaging access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.
concept:
  code:
    v: ACIMMUN
  display:
    v: immunization access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access immunization information for a patient.
concept:
  code:
    v: ACLAB
  display:
    v: lab test result access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.
concept:
  code:
    v: ACMED
  display:
    v: medication access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.
concept:
  code:
    v: ACMEDC
  display:
    v: medical condition access
  definition:
    v: Definition: Provide consent to view or access medical condition information for a patient.
concept:
  code:
    v: ACMEN
  display:
    v: mental health access
  definition:
    v: Description:Provide consent to collect, use, disclose, or access mental health information for a patient.
concept:
  code:
    v: ACOBS
  display:
    v: common observations access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access common observation information for a patient.
concept:
  code:
    v: ACPOLPRG
  display:
    v: policy or program information access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.
concept:
  code:
    v: ACPROV
  display:
    v: provider information access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access provider information for a patient.
concept:
  code:
    v: ACPSERV
  display:
    v: professional service access
  definition:
    v: Description: Provide consent to collect, use, disclose, or access professional service information for a patient.
concept:
  code:
    v: ACSUBSTAB
  display:
    v: substance abuse access
  definition:
    v: Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.

code:
  v: _ActInformationAccessContextCode
display:
  v: ActInformationAccessContextCode
definition:
  v: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: INFAUT
  display:
    v: authorized information transfer
  definition:
    v: Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.
  concept:
    code:
      v: INFCON
    display:
      v: after explicit consent
    definition:
      v: Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.
concept:
  code:
    v: INFCRT
  display:
    v: only on court order
  definition:
    v: Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.
concept:
  code:
    v: INFDNG
  display:
    v: only if danger to others
  definition:
    v: Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.
concept:
  code:
    v: INFEMER
  display:
    v: only in an emergency
  definition:
    v: Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.
concept:
  code:
    v: INFPWR
  display:
    v: only if public welfare risk
  definition:
    v: Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.
concept:
  code:
    v: INFREG
  display:
    v: regulatory information transfer
  definition:
    v: Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.

code:
  v: _ActInformationCategoryCode
display:
  v: ActInformationCategoryCode
definition:
  v: Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ALLCAT
  display:
    v: all categories
  definition:
    v: Description: All patient information.
concept:
  code:
    v: ALLGCAT
  display:
    v: allergy category
  definition:
    v: Definition:All information pertaining to a patient's allergy and intolerance records.
concept:
  code:
    v: ARCAT
  display:
    v: adverse drug reaction category
  definition:
    v: Description: All information pertaining to a patient's adverse drug reactions.
concept:
  code:
    v: COBSCAT
  display:
    v: common observation category
  definition:
    v: Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
concept:
  code:
    v: DEMOCAT
  display:
    v: demographics category
  definition:
    v: Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
concept:
  code:
    v: DICAT
  display:
    v: diagnostic image category
  definition:
    v: Definition:All information pertaining to a patient's diagnostic image records (orders & results).
concept:
  code:
    v: IMMUCAT
  display:
    v: immunization category
  definition:
    v: Definition:All information pertaining to a patient's vaccination records.
concept:
  code:
    v: LABCAT
  display:
    v: lab test category
  definition:
    v: Description: All information pertaining to a patient's lab test records (orders & results)
concept:
  code:
    v: MEDCCAT
  display:
    v: medical condition category
  definition:
    v: Definition:All information pertaining to a patient's medical condition records.
concept:
  code:
    v: MENCAT
  display:
    v: mental health category
  definition:
    v: Description: All information pertaining to a patient's mental health records.
concept:
  code:
    v: PSVCCAT
  display:
    v: professional service category
  definition:
    v: Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
concept:
  code:
    v: RXCAT
  display:
    v: medication category
  definition:
    v: Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).

code:
  v: _ActInvoiceElementCode
display:
  v: ActInvoiceElementCode
definition:
  v: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActInvoiceAdjudicationPaymentCode
  display:
    v: ActInvoiceAdjudicationPaymentCode
  definition:
    v: Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActInvoiceAdjudicationPaymentGroupCode
    display:
      v: ActInvoiceAdjudicationPaymentGroupCode
    definition:
      v: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: ALEC
      display:
        v: alternate electronic
      definition:
        v: Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).
    concept:
      code:
        v: BONUS
      display:
        v: bonus
      definition:
        v: Bonus payments based on performance, volume, etc. as agreed to by the payor.
    concept:
      code:
        v: CFWD
      display:
        v: carry forward adjusment
      definition:
        v: An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
    concept:
      code:
        v: EDU
      display:
        v: education fees
      definition:
        v: Fees deducted on behalf of a payee for tuition and continuing education.
    concept:
      code:
        v: EPYMT
      display:
        v: early payment fee
      definition:
        v: Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
    concept:
      code:
        v: GARN
      display:
        v: garnishee
      definition:
        v: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
    concept:
      code:
        v: INVOICE
      display:
        v: submitted invoice
      definition:
        v: Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
    concept:
      code:
        v: PINV
      display:
        v: paper invoice
      definition:
        v: Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
    concept:
      code:
        v: PPRD
      display:
        v: prior period adjustment
      definition:
        v: An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
    concept:
      code:
        v: PROA
      display:
        v: professional association deduction
      definition:
        v: Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
    concept:
      code:
        v: RECOV
      display:
        v: recovery
      definition:
        v: Retroactive adjustment such as fee rate adjustment due to contract negotiations.
    concept:
      code:
        v: RETRO
      display:
        v: retro adjustment
      definition:
        v: Bonus payments based on performance, volume, etc. as agreed to by the payor.
    concept:
      code:
        v: TRAN
      display:
        v: transaction fee
      definition:
        v: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
  concept:
    code:
      v: _ActInvoiceAdjudicationPaymentSummaryCode
    display:
      v: ActInvoiceAdjudicationPaymentSummaryCode
    definition:
      v: Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    property:
      code:
        v: child
      value: code
        v: CONT
    property:
      code:
        v: child
      value: code
        v: DAY
    property:
      code:
        v: child
      value: code
        v: LOC
    property:
      code:
        v: child
      value: code
        v: MONTH
    property:
      code:
        v: child
      value: code
        v: PERIOD
    property:
      code:
        v: child
      value: code
        v: PROV
    property:
      code:
        v: child
      value: code
        v: WEEK
    property:
      code:
        v: child
      value: code
        v: YEAR
    concept:
      code:
        v: INVTYPE
      display:
        v: invoice type
      definition:
        v: Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
    concept:
      code:
        v: PAYEE
      display:
        v: payee
      definition:
        v: Transaction counts and value totals by each instance of an invoice payee.
    concept:
      code:
        v: PAYOR
      display:
        v: payor
      definition:
        v: Transaction counts and value totals by each instance of an invoice payor.
    concept:
      code:
        v: SENDAPP
      display:
        v: sending application

v: Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.

code:
  v: _ActInvoiceDetailCode
display:
  v: ActInvoiceDetailCode
definition:
  v: Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActInvoiceDetailClinicalProductCode
  display:
    v: ActInvoiceDetailClinicalProductCode
  definition:
    v: An identifying data string for healthcare products.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: UNSPSC
    display:
      v: United Nations Standard Products and Services Classification
    definition:
      v: Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
concept:
  code:
    v: _ActInvoiceDetailDrugProductCode
  display:
    v: ActInvoiceDetailDrugProductCode
  definition:
    v: An identifying data string for A substance used as a medication or in the preparation of medication.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: GTIN
    display:
      v: Global Trade Item Number
    definition:
      v: Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
  concept:
    code:
      v: UPC
    display:
      v: Universal Product Code
    definition:
      v: Description:Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.
concept:
  code:
    v: _ActInvoiceDetailGenericCode
  display:
    v: ActInvoiceDetailGenericCode
  definition:
    v: The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActInvoiceDetailGenericAdjudicatorCode
    display:
      v: ActInvoiceDetailGenericAdjudicatorCode
    definition:
      v: The billable item codes to identify adjudicator specified components to the total billing of a claim.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: COIN
      display:
        v: coinsurance
      definition:
        v: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
    concept:
      code:
        v: COPAYMENT
      display:
        v: patient co-pay
      definition:
        v: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
    concept:
      code:
        v: DEDUCTIBLE
      display:
        v: deductible
      definition:
        v: That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
    concept:
      code:
        v: PAY
      display:
        v: payment
      definition:
        v: The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.
    concept:
      code:
        v: SPEND
      display:
        v: spend down
      definition:
        v: That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results
    concept:
      code:
        v: COINS
      display:
        v: co-insurance
      definition:
        v: The covered party pays a percentage of the cost of covered services.
      property:
        value: code
  concept:
    code:
      v: _ActInvoiceDetailGenericModifierCode
    display:
      v: ActInvoiceDetailGenericModifierCode
    definition:
      v: The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: AFTHRS
      display:
        v: non-normal hours
      definition:
        v: Premium paid on service fees in compensation for practicing outside of normal working hours.
    concept:
      code:
        v: ISOL
      display:
        v: isolation allowance
      definition:
        v: Premium paid on service fees in compensation for practicing in a remote location.
    concept:
      code:
        v: OOO
      display:
        v: out of office
      definition:
        v: Premium paid on service fees in compensation for practicing at a location other than normal working location.
  concept:
    code:
      v: _ActInvoiceDetailGenericProviderCode
    display:
      v: ActInvoiceDetailGenericProviderCode
    definition:
      v: The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: CANCAPT
      display:
        v: cancelled appointment
      definition:
        v: A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
    concept:
      code:
        v: DSC
      display:
        v: discount
      definition:
        v: A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
    concept:
      code:
        v: ESA
      display:
        v: extraordinary service assessment
      definition:
        v: A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
    concept:
      code:
        v: FFSTOP
      display:
        v: fee for service top off
      definition:
        v: Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.
    concept:
      code:
        v: FNLFEE
      display:
        v: final fee
      definition:
        v: Anticipated or actual final fee associated with treating a patient.

v: status

code
v: retired

code:
  v: FRSTFEE
display:
  v: first fee
definition:
  v: Anticipated or actual initial fee associated with treating a patient.

code:
  v: MARKUP
display:
  v: markup or up-charge
definition:
  v: An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.

code:
  v: MISSAPT
display:
  v: missed appointment
definition:
  v: A charge to compensate the provider when a patient does not show for an appointment.

code:
  v: PERFEE
display:
  v: periodic fee
definition:
  v: Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.

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

code:
  v: RESTOCK
display:
  v: restocking fee
definition:
  v: A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.

code:
  v: TRAVEL
display:
  v: travel
definition:
  v: A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.

code:
  v: URGENT
display:
  v: urgent
definition:
  v: Premium paid on service fees in compensation for providing an expedited response to an urgent situation.

code:
  v: _ActInvoiceDetailTaxCode
display:
  v: ActInvoiceDetailTaxCode
definition:
  v: The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: FST
  display:
    v: federal sales tax
  definition:
    v: Federal tax on transactions such as the Goods and Services Tax (GST)
concept:
  code:
    v: HST
  display:
    v: harmonized sales Tax
  definition:
    v: Joint Federal/Provincial Sales Tax
concept:
  code:
    v: PST
  display:
    v: provincial/state sales tax
  definition:
    v: Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax

code:
  v: _ActInvoiceDetailPreferredAccommodationCode
display:
  v: ActInvoiceDetailPreferredAccommodationCode
definition:
  v: An identifying data string for medical facility accommodations.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActEncounterAccommodationCode
  display:
    v: ActEncounterAccommodationCode
  definition:
    v: Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _HL7AccommodationCode
    display:
      v: HL7AccommodationCode
    definition:
      v: Description:Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: I
      display:
        v: Isolation
      definition:
        v: Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
    concept:
      code:
        v: P
      display:
        v: Private
      definition:
        v: Accommodations in which there is only 1 bed.
    concept:
      code:
        v: S
      display:
        v: Suite
      definition:
        v: Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
    concept:
      code:
        v: SP
      display:
        v: Semi-private
      definition:
        v: Accommodations in which there are 2 beds.
    concept:
      code:
        v: W
      display:
        v: Ward
      definition:
        v: Accommodations in which there are 3 or more beds.

code:
  v: _ActInvoiceDetailClinicalServiceCode
display:
  v: ActInvoiceDetailClinicalServiceCode
definition:
  v: An identifying data string for healthcare procedures.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: _ActInvoiceGroupCode
display:
  v: ActInvoiceGroupCode
definition:
  v: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActInvoiceInterGroupCode
  display:
    v: ActInvoiceInterGroupCode
  definition:
    v: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: CPNDDRGING
    display:
      v: compound drug invoice group
    definition:
      v: A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.
  concept:
    code:
      v: CPNDINDING
    display:
      v: compound ingredient invoice group
    definition:
      v: A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.
  concept:
    code:
      v: CPNDSUPING
    display:
      v: compound supply invoice group
    definition:
      v: A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.
  concept:
    code:
      v: DRUGING
    display:
      v: drug invoice group
    definition:
      v: A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
  concept:
    code:
      v: FRAMEING
    display:
      v: frame invoice group
    definition:
      v: A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
  concept:
    code:
      v: LENSING
    display:
      v: lens invoice group
    definition:
      v: A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
  concept:
    code:
      v: PRDING
    display:
      v: product invoice group
    definition:
      v: A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.
concept:
  code:
    v: _ActInvoiceRootGroupCode
  display:
    v: ActInvoiceRootGroupCode
  definition:
    v: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: CPINV
    display:
      v: clinical product invoice
    definition:
      v: Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.
  concept:
    code:
      v: CSINV
    display:
      v: clinical service invoice
    definition:
      v: Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
  concept:
    code:
      v: CSPINV
    display:
      v: clinical service and product
    definition:
      v: A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service).
  concept:
    code:
      v: FININV
    display:
      v: financial invoice
    definition:
      v: Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage.
  concept:
    code:
      v: OHSINV
    display:
      v: oral health service
    definition:
      v: A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.
  concept:
    code:
      v: PAINV
    display:
      v: preferred accommodation invoice
    definition:
      v: HealthCare facility preferred accommodation invoice.
  concept:
    code:
      v: RXCINV
    display:
      v: Rx compound invoice
    definition:
      v: Pharmacy dispense invoice for a compound.
  concept:
    code:
      v: RXDINV
    display:
      v: Rx dispense invoice
    definition:
      v: Pharmacy dispense invoice not involving a compound
  concept:
    code:
      v: SBFINV
    display:
      v: sessional or block fee invoice
    definition:
      v: Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
  concept:
    code:
      v: VRXINV
    display:
      v: vision dispense invoice
    definition:
      v: Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.

code:
  v: _ActInvoiceElementSummaryCode
display:
  v: ActInvoiceElementSummaryCode
definition:
  v: Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _InvoiceElementAdjudicated
  display:
    v: InvoiceElementAdjudicated
  definition:
    v: Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: ADNFPPELAT
    display:
      v: adjud. nullified prior-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
  concept:
    code:
      v: ADNFPPELCT
    display:
      v: adjud. nullified prior-period electronic count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
  concept:
    code:
      v: ADNFPPMNAT
    display:
      v: adjud. nullified prior-period manual amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
  concept:
    code:
      v: ADNFPPMNCT
    display:
      v: adjud. nullified prior-period manual count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
  concept:
    code:
      v: ADNFSPELAT
    display:
      v: adjud. nullified same-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
  concept:
    code:
      v: ADNFSPELCT
    display:
      v: adjud. nullified same-period electronic count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
  concept:
    code:
      v: ADNFSPMNAT
    display:
      v: adjud. nullified same-period manual amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
  concept:
    code:
      v: ADNFSPMNCT
    display:
      v: adjud. nullified same-period manual count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
  concept:
    code:
      v: ADNPPPELAT
    display:
      v: adjud. non-payee payable prior-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
  concept:
    code:
      v: ADNPPPELCT
    display:
      v: adjud. non-payee payable prior-period electronic count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
  concept:
    code:
      v: ADNPPPMNAT
    display:
      v: adjud. non-payee payable prior-period manual amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
  concept:
    code:
      v: ADNPPPMNCT
    display:
      v: adjud. non-payee payable prior-period manual count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
  concept:
    code:
      v: ADNPSPELAT
    display:
      v: adjud. non-payee payable same-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
  concept:
    code:
      v: ADNPSPELCT
    display:
      v: adjud. non-payee payable same-period electronic count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
  concept:
    code:
      v: ADNPSPMNAT
    display:
      v: adjud. non-payee payable same-period manual amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
  concept:
    code:
      v: ADNPSPMNCT
    display:
      v: adjud. non-payee payable same-period manual count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
  concept:
    code:
      v: ADPPPPELAT
    display:
      v: adjud. payee payable prior-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
  concept:
    code:
      v: ADPPPPELCT
    display:
      v: adjud. payee payable prior-period electronic count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
  concept:
    code:
      v: ADPPPPMNAT
    display:
      v: adjud. payee payable prior-period manual amout
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
  concept:
    code:
      v: ADPPPPMNCT
    display:
      v: adjud. payee payable prior-period manual count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
  concept:
    code:
      v: ADPPSPELAT
    display:
      v: adjud. payee payable same-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
  concept:
    code:
      v: ADPPSPELCT
    display:
      v: adjud. payee payable same-period electronic count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
  concept:
    code:
      v: ADPPSPMNAT
    display:
      v: adjud. payee payable same-period manual amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
  concept:
    code:
      v: ADPPSPMNCT
    display:
      v: adjud. payee payable same-period manual count
    definition:
      v: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
  concept:
    code:
      v: ADRFPPELAT
    display:
      v: adjud. refused prior-period electronic amount
    definition:
      v: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
  concept:
    code:
      v: ADRFPPELCT
    display:
      v: adjud. refused prior-period electronic count

v: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

code:
  v: ADRFPPMNAT
display:
  v: adjud. refused prior-period manual amount
definition:
  v: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

code:
  v: ADRFPPMNCT
display:
  v: adjud. refused prior-period manual count
definition:
  v: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

code:
  v: ADRFSPELAT
display:
  v: adjud. refused same-period electronic amount
definition:
  v: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

code:
  v: ADRFSPELCT
display:
  v: adjud. refused same-period electronic count
definition:
  v: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

code:
  v: ADRFSPMNAT
display:
  v: adjud. refused same-period manual amount
definition:
  v: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

code:
  v: ADRFSPMNCT
display:
  v: adjud. refused same-period manual count
definition:
  v: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

code:
  v: _InvoiceElementPaid
display:
  v: InvoiceElementPaid
definition:
  v: Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: PDNFPPELAT
  display:
    v: paid nullified prior-period electronic amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
concept:
  code:
    v: PDNFPPELCT
  display:
    v: paid nullified prior-period electronic count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
concept:
  code:
    v: PDNFPPMNAT
  display:
    v: paid nullified prior-period manual amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
concept:
  code:
    v: PDNFPPMNCT
  display:
    v: paid nullified prior-period manual count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
concept:
  code:
    v: PDNFSPELAT
  display:
    v: paid nullified same-period electronic amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
concept:
  code:
    v: PDNFSPELCT
  display:
    v: paid nullified same-period electronic count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
concept:
  code:
    v: PDNFSPMNAT
  display:
    v: paid nullified same-period manual amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
concept:
  code:
    v: PDNFSPMNCT
  display:
    v: paid nullified same-period manual count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
concept:
  code:
    v: PDNPPPELAT
  display:
    v: paid non-payee payable prior-period electronic amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
concept:
  code:
    v: PDNPPPELCT
  display:
    v: paid non-payee payable prior-period electronic count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
concept:
  code:
    v: PDNPPPMNAT
  display:
    v: paid non-payee payable prior-period manual amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
concept:
  code:
    v: PDNPPPMNCT
  display:
    v: paid non-payee payable prior-period manual count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
concept:
  code:
    v: PDNPSPELAT
  display:
    v: paid non-payee payable same-period electronic amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
concept:
  code:
    v: PDNPSPELCT
  display:
    v: paid non-payee payable same-period electronic count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
concept:
  code:
    v: PDNPSPMNAT
  display:
    v: paid non-payee payable same-period manual amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
concept:
  code:
    v: PDNPSPMNCT
  display:
    v: paid non-payee payable same-period manual count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
concept:
  code:
    v: PDPPPPELAT
  display:
    v: paid payee payable prior-period electronic amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
concept:
  code:
    v: PDPPPPELCT
  display:
    v: paid payee payable prior-period electronic count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
concept:
  code:
    v: PDPPPPMNAT
  display:
    v: paid payee payable prior-period manual amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
concept:
  code:
    v: PDPPPPMNCT
  display:
    v: paid payee payable prior-period manual count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
concept:
  code:
    v: PDPPSPELAT
  display:
    v: paid payee payable same-period electronic amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
concept:
  code:
    v: PDPPSPELCT
  display:
    v: paid payee payable same-period electronic count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
concept:
  code:
    v: PDPPSPMNAT
  display:
    v: paid payee payable same-period manual amount
  definition:
    v: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
concept:
  code:
    v: PDPPSPMNCT
  display:
    v: paid payee payable same-period manual count
  definition:
    v: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

code:
  v: _InvoiceElementSubmitted
display:
  v: InvoiceElementSubmitted
definition:
  v: Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: SBBLELAT
  display:
    v: submitted billed electronic amount
  definition:
    v: Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
concept:
  code:
    v: SBBLELCT
  display:
    v: submitted billed electronic count
  definition:
    v: Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
concept:
  code:
    v: SBNFELAT
  display:
    v: submitted nullified electronic amount
  definition:
    v: Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
concept:
  code:
    v: SBNFELCT
  display:
    v: submitted cancelled electronic count
  definition:
    v: Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
concept:
  code:
    v: SBPDELAT
  display:
    v: submitted pending electronic amount
  definition:
    v: Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
concept:
  code:
    v: SBPDELCT
  display:
    v: submitted pending electronic count
  definition:
    v: Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

code:
  v: _ActInvoiceOverrideCode
display:
  v: ActInvoiceOverrideCode
definition:
  v: Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: COVGE
  display:
    v: coverage problem
  definition:
    v: Insurance coverage problems have been encountered. Additional explanation information to be supplied.
concept:
  code:
    v: EFORM
  display:
    v: electronic form to follow
  definition:
    v: Electronic form with supporting or additional information to follow.
concept:
  code:
    v: FAX
  display:
    v: fax to follow
  definition:
    v: Fax with supporting or additional information to follow.
concept:
  code:
    v: GFTH
  display:
    v: good faith indicator
  definition:
    v: The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.
concept:
  code:
    v: LATE
  display:
    v: late invoice
  definition:
    v: Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.
concept:
  code:
    v: MANUAL
  display:
    v: manual review
  definition:
    v: Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.
concept:
  code:
    v: OOJ
  display:
    v: out of jurisdiction
  definition:
    v: The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
concept:
  code:
    v: ORTHO
  display:
    v: orthodontic service
  definition:
    v: The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.
concept:
  code:
    v: PAPER
  display:
    v: paper documentation to follow
  definition:
    v: Paper documentation (or other physical format) with supporting or additional information to follow.
concept:
  code:
    v: PIE
  display:
    v: public insurance exhausted
  definition:
    v: Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.
concept:
  code:
    v: PYRDELAY
  display:
    v: delayed by a previous payor
  definition:
    v: Allows provider to explain lateness of invoice to a subsequent payor.
concept:
  code:
    v: REFNR
  display:
    v: referral not required
  definition:
    v: Rules of practice do not require a physician's referral for the provider to perform a billable service.
concept:
  code:
    v: REPSERV
  display:
    v: repeated service
  definition:
    v: The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.
concept:
  code:
    v: UNRELAT
  display:
    v: unrelated service
  definition:
    v: The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.
concept:
  code:
    v: VERBAUTH
  display:
    v: verbal authorization
  definition:
    v: The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.

code:
  v: _ActListCode
display:
  v: ActListCode
definition:
  v: Provides codes associated with ActClass value of LIST (working list)
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActObservationList
  display:
    v: ActObservationList
  definition:
    v: ActObservationList
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: CARELIST
    display:
      v: care plan
    definition:
      v: List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.
  concept:
    code:
      v: CONDLIST
    display:
      v: condition list
    definition:
      v: List of condition observations.
    concept:
      code:
        v: INTOLIST
      display:
        v: intolerance list
      definition:
        v: List of intolerance observations.
    concept:
      code:
        v: PROBLIST
      display:
        v: problem list
      definition:
        v: List of problem observations.
    concept:
      code:
        v: RISKLIST
      display:
        v: risk factors
      definition:
        v: List of risk factor observations.
  concept:
    code:
      v: GOALLIST
    display:
      v: goal list
    definition:
      v: List of observations in goal mood.
concept:
  code:
    v: _ActTherapyDurationWorkingListCode
  display:
    v: ActTherapyDurationWorkingListCode
  definition:
    v: Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActMedicationTherapyDurationWorkingListCode
    display:
      v: act medication therapy duration working list
    definition:
      v: Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists. Examples:"Continuous/Chronic" "Short-Term" and "As Needed"
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: ACU
      display:
        v: short term/acute
      definition:
        v: Definition:A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.
    concept:
      code:
        v: CHRON
      display:
        v: continuous/chronic
      definition:
        v: Definition:A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.
    concept:
      code:
        v: ONET
      display:
        v: one time
      definition:
        v: Definition:A list of medications which the patient is intended to be administered only once.
    concept:
      code:
        v: PRN
      display:
        v: as needed
      definition:
        v: Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.
concept:
  code:
    v: MEDLIST
  display:
    v: medication list
  definition:
    v: List of medications.
  concept:
    code:
      v: CURMEDLIST
    display:
      v: current medication list
    definition:
      v: List of current medications.
  concept:
    code:
      v: DISCMEDLIST
    display:
      v: discharge medication list
    definition:
      v: List of discharge medications.
  concept:
    code:
      v: HISTMEDLIST
    display:
      v: medication history
    definition:
      v: Historical list of medications.

code:
  v: _ActMonitoringProtocolCode
display:
  v: ActMonitoringProtocolCode
definition:
  v: Identifies types of monitoring programs
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CTLSUB
  display:
    v: Controlled Substance
  definition:
    v: A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
concept:
  code:
    v: INV
  display:
    v: investigational
  definition:
    v: Definition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated
concept:
  code:
    v: LU
  display:
    v: limited use
  definition:
    v: Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
concept:
  code:
    v: OTC
  display:
    v: non prescription medicine
  definition:
    v: Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.
concept:
  code:
    v: RX
  display:
    v: prescription only medicine
  definition:
    v: Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.
concept:
  code:
    v: SA
  display:
    v: special authorization
  definition:
    v: Definition:A drug that requires prior approval (to be reimbursed) before being dispensed
concept:
  code:
    v: SAC
  display:
    v: special access
  definition:
    v: Description:A drug that requires special access permission to be prescribed and dispensed.

code:
  v: _ActNonObservationIndicationCode
display:
  v: ActNonObservationIndicationCode
definition:
  v: Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: IND01
  display:
    v: imaging study requiring contrast
  definition:
    v: Description:Contrast agent required for imaging study.
concept:
  code:
    v: IND02
  display:
    v: colonoscopy prep
  definition:
    v: Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
concept:
  code:
    v: IND03
  display:
    v: prophylaxis
  definition:
    v: Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
concept:
  code:
    v: IND04
  display:
    v: surgical prophylaxis
  definition:
    v: Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
concept:
  code:
    v: IND05
  display:
    v: pregnancy prophylaxis
  definition:
    v: Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.

code:
  v: _ActObservationVerificationType
display:
  v: act observation verification
definition:
  v: Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. Examples: Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program Verification of record - e.g., person has record in an immunization registry Verification of enumeration - e.g. NPI Verification of Board Certification - provider specific Verification of Certification - e.g. JAHCO, NCQA, URAC Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria Verification of Provider Credentials Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: VFPAPER
  display:
    v: verify paper
  definition:
    v: Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.

code:
  v: _ActPaymentCode
display:
  v: ActPaymentCode
definition:
  v: Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ACH
  display:
    v: Automated Clearing House
  definition:
    v: Automated Clearing House (ACH).
concept:
  code:
    v: CHK
  display:
    v: Cheque
  definition:
    v: A written order to a bank to pay the amount specified from funds on deposit.
concept:
  code:
    v: DDP
  display:
    v: Direct Deposit
  definition:
    v: Electronic Funds Transfer (EFT) deposit into the payee's bank account
concept:
  code:
    v: NON
  display:
    v: Non-Payment Data
  definition:
    v: Non-Payment Data.

code:
  v: _ActPharmacySupplyType
display:
  v: ActPharmacySupplyType
definition:
  v: Identifies types of dispensing events
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: UD
concept:
  code:
    v: DF
  display:
    v: Daily Fill
  definition:
    v: A fill providing sufficient supply for one day
concept:
  code:
    v: EM
  display:
    v: Emergency Supply
  definition:
    v: A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)
  concept:
    code:
      v: SO
    display:
      v: Script Owing
    definition:
      v: An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
concept:
  code:
    v: FF
  display:
    v: First Fill
  definition:
    v: The initial fill against an order. (This includes initial fills against refill orders.)
  property:
    code:
      v: child
    value: code
      v: FFS
  property:
    code:
      v: child
    value: code
      v: FFPS
  concept:
    code:
      v: FFC
    display:
      v: First Fill - Complete
    definition:
      v: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).
    property:
      code:
        v: child
      value: code
        v: FFCS
  concept:
    code:
      v: FFP
    display:
      v: First Fill - Part Fill
    definition:
      v: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
  concept:
    code:
      v: FFSS
    display:
      v: first fill, partial strength
    definition:
      v: A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    property:
      code:
        v: child
      value: code
        v: FFPS
    property:
      code:
        v: child
      value: code
        v: FFCS
    property:
      code:
        v: child
      value: code
        v: TFS
  concept:
    code:
      v: TF
    display:
      v: Trial Fill
    definition:
      v: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
    property:
      code:
        v: child
      value: code
        v: TFS
concept:
  code:
    v: FS
  display:
    v: Floor stock
  definition:
    v: A supply action to restock a smaller more local dispensary.
concept:
  code:
    v: MS
  display:
    v: Manufacturer Sample
  definition:
    v: A supply of a manufacturer sample
concept:
  code:
    v: RF
  display:
    v: Refill
  definition:
    v: A fill against an order that has already been filled (or partially filled) at least once.
  property:
    code:
      v: child
    value: code
      v: DF
  concept:
    code:
      v: UD
    display:
      v: Unit Dose
    definition:
      v: A supply action that provides sufficient material for a single dose.
  concept:
    code:
      v: RFC
    display:
      v: Refill - Complete
    definition:
      v: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)
    concept:
      code:
        v: RFCS
      display:
        v: refill complete partial strength
      definition:
        v: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
  concept:
    code:
      v: RFF
    display:
      v: Refill (First fill this facility)
    definition:
      v: The first fill against an order that has already been filled at least once at another facility.
    concept:
      code:
        v: RFFS
      display:
        v: refill partial strength (first fill this facility)
      definition:
        v: The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
  concept:
    code:
      v: RFP
    display:
      v: Refill - Part Fill
    definition:
      v: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
    concept:
      code:
        v: RFPS
      display:
        v: refill part fill partial strength
      definition:
        v: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
  concept:
    code:
      v: RFS
    display:
      v: refill partial strength
    definition:
      v: A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
  concept:
    code:
      v: TB
    display:
      v: Trial Balance
    definition:
      v: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
    concept:
      code:
        v: TBS
      display:
        v: trial balance partial strength
      definition:
        v: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

code:
  v: UDE
display:
  v: unit dose equivalent
definition:
  v: A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.

code:
  v: _ActPolicyType
display:
  v: ActPolicyType
definition:
  v: Description:Types of policies that further specify the ActClassPolicy value set.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActPrivacyPolicy
  display:
    v: ActPrivacyPolicy
  definition:
    v: A policy deeming certain information to be private to an individual or organization. Definition: A mandate, obligation, requirement, rule, or expectation relating to privacy. Discussion: ActPrivacyPolicyType codes support the designation of the 1..* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Usage Note: Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActConsentDirective
    display:
      v: ActConsentDirective
    definition:
      v: Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered "consent directives" or "contracts" depending on the context, and are considered closely related or synonymous from a legal perspective. Examples: Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats. Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability. Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability. Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor. Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an "award" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling. A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service. Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: EMRGONLY
      display:
        v: emergency only
      definition:
        v: This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. Definition: Opt-in to disclosure of health information for emergency only consent directive.
    concept:
      code:
        v: GRANTORCHOICE
      display:
        v: grantor choice
      definition:
        v: A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions. Comment: A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms. Usage Note: If the grantor's term of agreement must be accepted in full, then this is considered "basic consent". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered "granular consent". Examples: Healthcare: A PHR account holder [grantor] may require any PHR user [grantee] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. Non-healthcare: The owner of a resource server [grantor] may require any authorization server [grantee] to meet authorization requirements stipulated in the grantor's terms of agreement.
    concept:
      code:
        v: IMPLIED
      display:
        v: implied consent
      definition:
        v: A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee. Comment: Implied or "implicit" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms. Usage Note: Implied consent with no opportunity to assent or dissent to certain terms is considered "basic consent". Examples: Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient [grantor] agrees to the rights granted to the provider [grantee] in an implicit consent directive. An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.
    concept:
      code:
        v: IMPLIEDD
      display:
        v: implied consent with opportunity to dissent
      definition:
        v: A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms. Comment: A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent. Usage Note: Implied or "implicit" consent with an "opportunity to dissent" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered "granular consent". Examples: Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures. A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.
    concept:
      code:
        v: NOCONSENT
      display:
        v: no consent
      definition:
        v: No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement. Comment: A "No Consent" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles [FIPP] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures. Usage Note: The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge. Examples: Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.
    concept:
      code:
        v: NOPP
      display:
        v: notice of privacy practices
      definition:
        v: Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified.
    concept:
      code:
        v: OPTIN
      display:
        v: opt-in
      definition:
        v: A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms. Comment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement.
    concept:
      code:
        v: OPTINR
      display:
        v: opt-in with restrictions
      definition:
        v: A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms. Comment: A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent. Usage Note: Opt-in with restrictions is considered "granular consent" because the grantor has an opportunity to narrow the permissions sought by the grantee. Examples: Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.
    concept:
      code:
        v: OPTOUT
      display:
        v: op-out
      definition:
        v: A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms. Comment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. Non-healthcare: An employee [grantor] refuses to sign an employer's [grantee's] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights. A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption.
    concept:
      code:
        v: OPTOUTE
      display:
        v: opt-out with exceptions
      definition:
        v: A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms. Comment: A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms. Usage Note: Opt-out with exceptions is considered a "granular consent" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms. Examples: Healthcare: A patient [grantor] dissents to a health information exchange consent directive with the exception of disclosure based on a limited "time to live" shared secret [e.g., a token or password], which the patient can give to a provider when seeking care. Non-healthcare: A social media user [grantor] dissents from public access to their account, but assents to access to a circle of friends.
  concept:
    code:
      v: _ActPrivacyLaw
    display:
      v: ActPrivacyLaw
    definition:
      v: A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on: The activity of a governed party The behavior of a governed party The manner in which an act is executed by a governed party
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: _ActUSPrivacyLaw
      display:
        v: _ActUSPrivacyLaw
      definition:
        v: Definition: A jurisdictional mandate in the U.S. relating to privacy. Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.
  concept:
    code:
      v: _InformationSensitivityPolicy
    display:
      v: InformationSensitivityPolicy
    definition:
      v: A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations. Usage Note: Sensitivity codes are not useful fo…
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: _ActInformationSensitivityPolicy
      display:
        v: ActInformationSensitivityPolicy
      definition:
        v: Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
      property:
        value: boolean
    concept:
      code:
        v: _EntitySensitivityPolicyType
      display:
        v: EntityInformationSensitivityPolicy
      definition:
        v: Types of sensitivity policies that may apply to a sensitive attribute on an Entity. Usage Note: EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
      property:
        value: boolean
    concept:
      code:
        v: _RoleInformationSensitivityPolicy
      display:
        v: RoleInformationSensitivityPolicy
      definition:
        v: Types of sensitivity policies that apply to Roles. Usage Notes: RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
      property:
        value: boolean
    concept:
      code:
        v: ADOL
      display:
        v: adolescent information sensitivity
      definition:
        v: Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    concept:
      code:
        v: CEL
      display:
        v: celebrity information sensitivity
      definition:
        v: Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    concept:
      code:
        v: DIA
      display:
        v: diagnosis information sensitivity
      definition:
        v: Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    concept:
      code:
        v: DRGIS
      display:
        v: drug information sensitivity
      definition:
        v: Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    concept:
      code:
        v: EMP
      display:
        v: employee information sensitivity
      definition:
        v: Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.
    concept:
      code:
        v: PDS
      display:
        v: patient default information sensitivity

v: 42CFRPart2

v: 42 CFR Part2

v: 42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program. Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.

v: CommonRule

v: Common Rule

v: U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements. Definition: U.S. federal laws governing research-related privacy policies. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.

v: HIPAANOPP

v: HIPAA notice of privacy practices

v: The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law. Definition: Notification of HIPAA Privacy Practices. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.

v: HIPAAPsyNotes

v: HIPAA psychotherapy notes

v: The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes. Definition: Authorization that must be obtained for disclosure of psychotherapy notes. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.

v: HIPAASelfPay

v: HIPAA self-pay

v: Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan. Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.

v: Title38Section7332

v: Title 38 Section 7332

v: Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfil the duties of the contract; and researchers who provide assurances that the information will not be identified in any report. This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes. Definition: Title 38 Part 1 - Section 1.462 Confidentiality restrictions. (a) General. The patient records to which Sections 1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in sub…

v: notSelectable

boolean
v: true

v: ETH

v: substance abuse information sensitivity

v: Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: GDIS

v: genetic disease information sensitivity

v: Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: HIV

v: HIV/AIDS information sensitivity

v: Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: MST

v: military sexual trauma information sensitivity

v: Policy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality. Access control concerns for military sexual trauma is based on the patient being subject to control by a higher ranking military perpetrator and/or censure by others within the military unit. Due to the relatively unfettered access to healthcare information by higher ranking military personnel and those who have command over the patient, there is a need to sequester this information outside of the typical controls on access to military health records. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

v: SCA

v: sickle cell anemia information sensitivity

v: Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.

v: SDV

v: sexual assault, abuse, or domestic violence information sensitivity

v: Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. SDV code covers violence perpetrated by related and non-related persons. This code should be specific to physical and mental trauma caused by a related person only. The access control concerns are keeping the patient safe from the perpetrator who may have an abusive psychological control over the patient, may be stalking the patient, or may try to manipulate care givers into allowing the perpetrator to make contact with the patient. The definition needs to be clarified. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: SEX

v: sexuality and reproductive health information sensitivity

v: Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: SPI

v: specially protected information sensitivity

v: Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

code:
  v: BH
display:
  v: behavioral health information sensitivity
definition:
  v: Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
concept:
  code:
    v: COGN
  display:
    v: cognitive disability information sensitivity
  definition:
    v: Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Examples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.
concept:
  code:
    v: DVD
  display:
    v: developmental disability information sensitivity
  definition:
    v: Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. A diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.
concept:
  code:
    v: EMOTDIS
  display:
    v: emotional disturbance information sensitivity
  definition:
    v: Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Typical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term.

code:
  v: MH
display:
  v: mental health information sensitivity
definition:
  v: Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

code:
  v: PSY
display:
  v: psychiatry disorder information sensitivity
definition:
  v: Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

code:
  v: PSYTHPN
display:
  v: psychotherapy note information sensitivity
definition:
  v: Policy for handling psychotherapy note information, which is afforded heightened confidentiality. Usage Note: In some jurisdiction, disclosure of psychotherapy notes requires patient consent. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

code:
  v: SUD
display:
  v: substance use disorder information sensitivity
definition:
  v: Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
concept:
  code:
    v: ETHUD
  display:
    v: alcohol use disorder information sensitivity
  definition:
    v: Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
concept:
  code:
    v: OPIOIDUD
  display:
    v: opioid use disorder information sensitivity
  definition:
    v: Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

v: STD

v: sexually transmitted disease information sensitivity

v: Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: TBOO

v: taboo

v: Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.

v: VIO

v: violence information sensitivity

v: Policy for handling information related to harm by violence, which is afforded heightened confidentiality. Harm by violence is perpetrated by an unrelated person. Access control concerns for information about mental or physical harm resulting from violence caused by an unrelated person may include manipulation of care givers or access to records that enable the perpetrator contact or locate the patient, but the perpetrator will likely not have established abusive psychological control over the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

v: SICKLE

v: sickle cell

v: Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.

code:
  v: status
value: code
  v: retired

v: notSelectable

boolean
v: true

v: DEMO

v: all demographic information sensitivity

v: Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: DOB

v: date of birth information sensitivity

v: Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: GENDER

v: gender and sexual orientation information sensitivity

v: Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: LIVARG

v: living arrangement information sensitivity

v: Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: MARST

v: marital status information sensitivity

v: Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: RACE

v: race information sensitivity

v: Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: REL

v: religion information sensitivity

v: Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: notSelectable

boolean
v: true

v: B

v: business information sensitivity

v: Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: EMPL

v: employer information sensitivity

v: Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: LOCIS

v: location information sensitivity

v: Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: SSP

v: sensitive service provider information sensitivity

v: Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

v: Policy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default. Organizational policy may allow the sensitivity tag to be cleared on patient's request. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. For example, VA deems employee information sensitive by default. Information about a patient who is being stalked or a victim of abuse or violence may be deemed sensitive by default per a provider organization's policies.

code:
  v: PHY
display:
  v: physician requested information sensitivity
definition:
  v: Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive. Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Use cases in which this code could be used are, e.g., in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence.

code:
  v: PRS
display:
  v: patient requested information sensitivity
definition:
  v: Policy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted. For example, a minor patient may request that information about reproductive health not be disclosed to the patient's family or to particular providers and payers. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

code:
  v: COMPT
display:
  v: compartment
definition:
  v: This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
concept:
  code:
    v: ACOCOMPT
  display:
    v: accountable care organization compartment
  definition:
    v: A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group. Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information
concept:
  code:
    v: CTCOMPT
  display:
    v: care team compartment
  definition:
    v: Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information
concept:
  code:
    v: FMCOMPT
  display:
    v: financial management compartment
  definition:
    v: Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information.
concept:
  code:
    v: HRCOMPT
  display:
    v: human resource compartment
  definition:
    v: A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.
concept:
  code:
    v: LRCOMPT
  display:
    v: legitimate relationship compartment
  definition:
    v: Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information.
concept:
  code:
    v: PACOMPT
  display:
    v: patient administration compartment
  definition:
    v: Patient administration members who have access to healthcare consumer information as part of a patient administration workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information.
concept:
  code:
    v: RESCOMPT
  display:
    v: research project compartment
  definition:
    v: A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.
concept:
  code:
    v: RMGTCOMPT
  display:
    v: records management compartment
  definition:
    v: A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.

code:
  v: ActTrustPolicyType
display:
  v: trust policy
definition:
  v: A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. [Based on ISO IEC 10181-1 and NIST SP 800-63-2] For example, identity proofing , level of assurance, and Trust Framework.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: TRSTACCRD
  display:
    v: trust accreditation
  definition:
    v: Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
concept:
  code:
    v: TRSTAGRE
  display:
    v: trust agreement
  definition:
    v: Type of security metadata about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
concept:
  code:
    v: TRSTASSUR
  display:
    v: trust assurance
  definition:
    v: Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
concept:
  code:
    v: TRSTCERT
  display:
    v: trust certificate
  definition:
    v: Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]
concept:
  code:
    v: TRSTFWK
  display:
    v: trust framework
  definition:
    v: Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
concept:
  code:
    v: TRSTMEC
  display:
    v: trust mechanism
  definition:
    v: Type of security metadata about a security architecture system component that supports enforcement of security policies.

code:
  v: COVPOL
display:
  v: benefit policy
definition:
  v: Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.

code:
  v: SecurityPolicy
display:
  v: security policy
definition:
  v: Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent
concept:
  code:
    v: AUTHPOL
  display:
    v: authorization policy
  definition:
    v: Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system. A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)
  concept:
    code:
      v: ACCESSCONSCHEME
    display:
      v: access control scheme
    definition:
      v: An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies. Usage Note: Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service. There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also. An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996) Examples: Attribute Based Access Control (ABAC) Discretionary Access Control (DAC) History Based Access Control (HBAC) Identity Based Access Control (IBAC) Mandatory Access Control (MAC) Organization Based Access Control (OrBAC) Relationship Based Access Control (RelBac) Responsibility Based Access Control (RespBAC) Risk Adaptable Access Control (RAdAC) >
concept:
  code:
    v: DELEPOL
  display:
    v: delegation policy
  definition:
    v: Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated. Delegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden. A Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS)
concept:
  code:
    v: ObligationPolicy
  display:
    v: obligation policy
  definition:
    v: Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
  concept:
    code:
      v: ANONY
    display:
      v: anonymize
    definition:
      v: Custodian system must remove any information that could result in identifying the information subject.
  concept:
    code:
      v: AOD
    display:
      v: accounting of disclosure
    definition:
      v: Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.
  concept:
    code:
      v: AUDIT
    display:
      v: audit
    definition:
      v: Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.
  concept:
    code:
      v: AUDTR
    display:
      v: audit trail
    definition:
      v: Custodian system must monitor and maintain retrievable log for each user and operation on information.
  concept:
    code:
      v: CPLYCC
    display:
      v: comply with confidentiality code
    definition:
      v: Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
  concept:
    code:
      v: CPLYCD
    display:
      v: comply with consent directive
    definition:
      v: Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
  concept:
    code:
      v: CPLYJPP
    display:
      v: comply with jurisdictional privacy policy
    definition:
      v: Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
  concept:
    code:
      v: CPLYOPP
    display:
      v: comply with organizational privacy policy
    definition:
      v: Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
  concept:
    code:
      v: CPLYOSP
    display:
      v: comply with organizational security policy
    definition:
      v: Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
  concept:
    code:
      v: CPLYPOL
    display:
      v: comply with policy
    definition:
      v: Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
  concept:
    code:
      v: DECLASSIFYLABEL
    display:
      v: declassify security label
    definition:
      v: Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
  concept:
    code:
      v: DEID
    display:
      v: deidentify
    definition:
      v: Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
  concept:
    code:
      v: DELAU
    display:
      v: delete after use
    definition:
      v: Custodian system must remove target information from access after use.
  concept:
    code:
      v: DOWNGRDLABEL
    display:
      v: downgrade security label
    definition:
      v: Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
  concept:
    code:
      v: DRIVLABEL
    display:
      v: derive security label
    definition:
      v: Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
  concept:
    code:
      v: ENCRYPT
    display:
      v: encrypt
    definition:
      v: Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)
    concept:
      code:
        v: ENCRYPTR
      display:
        v: encrypt at rest
      definition:
        v: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
    concept:
      code:
        v: ENCRYPTT
      display:
        v: encrypt in transit
      definition:
        v: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
    concept:
      code:
        v: ENCRYPTU
      display:
        v: encrypt in use
      definition:
        v: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.
  concept:
    code:
      v: HUAPRV
    display:
      v: human approval
    definition:
      v: Custodian system must require human review and approval for permission requested.
  concept:
    code:
      v: LABEL
    display:
      v: assign security label
    definition:
      v: Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.
  concept:
    code:
      v: MASK
    display:
      v: mask
    definition:
      v: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".
  concept:
    code:
      v: MINEC
    display:
      v: minimum necessary
    definition:
      v: Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.
  concept:
    code:
      v: PERSISTLABEL
    display:
      v: persist security label
    definition:
      v: Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.

code:
  v: PRIVMARK
display:
  v: privacy mark
definition:
  v: Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."

code:
  v: PSEUD
display:
  v: pseudonymize
definition:
  v: Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.

code:
  v: REDACT
display:
  v: redact
definition:
  v: Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.

code:
  v: UPGRDLABEL
display:
  v: upgrade security label
definition:
  v: Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.

code:
  v: RefrainPolicy
display:
  v: refrain policy
definition:
  v: Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
concept:
  code:
    v: NOAUTH
  display:
    v: no disclosure without subject authorization
  definition:
    v: Prohibition on disclosure without information subject's authorization.
concept:
  code:
    v: NOCOLLECT
  display:
    v: no collection
  definition:
    v: Prohibition on collection or storage of the information.
concept:
  code:
    v: NODSCLCD
  display:
    v: no disclosure without consent directive
  definition:
    v: Prohibition on disclosure without organizational approved patient restriction.
concept:
  code:
    v: NODSCLCDS
  display:
    v: no disclosure without information subject's consent directive
  definition:
    v: Prohibition on disclosure without a consent directive from the information subject.
concept:
  code:
    v: NOINTEGRATE
  display:
    v: no integration
  definition:
    v: Prohibition on Integration into other records.
concept:
  code:
    v: NOLIST
  display:
    v: no unlisted entity disclosure
  definition:
    v: Prohibition on disclosure except to entities on specific access list.
concept:
  code:
    v: NOMOU
  display:
    v: no disclosure without MOU
  definition:
    v: Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
concept:
  code:
    v: NOORGPOL
  display:
    v: no disclosure without organizational authorization
  definition:
    v: Prohibition on disclosure without organizational authorization.
concept:
  code:
    v: NOPAT
  display:
    v: no disclosure to patient, family or caregivers without attending provider's authorization
  definition:
    v: Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).
concept:
  code:
    v: NOPERSISTP
  display:
    v: no collection beyond purpose of use
  definition:
    v: Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
concept:
  code:
    v: NORDSCLCD
  display:
    v: no redisclosure without consent directive
  definition:
    v: Prohibition on redisclosure without patient consent directive.
concept:
  code:
    v: NORDSCLCDS
  display:
    v: no redisclosure without information subject's consent directive
  definition:
    v: Prohibition on redisclosure without a consent directive from the information subject.
concept:
  code:
    v: NORDSCLW
  display:
    v: no disclosure without jurisdictional authorization
  definition:
    v: Prohibition on disclosure without authorization under jurisdictional law.
concept:
  code:
    v: NORELINK
  display:
    v: no relinking
  definition:
    v: Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.
concept:
  code:
    v: NOREUSE
  display:
    v: no reuse beyond purpose of use
  definition:
    v: Prohibition on use of the information beyond the purpose of use initially authorized.
concept:
  code:
    v: NOVIP
  display:
    v: no unauthorized VIP disclosure
  definition:
    v: Prohibition on disclosure except to principals with access permission to specific VIP information.
concept:
  code:
    v: ORCON
  display:
    v: no disclosure without originator authorization
  definition:
    v: Prohibition on disclosure except as permitted by the information originator.

code:
  v: _ActProductAcquisitionCode
display:
  v: ActProductAcquisitionCode
definition:
  v: The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: LOAN
  display:
    v: Loan
  definition:
    v: Temporary supply of a product without transfer of ownership for the product.
  concept:
    code:
      v: RENT
    display:
      v: Rent
    definition:
      v: Temporary supply of a product with financial compensation, without transfer of ownership for the product.
concept:
  code:
    v: TRANSFER
  display:
    v: Transfer
  definition:
    v: Transfer of ownership for a product.
  concept:
    code:
      v: SALE
    display:
      v: Sale
    definition:
      v: Transfer of ownership for a product for financial compensation.

code:
  v: _ActSpecimenTransportCode
display:
  v: ActSpecimenTransportCode
definition:
  v: Transportation of a specimen.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: SREC
  display:
    v: specimen received
  definition:
    v: Description:Specimen has been received by the participating organization/department.
concept:
  code:
    v: SSTOR
  display:
    v: specimen in storage
  definition:
    v: Description:Specimen has been placed into storage at a participating location.
concept:
  code:
    v: STRAN
  display:
    v: specimen in transit
  definition:
    v: Description:Specimen has been put in transit to a participating receiver.

code:
  v: _ActSpecimenTreatmentCode
display:
  v: ActSpecimenTreatmentCode
definition:
  v: Set of codes related to specimen treatments
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ACID
  display:
    v: Acidification
  definition:
    v: The lowering of specimen pH through the addition of an acid
concept:
  code:
    v: ALK
  display:
    v: Alkalization
  definition:
    v: The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
concept:
  code:
    v: DEFB
  display:
    v: Defibrination
  definition:
    v: The removal of fibrin from whole blood or plasma through physical or chemical means
concept:
  code:
    v: FILT
  display:
    v: Filtration
  definition:
    v: The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
concept:
  code:
    v: LDLP
  display:
    v: LDL Precipitation
  definition:
    v: LDL Precipitation
concept:
  code:
    v: NEUT
  display:
    v: Neutralization
  definition:
    v: The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
concept:
  code:
    v: RECA
  display:
    v: Recalcification
  definition:
    v: The addition of calcium back to a specimen after it was removed by chelating agents
concept:
  code:
    v: UFIL
  display:
    v: Ultrafiltration
  definition:
    v: The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.

code:
  v: _ActSubstanceAdministrationCode
display:
  v: ActSubstanceAdministrationCode
definition:
  v: Description: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: DRUG
  display:
    v: Drug therapy
  definition:
    v: The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
concept:
  code:
    v: FD
  display:
    v: food
  definition:
    v: Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).
concept:
  code:
    v: IMMUNIZ
  display:
    v: Immunization
  definition:
    v: The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
  concept:
    code:
      v: BOOSTER
    display:
      v: Booster Immunization
    definition:
      v: An additional immunization administration within a series intended to bolster or enhance immunity.
    property:
      code:
        v: status
      value: code
        v: retired
  concept:
    code:
      v: INITIMMUNIZ
    display:
      v: Initial Immunization
    definition:
      v: The first immunization administration in a series intended to produce immunity
    property:
      code:
        v: status
      value: code
        v: retired

code:
  v: _ActTaskCode
display:
  v: ActTaskCode
definition:
  v: Description: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: OE
  display:
    v: order entry task
  definition:
    v: A clinician creates a request for a service to be performed for a given patient.
  concept:
    code:
      v: LABOE
    display:
      v: laboratory test order entry task
    definition:
      v: A clinician creates a request for a laboratory test to be done for a given patient.
  concept:
    code:
      v: MEDOE
    display:
      v: medication order entry task
    definition:
      v: A clinician creates a request for the administration of one or more medications to a given patient.
concept:
  code:
    v: PATDOC
  display:
    v: patient documentation task
  definition:
    v: A person enters documentation about a given patient.
  concept:
    code:
      v: ALLERLREV
    display:
      v: allergy list review
    definition:
      v: Description: A person reviews a list of known allergies of a given patient.
  concept:
    code:
      v: CLINNOTEE
    display:
      v: clinical note entry task
    definition:
      v: A clinician enters a clinical note about a given patient
    concept:
      code:
        v: DIAGLISTE
      display:
        v: diagnosis list entry task
      definition:
        v: A clinician enters a diagnosis for a given patient.
    concept:
      code:
        v: DISCHINSTE
      display:
        v: discharge instruction entry
      definition:
        v: A person provides a discharge instruction to a patient.
    concept:
      code:
        v: DISCHSUME
      display:
        v: discharge summary entry task
      definition:
        v: A clinician enters a discharge summary for a given patient.
    concept:
      code:
        v: PATEDUE
      display:
        v: patient education entry
      definition:
        v: A person provides a patient-specific education handout to a patient.
    concept:
      code:
        v: PATREPE
      display:
        v: pathology report entry task
      definition:
        v: A pathologist enters a report for a given patient.
    concept:
      code:
        v: PROBLISTE
      display:
        v: problem list entry task
      definition:
        v: A clinician enters a problem for a given patient.
    concept:
      code:
        v: RADREPE
      display:
        v: radiology report entry task
      definition:
        v: A radiologist enters a report for a given patient.
  concept:
    code:
      v: IMMLREV
    display:
      v: immunization list review
    definition:
      v: Description: A person reviews a list of immunizations due or received for a given patient.
  concept:
    code:
      v: REMLREV
    display:
      v: reminder list review
    definition:
      v: Description: A person reviews a list of health care reminders for a given patient.
    concept:
      code:
        v: WELLREMLREV
      display:
        v: wellness reminder list review
      definition:
        v: Description: A person reviews a list of wellness or preventive care reminders for a given patient.
concept:
  code:
    v: PATINFO
  display:
    v: patient information review task
  definition:
    v: A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
  concept:
    code:
      v: ALLERLE
    display:
      v: allergy list entry
    definition:
      v: Description: A person enters a known allergy for a given patient.
  concept:
    code:
      v: CDSREV
    display:
      v: clinical decision support intervention review
    definition:
      v: A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.
  concept:
    code:
      v: CLINNOTEREV
    display:
      v: clinical note review task
    definition:
      v: A person reviews a clinical note of a given patient.
    concept:
      code:
        v: DISCHSUMREV
      display:
        v: discharge summary review task
      definition:
        v: A person reviews a discharge summary of a given patient.
  concept:
    code:
      v: DIAGLISTREV
    display:
      v: diagnosis list review task
    definition:
      v: A person reviews a list of diagnoses of a given patient.
  concept:
    code:
      v: IMMLE
    display:
      v: immunization list entry
    definition:
      v: Description: A person enters an immunization due or received for a given patient.
  concept:
    code:
      v: LABRREV
    display:
      v: laboratory results review task
    definition:
      v: A person reviews a list of laboratory results of a given patient.
  concept:
    code:
      v: MICRORREV
    display:
      v: microbiology results review task
    definition:
      v: A person reviews a list of microbiology results of a given patient.
    concept:
      code:
        v: MICROORGRREV
      display:
        v: microbiology organisms results review task
      definition:
        v: A person reviews organisms of microbiology results of a given patient.
    concept:
      code:
        v: MICROSENSRREV
      display:
        v: microbiology sensitivity test results review task
      definition:
        v: A person reviews the sensitivity test of microbiology results of a given patient.
  concept:
    code:
      v: MLREV

v: medication list review task

v: A person reviews a list of medication orders submitted to a given patient

code:
  v: MARWLREV
display:
  v: medication administration record work list review task
definition:
  v: A clinician reviews a work list of medications to be administered to a given patient.

code:
  v: OREV
display:
  v: orders review task
definition:
  v: A person reviews a list of orders submitted to a given patient.

code:
  v: PATREPREV
display:
  v: pathology report review task
definition:
  v: A person reviews a pathology report of a given patient.

code:
  v: PROBLISTREV
display:
  v: problem list review task
definition:
  v: A person reviews a list of problems of a given patient.

code:
  v: RADREPREV
display:
  v: radiology report review task
definition:
  v: A person reviews a radiology report of a given patient.

code:
  v: REMLE
display:
  v: reminder list entry
definition:
  v: Description: A person enters a health care reminder for a given patient.
concept:
  code:
    v: WELLREMLE
  display:
    v: wellness reminder list entry
  definition:
    v: Description: A person enters a wellness or preventive care reminder for a given patient.

code:
  v: RISKASSESS
display:
  v: risk assessment instrument task
definition:
  v: A person reviews a Risk Assessment Instrument report of a given patient.
concept:
  code:
    v: FALLRISK
  display:
    v: falls risk assessment instrument task
  definition:
    v: A person reviews a Falls Risk Assessment Instrument report of a given patient.

code:
  v: _ActTransportationModeCode
display:
  v: ActTransportationModeCode
definition:
  v: Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActPatientTransportationModeCode
  display:
    v: ActPatientTransportationModeCode
  definition:
    v: Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: AFOOT
    display:
      v: pedestrian transport
    definition:
      v: pedestrian transport
  concept:
    code:
      v: AMBT
    display:
      v: ambulance transport
    definition:
      v: ambulance transport
    concept:
      code:
        v: AMBAIR
      display:
        v: fixed-wing ambulance transport
      definition:
        v: fixed-wing ambulance transport
    concept:
      code:
        v: AMBGRND
      display:
        v: ground ambulance transport
      definition:
        v: ground ambulance transport
    concept:
      code:
        v: AMBHELO
      display:
        v: helicopter ambulance transport
      definition:
        v: helicopter ambulance transport
  concept:
    code:
      v: LAWENF
    display:
      v: law enforcement transport
    definition:
      v: law enforcement transport
  concept:
    code:
      v: PRVTRN
    display:
      v: private transport
    definition:
      v: private transport
  concept:
    code:
      v: PUBTRN
    display:
      v: public transport
    definition:
      v: public transport

code:
  v: _ObservationType
display:
  v: ObservationType
definition:
  v: Identifies the kinds of observations that can be performed
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActSpecObsCode
  display:
    v: ActSpecObsCode
  definition:
    v: Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: ARTBLD
    display:
      v: ActSpecObsArtBldCode
    definition:
      v: Describes the artificial blood identifier that is associated with the specimen.
  concept:
    code:
      v: DILUTION
    display:
      v: ActSpecObsDilutionCode
    definition:
      v: An observation that reports the dilution of a sample.
    concept:
      code:
        v: AUTO-HIGH
      display:
        v: Auto-High Dilution
      definition:
        v: The dilution of a sample performed by automated equipment. The value is specified by the equipment
    concept:
      code:
        v: AUTO-LOW
      display:
        v: Auto-Low Dilution
      definition:
        v: The dilution of a sample performed by automated equipment. The value is specified by the equipment
    concept:
      code:
        v: PRE
      display:
        v: Pre-Dilution
      definition:
        v: The dilution of the specimen made prior to being loaded onto analytical equipment
    concept:
      code:
        v: RERUN
      display:
        v: Rerun Dilution
      definition:
        v: The value of the dilution of a sample after it had been analyzed at a prior dilution value
  concept:
    code:
      v: EVNFCTS
    display:
      v: ActSpecObsEvntfctsCode
    definition:
      v: Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)
  concept:
    code:
      v: INTFR
    display:
      v: ActSpecObsInterferenceCode
    definition:
      v: An observation that relates to factors that may potentially cause interference with the observation
    concept:
      code:
        v: FIBRIN
      display:
        v: Fibrin
      definition:
        v: The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1
    concept:
      code:
        v: HEMOLYSIS
      display:
        v: Hemolysis
      definition:
        v: An observation of the hemolysis index of the specimen in g/L
    concept:
      code:
        v: ICTERUS
      display:
        v: Icterus
      definition:
        v: An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin
    concept:
      code:
        v: LIPEMIA
      display:
        v: Lipemia
      definition:
        v: An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).
  concept:
    code:
      v: VOLUME
    display:
      v: ActSpecObsVolumeCode
    definition:
      v: An observation that reports the volume of a sample.
    concept:
      code:
        v: AVAILABLE
      display:
        v: Available Volume
      definition:
        v: The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)
    concept:
      code:
        v: CONSUMPTION
      display:
        v: Consumption Volume
      definition:
        v: The quantity of specimen that is used each time the equipment uses this substance
    concept:
      code:
        v: CURRENT
      display:
        v: Current Volume
      definition:
        v: The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
    concept:
      code:
        v: INITIAL
      display:
        v: Initial Volume
      definition:
        v: The initial quantity of the specimen in inventory
concept:
  code:
    v: _AnnotationType
  display:
    v: AnnotationType
  definition:
    v: AnnotationType
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActPatientAnnotationType
    display:
      v: ActPatientAnnotationType
    definition:
      v: Description:Provides a categorization for annotations recorded directly against the patient .
    concept:
      code:
        v: ANNDI
      display:
        v: diagnostic image note
      definition:
        v: Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.
    concept:
      code:
        v: ANNGEN
      display:
        v: general note
      definition:
        v: Description:A general or uncategorized note.
    concept:
      code:
        v: ANNIMM
      display:
        v: immunization note
      definition:
        v: A note that is specific to a patient's immunizations, either historical, current or planned.
    concept:
      code:
        v: ANNLAB
      display:
        v: laboratory note
      definition:
        v: Description:A note that is specific to a patient's laboratory results, either historical, current or planned.
    concept:
      code:
        v: ANNMED
      display:
        v: medication note
      definition:
        v: Description:A note that is specific to a patient's medications, either historical, current or planned.
concept:
  code:
    v: _GeneticObservationType
  display:
    v: GeneticObservationType

v: Description: None provided

code:
  v: notSelectable
value: boolean
  v: true

code:
  v: GENE
display:
  v: gene
definition:
  v: Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology

code:
  v: _ImmunizationObservationType
display:
  v: ImmunizationObservationType
definition:
  v: Description: Observation codes which describe characteristics of the immunization material.
concept:
  code:
    v: OBSANTC
  display:
    v: antigen count
  definition:
    v: Description: Indicates the valid antigen count.
concept:
  code:
    v: OBSANTV
  display:
    v: antigen validity
  definition:
    v: Description: Indicates whether an antigen is valid or invalid.

code:
  v: _IndividualCaseSafetyReportType
display:
  v: Individual Case Safety Report Type
definition:
  v: A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report. Example concepts include: Spontaneous, Report from study, Other.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: PAT_ADV_EVNT
  display:
    v: patient adverse event
  definition:
    v: Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.
concept:
  code:
    v: VAC_PROBLEM
  display:
    v: vaccine product problem
  definition:
    v: Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.

code:
  v: _LOINCObservationActContextAgeType
display:
  v: LOINCObservationActContextAgeType
definition:
  v: Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: 21611-9
  display:
    v: age patient qn est
  definition:
    v: Definition:Estimated age.
concept:
  code:
    v: 21612-7
  display:
    v: age patient qn reported
  definition:
    v: Definition:Reported age.
concept:
  code:
    v: 29553-5
  display:
    v: age patient qn calc
  definition:
    v: Definition:Calculated age.
concept:
  code:
    v: 30525-0
  display:
    v: age patient qn definition
  definition:
    v: Definition:General specification of age with no implied method of determination.
concept:
  code:
    v: 30972-4
  display:
    v: age at onset of adverse event
  definition:
    v: Definition:Age at onset of associated adverse event; no implied method of determination.

code:
  v: _MedicationObservationType
display:
  v: MedicationObservationType
definition:
  v: MedicationObservationType
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: REP_HALF_LIFE
  display:
    v: representative half-life
  definition:
    v: Description:This observation represents an 'average' or 'expected' half-life typical of the product.
concept:
  code:
    v: SPLCOATING
  display:
    v: coating
  definition:
    v: Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.
concept:
  code:
    v: SPLCOLOR
  display:
    v: color
  definition:
    v: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.
concept:
  code:
    v: SPLIMAGE
  display:
    v: image
  definition:
    v: Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.
concept:
  code:
    v: SPLIMPRINT
  display:
    v: imprint
  definition:
    v: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.
concept:
  code:
    v: SPLSCORING
  display:
    v: scoring
  definition:
    v: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).
concept:
  code:
    v: SPLSHAPE
  display:
    v: shape
  definition:
    v: Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.
concept:
  code:
    v: SPLSIZE
  display:
    v: size
  definition:
    v: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.
concept:
  code:
    v: SPLSYMBOL
  display:
    v: symbol
  definition:
    v: Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with true indicating the presence and false for the absence of marks or symbols. Example:

code:
  v: _ObservationIssueTriggerCodedObservationType
display:
  v: ObservationIssueTriggerCodedObservationType
definition:
  v: Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _CaseTransmissionMode
  display:
    v: case transmission mode
  definition:
    v: Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: AIRTRNS
    display:
      v: airborne transmission
    definition:
      v: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
  concept:
    code:
      v: ANANTRNS
    display:
      v: animal to animal transmission
    definition:
      v: Communication of an agent from one animal to another proximate animal.
  concept:
    code:
      v: ANHUMTRNS
    display:
      v: animal to human transmission
    definition:
      v: Communication of an agent from an animal to a proximate person.
  concept:
    code:
      v: BDYFLDTRNS
    display:
      v: body fluid contact transmission
    definition:
      v: Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
  concept:
    code:
      v: BLDTRNS
    display:
      v: blood borne transmission
    definition:
      v: Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.
  concept:
    code:
      v: DERMTRNS
    display:
      v: transdermal transmission
    definition:
      v: Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
  concept:
    code:
      v: ENVTRNS
    display:
      v: environmental exposure transmission
    definition:
      v: Communication of an agent from an environmental surface or source to a living subject by direct contact.
  concept:
    code:
      v: FECTRNS
    display:
      v: fecal-oral transmission
    definition:
      v: Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.
  concept:
    code:
      v: FOMTRNS
    display:
      v: fomite transmission
    definition:
      v: Communication of an agent from an non-living material to a living subject through direct contact.
  concept:
    code:
      v: FOODTRNS
    display:
      v: food-borne transmission
    definition:
      v: Communication of an agent from a food source to a living subject via oral consumption.
  concept:
    code:
      v: HUMHUMTRNS
    display:
      v: human to human transmission
    definition:
      v: Communication of an agent from a person to a proximate person.
  concept:
    code:
      v: INDTRNS
    display:
      v: indeterminate disease transmission mode
    definition:
      v: Communication of an agent to a living subject via an undetermined route.
  concept:
    code:
      v: LACTTRNS
    display:
      v: lactation transmission
    definition:
      v: Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
  concept:
    code:
      v: NOSTRNS
    display:
      v: nosocomial transmission
    definition:
      v: Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.
  concept:
    code:
      v: PARTRNS
    display:
      v: parenteral transmission
    definition:
      v: Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.
  concept:
    code:
      v: PLACTRNS
    display:
      v: transplacental transmission
    definition:
      v: Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.
  concept:
    code:
      v: SEXTRNS
    display:
      v: sexual transmission
    definition:
      v: Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.
  concept:
    code:
      v: TRNSFTRNS
    display:
      v: transfusion transmission
    definition:
      v: Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.
  concept:
    code:
      v: VECTRNS
    display:
      v: vector-borne transmission
    definition:
      v: Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.
  concept:
    code:
      v: WATTRNS
    display:
      v: water-borne transmission
    definition:
      v: Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.

code:
  v: _ObservationQualityMeasureAttribute
display:
  v: ObservationQualityMeasureAttribute
definition:
  v: Codes used to define various metadata aspects of a health quality measure.
concept:
  code:
    v: AGGREGATE
  display:
    v: aggregate measure observation
  definition:
    v: Indicates that the observation is carrying out an aggregation calculation, contained in the value element.
concept:
  code:
    v: CMPMSRMTH
  display:
    v: composite measure method
  definition:
    v: Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.
concept:
  code:
    v: CMPMSRSCRWGHT
  display:
    v: component measure scoring weight
  definition:
    v: An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.
concept:
  code:
    v: COPY
  display:
    v: copyright
  definition:
    v: Identifies the organization(s) who own the intellectual property represented by the eMeasure.
concept:
  code:
    v: CRS
  display:
    v: clinical recommendation statement
  definition:
    v: Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.
concept:
  code:
    v: DEF
  display:
    v: definition
  definition:
    v: Description of individual terms, provided as needed.
concept:
  code:
    v: DISC
  display:
    v: disclaimer
  definition:
    v: Disclaimer information for the eMeasure.
concept:
  code:
    v: FINALDT
  display:
    v: finalized date/time
  definition:
    v: The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.
concept:
  code:
    v: GUIDE
  display:
    v: guidance
  definition:
    v: Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.
concept:
  code:
    v: IDUR
  display:
    v: improvement notation
  definition:
    v: Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).
concept:
  code:
    v: ITMCNT
  display:
    v: items counted
  definition:
    v: Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)
concept:
  code:
    v: KEY
  display:
    v: keyword
  definition:
    v: A significant word that aids in discoverability.
concept:
  code:
    v: MEDT
  display:
    v: measurement end date
  definition:
    v: The end date of the measurement period.
concept:
  code:
    v: MSD
  display:
    v: measurement start date
  definition:
    v: The start date of the measurement period.
concept:
  code:
    v: MSRADJ
  display:
    v: risk adjustment
  definition:
    v: The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.
concept:
  code:
    v: MSRAGG
  display:
    v: rate aggregation
  definition:
    v: Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.
concept:
  code:
    v: MSRIMPROV
  display:
    v: health quality measure improvement notation
  definition:
    v: Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.
concept:
  code:
    v: MSRJUR
  display:
    v: jurisdiction
  definition:
    v: The list of jurisdiction(s) for which the measure applies.
concept:
  code:
    v: MSRRPTR
  display:
    v: reporter type
  definition:
    v: Type of person or organization that is expected to report the issue.
concept:
  code:
    v: MSRRPTTIME
  display:
    v: timeframe for reporting
  definition:
    v: The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.
concept:
  code:
    v: MSRSCORE
  display:
    v: measure scoring
  definition:
    v: Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)
concept:
  code:
    v: MSRSET
  display:
    v: health quality measure care setting
  definition:
    v: Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).
concept:
  code:
    v: MSRTOPIC
  display:
    v: health quality measure topic type
  definition:
    v: health quality measure topic type
concept:
  code:
    v: MSRTP
  display:
    v: measurement period
  definition:
    v: The time period for which the eMeasure applies.
concept:
  code:
    v: MSRTYPE
  display:
    v: measure type
  definition:
    v: Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).
concept:
  code:
    v: RAT
  display:
    v: rationale
  definition:
    v: Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.
concept:
  code:
    v: REF
  display:
    v: reference
  definition:
    v: Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.
concept:
  code:
    v: SDE
  display:
    v: supplemental data elements
  definition:
    v: Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.

code:
  v: STRAT
display:
  v: stratification
definition:
  v: Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).

code:
  v: TRANF
display:
  v: transmission format
definition:
  v: Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.

code:
  v: USE
display:
  v: notice of use
definition:
  v: Usage notes.

code:
  v: _ObservationSequenceType
display:
  v: ObservationSequenceType
definition:
  v: ObservationSequenceType
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: TIME_ABSOLUTE
  display:
    v: absolute time sequence
  definition:
    v: A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar
concept:
  code:
    v: TIME_RELATIVE
  display:
    v: relative time sequence
  definition:
    v: A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.

code:
  v: _ObservationSeriesType
display:
  v: ObservationSeriesType
definition:
  v: ObservationSeriesType
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ECGObservationSeriesType
  display:
    v: ECGObservationSeriesType
  definition:
    v: ECGObservationSeriesType
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: REPRESENTATIVE_BEAT
    display:
      v: ECG representative beat waveforms
    definition:
      v: This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.
  concept:
    code:
      v: RHYTHM
    display:
      v: ECG rhythm waveforms
    definition:
      v: This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.

code:
  v: _PatientImmunizationRelatedObservationType
display:
  v: PatientImmunizationRelatedObservationType
definition:
  v: Description: Reporting codes that are related to an immunization event.
concept:
  code:
    v: CLSSRM
  display:
    v: classroom
  definition:
    v: Description: The class room associated with the patient during the immunization event.
concept:
  code:
    v: GRADE
  display:
    v: grade
  definition:
    v: Description: The school grade or level the patient was in when immunized.
concept:
  code:
    v: SCHL
  display:
    v: school
  definition:
    v: Description: The school the patient attended when immunized.
concept:
  code:
    v: SCHLDIV
  display:
    v: school division
  definition:
    v: Description: The school division or district associated with the patient during the immunization event.
concept:
  code:
    v: TEACHER
  display:
    v: teacher
  definition:
    v: Description: The patient's teacher when immunized.

code:
  v: _PopulationInclusionObservationType
display:
  v: PopulationInclusionObservationType
definition:
  v: Observation types for specifying criteria used to assert that a subject is included in a particular population.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: DENEX
  display:
    v: denominator exclusions
  definition:
    v: Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.
concept:
  code:
    v: DENEXCEP
  display:
    v: denominator exceptions
  definition:
    v: Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient (or subject) reasons System reasons
concept:
  code:
    v: DENOM
  display:
    v: denominator
  definition:
    v: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.
concept:
  code:
    v: IPOP
  display:
    v: initial population
  definition:
    v: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
  concept:
    code:
      v: IPPOP
    display:
      v: initial patient population
    definition:
      v: Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.
concept:
  code:
    v: MSROBS
  display:
    v: measure observation
  definition:
    v: Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population. Examples: the median time from arrival in the Emergency Room to departure the median time from decision to admit to a hospital to the actual admission for Emergency Room patients
concept:
  code:
    v: MSRPOPL
  display:
    v: measure population
  definition:
    v: Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.
concept:
  code:
    v: MSRPOPLEX
  display:
    v: measure population exclusions
  definition:
    v: Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).
concept:
  code:
    v: NUMER
  display:
    v: numerator
  definition:
    v: Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
concept:
  code:
    v: NUMEX
  display:
    v: numerator exclusions
  definition:
    v: Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.

code:
  v: _PreferenceObservationType
display:
  v: _PreferenceObservationType
definition:
  v: Types of observations that can be made about Preferences.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: PREFSTRENGTH
  display:
    v: preference strength
  definition:
    v: An observation about how important a preference is to the target of the preference.

code:
  v: ADVERSE_REACTION
display:
  v: Adverse Reaction
definition:
  v: Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.

code:
  v: ASSERTION
display:
  v: Assertion
definition:
  v: Description:Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture.

code:
  v: CASESER
display:
  v: case seriousness criteria
definition:
  v: Definition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.

code:
  v: CDIO
display:
  v: case disease imported observation
definition:
  v: An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.

code:
  v: CRIT
display:
  v: criticality
definition:
  v: A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.

code:
  v: CTMO
display:
  v: case transmission mode observation
definition:
  v: An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.

code:
  v: DX
display:
  v: ObservationDiagnosisTypes
definition:
  v: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
concept:
  code:
    v: ADMDX
  display:
    v: admitting diagnosis
  definition:
    v: Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
concept:
  code:
    v: DISDX
  display:
    v: discharge diagnosis
  definition:
    v: Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
concept:
  code:
    v: INTDX
  display:
    v: intermediate diagnosis
  definition:
    v: Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
concept:
  code:
    v: NOI
  display:
    v: nature of injury
  definition:
    v: The type of injury that the injury coding specifies.

code:
  v: GISTIER
display:
  v: GIS tier
definition:
  v: Description: Accuracy determined as per the GIS tier code system.

code:
  v: HHOBS
display:
  v: household situation observation
definition:
  v: Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.

code:
  v: ISSUE
display:
  v: detected issue
definition:
  v: There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)
concept:
  code:
    v: _ActAdministrativeDetectedIssueCode
  display:
    v: ActAdministrativeDetectedIssueCode
  definition:
    v: Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _ActAdministrativeAuthorizationDetectedIssueCode
    display:
      v: ActAdministrativeAuthorizationDetectedIssueCode
    definition:
      v: ActAdministrativeAuthorizationDetectedIssueCode
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: NAT
      display:
        v: Insufficient authorization
      definition:
        v: The requesting party has insufficient authorization to invoke the interaction.
    concept:
      code:
        v: SUPPRESSED
      display:
        v: record suppressed
      definition:
        v: Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
    concept:
      code:
        v: VALIDAT
      display:
        v: validation issue
      definition:
        v: Description:The specified element did not pass business-rule validation.
  concept:
    code:
      v: _ActAdministrativeRuleDetectedIssueCode
    display:
      v: ActAdministrativeRuleDetectedIssueCode
    definition:
      v: ActAdministrativeRuleDetectedIssueCode
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    property:
      code:
        v: child
      value: code
        v: KEY204
    property:
      code:
        v: child
      value: code
        v: KEY205
    concept:
      code:
        v: KEY206
      display:
        v: non-matching identification
      definition:
        v: Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
    concept:
      code:
        v: OBSOLETE
      display:
        v: obsolete record returned
      definition:
        v: Description: One or more records in the query response have a status of 'obsolete'.
concept:
  code:
    v: _ActSuppliedItemDetectedIssueCode
  display:
    v: ActSuppliedItemDetectedIssueCode
  definition:
    v: Identifies types of detected issues regarding the administration or supply of an item to a patient.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _AdministrationDetectedIssueCode
    display:
      v: AdministrationDetectedIssueCode
    definition:
      v: Administration of the proposed therapy may be inappropriate or contraindicated as proposed
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    property:
      code:
        v: child
      value: code
        v: COMPLY
    property:
      code:
        v: child
      value: code
        v: DOSE
    property:
      code:
        v: child
      value: code
        v: DUPTHPY
    concept:
      code:
        v: _AppropriatenessDetectedIssueCode
      display:
        v: AppropriatenessDetectedIssueCode
      definition:
        v: AppropriatenessDetectedIssueCode
      property:
        value: boolean
      property:
        value: code
    concept:
      code:
        v: DACT
      display:
        v: drug action detected issue
      definition:
        v: Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
    concept:
      code:
        v: TIME
      display:
        v: timing detected issue
      definition:
        v: Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
    concept:
      code:
        v: _TimingDetectedIssueCode
      display:
        v: TimingDetectedIssueCode
      definition:
        v: Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
      property:
        value: boolean
      property:
        value: code
  concept:
    code:
      v: _SupplyDetectedIssueCode
    display:
      v: SupplyDetectedIssueCode
    definition:
      v: Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: ALLDONE
      display:
        v: already performed
      definition:
        v: Definition:The requested action has already been performed and so this request has no effect
    concept:
      code:
        v: FULFIL
      display:
        v: fulfillment alert
      definition:
        v: Definition:The therapy being performed is in some way out of alignment with the requested therapy.
    concept:
      code:
        v: HELD
      display:
        v: held/suspended alert
      definition:
        v: Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
    concept:
      code:
        v: TOOLATE
      display:
        v: Refill Too Late Alert
      definition:
        v: The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions

v: KEY204

v: Unknown key identifier

v: The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.

v: KEY205

v: Duplicate key identifier

v: The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).

v: COMPLY

v: Compliance Alert

v: There may be an issue with the patient complying with the intentions of the proposed therapy

code:
  v: DUPTHPY
display:
  v: Duplicate Therapy Alert
definition:
  v: The proposed therapy appears to duplicate an existing therapy
concept:
  code:
    v: DUPTHPCLS
  display:
    v: duplicate therapeutic alass alert
  definition:
    v: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
concept:
  code:
    v: DUPTHPGEN
  display:
    v: duplicate generic alert
  definition:
    v: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.

code:
  v: ABUSE
display:
  v: commonly abused/misused alert
definition:
  v: Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.

code:
  v: FRAUD
display:
  v: potential fraud
definition:
  v: Description:The request is suspected to have a fraudulent basis.

code:
  v: PLYDOC
display:
  v: Poly-orderer Alert
definition:
  v: A similar or identical therapy was recently ordered by a different practitioner.

code:
  v: PLYPHRM
display:
  v: Poly-supplier Alert
definition:
  v: This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.

v: DOSE

v: Dosage problem

v: Proposed dosage instructions for therapy differ from standard practice.

code:
  v: DOSECOND
display:
  v: dosage-condition alert
definition:
  v: Description:Proposed dosage is inappropriate due to patient's medical condition.

code:
  v: DOSEDUR
display:
  v: Dose-Duration Alert
definition:
  v: Proposed length of therapy differs from standard practice.
concept:
  code:
    v: DOSEDURH
  display:
    v: Dose-Duration High Alert
  definition:
    v: Proposed length of therapy is longer than standard practice
  concept:
    code:
      v: DOSEDURHIND
    display:
      v: Dose-Duration High for Indication Alert
    definition:
      v: Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
concept:
  code:
    v: DOSEDURL
  display:
    v: Dose-Duration Low Alert
  definition:
    v: Proposed length of therapy is shorter than that necessary for therapeutic effect
  concept:
    code:
      v: DOSEDURLIND
    display:
      v: Dose-Duration Low for Indication Alert
    definition:
      v: Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis

code:
  v: DOSEH
display:
  v: High Dose Alert
definition:
  v: Proposed dosage exceeds standard practice
concept:
  code:
    v: DOSEHINDA
  display:
    v: High Dose for Age Alert
  definition:
    v: Proposed dosage exceeds standard practice for the patient's age
concept:
  code:
    v: DOSEHIND
  display:
    v: High Dose for Indication Alert
  definition:
    v: High Dose for Indication Alert
concept:
  code:
    v: DOSEHINDSA
  display:
    v: High Dose for Height/Surface Area Alert
  definition:
    v: Proposed dosage exceeds standard practice for the patient's height or body surface area
concept:
  code:
    v: DOSEHINDW
  display:
    v: High Dose for Weight Alert
  definition:
    v: Proposed dosage exceeds standard practice for the patient's weight

code:
  v: DOSEIVL
display:
  v: Dose-Interval Alert
definition:
  v: Proposed dosage interval/timing differs from standard practice
concept:
  code:
    v: DOSEIVLIND
  display:
    v: Dose-Interval for Indication Alert
  definition:
    v: Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis

code:
  v: DOSEL
display:
  v: Low Dose Alert
definition:
  v: Proposed dosage is below suggested therapeutic levels
concept:
  code:
    v: DOSELINDA
  display:
    v: Low Dose for Age Alert
  definition:
    v: Proposed dosage is below suggested therapeutic levels for the patient's age
concept:
  code:
    v: DOSELIND
  display:
    v: Low Dose for Indication Alert
  definition:
    v: Low Dose for Indication Alert
concept:
  code:
    v: DOSELINDSA
  display:
    v: Low Dose for Height/Surface Area Alert
  definition:
    v: Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
concept:
  code:
    v: DOSELINDW
  display:
    v: Low Dose for Weight Alert
  definition:
    v: Proposed dosage is below suggested therapeutic levels for the patient's weight

code:
  v: MDOSE
display:
  v: maximum dosage reached
definition:
  v: Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.

v: OBSA

v: Observation Alert

v: Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient

code:
  v: AGE
display:
  v: Age Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated due to patient age
property:
  code:
    v: child
  value: code
    v: DOSEHINDA
property:
  code:
    v: child
  value: code
    v: DOSELINDA
concept:
  code:
    v: ADALRT
  display:
    v: adult alert
  definition:
    v: Proposed therapy is outside of the standard practice for an adult patient.
concept:
  code:
    v: GEALRT
  display:
    v: geriatric alert
  definition:
    v: Proposed therapy is outside of standard practice for a geriatric patient.
concept:
  code:
    v: PEALRT
  display:
    v: pediatric alert
  definition:
    v: Proposed therapy is outside of the standard practice for a pediatric patient.

code:
  v: COND
display:
  v: Condition Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
concept:
  code:
    v: HGHT
concept:
  code:
    v: LACT
  display:
    v: Lactation Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated when breast-feeding
concept:
  code:
    v: PREG
  display:
    v: Pregnancy Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated during pregnancy
concept:
  code:
    v: WGHT

code:
  v: CREACT
display:
  v: common reaction alert
definition:
  v: Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. Example:There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.

code:
  v: GEN
display:
  v: Genetic Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.

code:
  v: GEND
display:
  v: Gender Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated due to patient gender.

code:
  v: LAB
display:
  v: Lab Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated due to recent lab test results

code:
  v: REACT
display:
  v: Reaction Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
concept:
  code:
    v: ALGY
  display:
    v: Allergy Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
concept:
  code:
    v: INT
  display:
    v: Intolerance Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)

code:
  v: RREACT
display:
  v: Related Reaction Alert
definition:
  v: Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
concept:
  code:
    v: RALG
  display:
    v: Related Allergy Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
concept:
  code:
    v: RAR
  display:
    v: Related Prior Reaction Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
concept:
  code:
    v: RINT
  display:
    v: Related Intolerance Alert
  definition:
    v: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)

v: BUS

v: business constraint violation

v: Description:A local business rule relating multiple elements has been violated.

v: CODE_INVAL

v: code is not valid

v: Description:The specified code is not valid against the list of codes allowed for the element.

code:
  v: CODE_DEPREC
display:
  v: code has been deprecated
definition:
  v: Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.

v: FORMAT

v: invalid format

v: Description:The element does not follow the formatting or type rules defined for the field.

v: ILLEGAL

v: illegal

v: Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.

v: LEN_RANGE

v: length out of range

v: Description:The length of the data specified falls out of the range defined for the element.

code:
  v: LEN_LONG
display:
  v: length is too long
definition:
  v: Description:The length of the data specified is greater than the maximum length defined for the element.

code:
  v: LEN_SHORT
display:
  v: length is too short
definition:
  v: Description:The length of the data specified is less than the minimum length defined for the element.

v: MISSCOND

v: conditional element missing

v: Description:The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.

v: MISSMAND

v: mandatory element missing

v: Description:The specified element is mandatory and was not included in the instance.

v: NODUPS

v: duplicate values are not permitted

v: Description:More than one element with the same value exists in the set. Duplicates not permission in this set in a set.

v: NOPERSIST

v: element will not be persisted

v: Description: Element in submitted message will not persist in data storage based on detected issue.

v: REP_RANGE

v: repetitions out of range

v: Description:The number of repeating elements falls outside the range of the allowed number of repetitions.

code:
  v: MAXOCCURS
display:
  v: repetitions above maximum
definition:
  v: Description:The number of repeating elements is above the maximum number of repetitions allowed.

code:
  v: MINOCCURS
display:
  v: repetitions below minimum
definition:
  v: Description:The number of repeating elements is below the minimum number of repetitions allowed.

v: notSelectable

boolean
v: true

v: child

code
v: OBSA

v: _InteractionDetectedIssueCode

v: InteractionDetectedIssueCode

v: InteractionDetectedIssueCode

code:
  v: notSelectable
value: boolean
  v: true

code:
  v: FOOD
display:
  v: Food Interaction Alert
definition:
  v: Proposed therapy may interact with certain foods

code:
  v: TPROD
display:
  v: Therapeutic Product Alert
definition:
  v: Proposed therapy may interact with an existing or recent therapeutic product
concept:
  code:
    v: DRG
  display:
    v: Drug Interaction Alert
  definition:
    v: Proposed therapy may interact with an existing or recent drug therapy
concept:
  code:
    v: NHP
  display:
    v: Natural Health Product Alert
  definition:
    v: Proposed therapy may interact with existing or recent natural health product therapy
concept:
  code:
    v: NONRX
  display:
    v: Non-Prescription Interaction Alert
  definition:
    v: Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)

v: PREVINEF

v: previously ineffective

v: Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.

v: ALRTENDLATE

v: end too late alert

v: Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.

v: ALRTSTRTLATE

v: start too late alert

v: Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.

v: notSelectable

boolean
v: true

v: status

code
v: retired

v: ENDLATE

v: End Too Late Alert

v: Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy

v: STRTLATE

v: Start Too Late Alert

v: Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition

v: NOTACTN

v: no longer actionable

v: Definition:The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)

v: NOTEQUIV

v: not equivalent alert

v: Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.

code:
  v: NOTEQUIVGEN
display:
  v: not generically equivalent alert
definition:
  v: Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.

code:
  v: NOTEQUIVTHER
display:
  v: not therapeutically equivalent alert
definition:
  v: Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.

v: TIMING

v: event timing incorrect alert

v: Definition:The therapy is being performed at a time which diverges from the time the therapy was requested

code:
  v: INTERVAL
display:
  v: outside requested time
definition:
  v: Definition:The therapy action is being performed outside the bounds of the time period requested

code:
  v: MINFREQ
display:
  v: too soon within frequency based on the usage
definition:
  v: Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency

code:
  v: TOOSOON
display:
  v: Refill Too Soon Alert
definition:
  v: The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions

code:
  v: HISTORIC
display:
  v: record recorded as historical
definition:
  v: Description: While the record was accepted in the repository, there is a more recent version of a record of this type.

code:
  v: PATPREF
display:
  v: violates stated preferences
definition:
  v: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
concept:
  code:
    v: PATPREFALT
  display:
    v: violates stated preferences, alternate available
  definition:
    v: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.

code:
  v: KSUBJ
display:
  v: knowledge subject
definition:
  v: Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.

code:
  v: KSUBT
display:
  v: knowledge subtopic
definition:
  v: Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.

code:
  v: OINT
display:
  v: intolerance
definition:
  v: Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
concept:
  code:
    v: ALG
  display:
    v: Allergy
  definition:
    v: Hypersensitivity to an agent caused by an immunologic response to an initial exposure
  concept:
    code:
      v: DALG
    display:
      v: Drug Allergy
    definition:
      v: An allergy to a pharmaceutical product.
  concept:
    code:
      v: EALG
    display:
      v: Environmental Allergy
    definition:
      v: An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
  concept:
    code:
      v: FALG
    display:
      v: Food Allergy
    definition:
      v: An allergy to a substance generally consumed for nutritional purposes.
concept:
  code:
    v: DINT
  display:
    v: Drug Intolerance
  definition:
    v: Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
  property:
    code:
      v: child
    value: code
      v: DALG
  concept:
    code:
      v: DNAINT
    display:
      v: Drug Non-Allergy Intolerance
    definition:
      v: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
concept:
  code:
    v: EINT
  display:
    v: Environmental Intolerance
  definition:
    v: Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
  property:
    code:
      v: child
    value: code
      v: EALG
  concept:
    code:
      v: ENAINT
    display:
      v: Environmental Non-Allergy Intolerance
    definition:
      v: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
concept:
  code:
    v: FINT
  display:
    v: Food Intolerance
  definition:
    v: Hypersensitivity resulting in an adverse reaction upon exposure to food.
  property:
    code:
      v: child
    value: code
      v: FALG
  concept:
    code:
      v: FNAINT
    display:
      v: Food Non-Allergy Intolerance
    definition:
      v: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
concept:
  code:
    v: NAINT
  display:
    v: Non-Allergy Intolerance
  definition:
    v: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
  property:
    code:
      v: child
    value: code
      v: DNAINT
  property:
    code:
      v: child
    value: code
      v: ENAINT
  property:
    code:
      v: child
    value: code
      v: FNAINT

code:
  v: SEV
display:
  v: Severity Observation
definition:
  v: A subjective evaluation of the seriousness or intensity associated with another observation.

code:
  v: _FDALabelData
display:
  v: FDALabelData
definition:
  v: FDA label data
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: retired
concept:
  code:
    v: FDACOATING
  display:
    v: coating
  definition:
    v: FDA label coating
  property:
    code:
      v: status
    value: code
      v: retired
concept:
  code:
    v: FDACOLOR
  display:
    v: color
  definition:
    v: FDA label color
  property:
    code:
      v: status
    value: code
      v: retired
concept:
  code:
    v: FDAIMPRINTCD
  display:
    v: imprint code
  definition:
    v: FDA label imprint code
  property:
    code:
      v: status
    value: code
      v: retired
concept:
  code:
    v: FDALOGO
  display:
    v: logo
  definition:
    v: FDA label logo
  property:
    code:
      v: status
    value: code
      v: retired
concept:
  code:
    v: FDASCORING
  display:
    v: scoring
  definition:
    v: FDA label scoring
  property:
    code:
      v: status
    value: code
      v: retired
concept:
  code:
    v: FDASHAPE
  display:
    v: shape
  definition:
    v: FDA label shape
  property:
    code:
      v: status
    value: code
      v: retired
concept:
  code:
    v: FDASIZE
  display:
    v: size
  definition:
    v: FDA label size
  property:
    code:
      v: status
    value: code
      v: retired

code:
  v: _ROIOverlayShape
display:
  v: ROIOverlayShape
definition:
  v: Shape of the region on the object being referenced
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CIRCLE
  display:
    v: circle
  definition:
    v: A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.
concept:
  code:
    v: ELLIPSE
  display:
    v: ellipse
  definition:
    v: An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.
concept:
  code:
    v: POINT
  display:
    v: point
  definition:
    v: A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
concept:
  code:
    v: POLY
  display:
    v: polyline
  definition:
    v: A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.

code:
  v: C
display:
  v: corrected
definition:
  v: Description:Indicates that result data has been corrected.

code:
  v: DIET
display:
  v: Diet
definition:
  v: Code set to define specialized/allowed diets
concept:
  code:
    v: BR
  display:
    v: breikost (GE)
  definition:
    v: A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
concept:
  code:
    v: DM
  display:
    v: diabetes mellitus diet
  definition:
    v: A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).
concept:
  code:
    v: FAST
  display:
    v: fasting
  definition:
    v: No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.
concept:
  code:
    v: FORMULA
  display:
    v: formula diet
  definition:
    v: A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.
concept:
  code:
    v: GF
  display:
    v: gluten free
  definition:
    v: Gluten free diet for celiac disease.
concept:
  code:
    v: LF
  display:
    v: low fat
  definition:
    v: A diet low in fat, particularly to patients with hepatic diseases.
concept:
  code:
    v: LP
  display:
    v: low protein
  definition:
    v: A low protein diet for patients with renal failure.
concept:
  code:
    v: LQ
  display:
    v: liquid
  definition:
    v: A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.
concept:
  code:
    v: LS
  display:
    v: low sodium
  definition:
    v: A diet low in sodium for patients with congestive heart failure and/or renal failure.
concept:
  code:
    v: N
  display:
    v: normal diet
  definition:
    v: A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.
concept:
  code:
    v: NF
  display:
    v: no fat
  definition:
    v: A no fat diet for acute hepatic diseases.
concept:
  code:
    v: PAF
  display:
    v: phenylalanine free
  definition:
    v: Phenylketonuria diet.
concept:
  code:
    v: PAR
  display:
    v: parenteral
  definition:
    v: Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.
concept:
  code:
    v: RD
  display:
    v: reduction diet
  definition:
    v: A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
concept:
  code:
    v: SCH
  display:
    v: schonkost (GE)
  definition:
    v: A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
concept:
  code:
    v: SUPPLEMENT
  display:
    v: nutritional supplement
  definition:
    v: A diet that is not intended to be complete but is added to other diets.
concept:
  code:
    v: T
  display:
    v: tea only
  definition:
    v: This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.
concept:
  code:
    v: VLI
  display:
    v: low valin, leucin, isoleucin
  definition:
    v: Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."

code:
  v: DRUGPRG
display:
  v: drug program
definition:
  v: Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.

code:
  v: F
display:
  v: final
definition:
  v: Description:Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.

code:
  v: PRLMN
display:
  v: preliminary
definition:
  v: Description:Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.

code:
  v: SECOBS
display:
  v: SecurityObservationType
definition:
  v: An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels. Rationale: According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted: The security policy identifiers shall be identical The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target. Examples: SecurityObservationType security label fields include: Confidentiality classification Compartment category Sensitivity category Security mechanisms used to ensure data integrity or to perform authorized data transformation Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance. Usage Note: SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the "security label tag".
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: SECCATOBS
  display:
    v: security category observation
  definition:
    v: Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone." Rationale: A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. [FIPS 199] Examples: Types of security categories include: Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)
concept:
  code:
    v: SECCLASSOBS
  display:
    v: security classification observation
  definition:
    v: Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure. Rationale: A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality. Examples: Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential. Usage Note: Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag".
concept:
  code:
    v: SECCONOBS
  display:
    v: security control observation
  definition:
    v: Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource. Rationale: A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. [FIPS 199] Examples: Types of security control metadata include: handling caveats dissemination controls obligations refrain policies purpose of use constraints
concept:
  code:
    v: SECINTOBS
  display:
    v: security integrity observation
  definition:
    v: Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Rationale: A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542) Examples: Types of security integrity metadata include: Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability) Integrity confidence, which indicates the reliability and trustworthiness of an IT resource Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8) Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource Integrity provenance, which indicates the entity responsible for a report or assertion relayed "second-hand" about an IT resource
  concept:
    code:
      v: SECALTINTOBS
    display:
      v: security alteration integrity observation
    definition:
      v: Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource. Examples: Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including: translation syntactic transformation semantic mapping redaction masking pseudonymization anonymization
  concept:
    code:
      v: SECDATINTOBS
    display:
      v: security data integrity observation
    definition:
      v: Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made." Examples: Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.
  concept:
    code:
      v: SECINTCONOBS
    display:
      v: security integrity confidence observation
    definition:
      v: Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Examples: Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable. Usage Note: A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.
  concept:
    code:
      v: SECINTPRVOBS
    display:
      v: security integrity provenance observation
    definition:
      v: Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness. Examples: Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include: completeness or workflow status, such as authentication the entity responsible for original authoring or informing about an IT resource the entity responsible for a report or assertion about an IT resource relayed “second-handâ€? the entity responsible for excerpting, transforming, or compiling an IT resource
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: SECINTPRVABOBS
      display:
        v: security integrity provenance asserted by observation
      definition:
        v: Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource. Examples: Types of security integrity provenance asserted by observation metadata, which may value the observation, including: assertions about an IT resource by a patient assertions about an IT resource by a clinician assertions about an IT resource by a device
    concept:
      code:
        v: SECINTPRVRBOBS
      display:
        v: security integrity provenance reported by observation
      definition:
        v: Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource. Examples: Types of security integrity provenance reported by observation metadata, which may value the observation, include: reports about an IT resource by a patient reports about an IT resource by a clinician reports about an IT resource by a device
  concept:
    code:
      v: SECINTSTOBS
    display:
      v: security integrity status observation
    definition:
      v: Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource. Examples: Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.
concept:
  code:
    v: SECTRSTOBS
  display:
    v: SECTRSTOBS
  definition:
    v: An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: TRSTACCRDOBS
    display:
      v: trust accreditation observation
    definition:
      v: Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
  concept:
    code:
      v: TRSTAGREOBS
    display:
      v: trust agreement observation
    definition:
      v: Type of security metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
  concept:
    code:
      v: TRSTCERTOBS
    display:
      v: trust certificate observation
    definition:
      v: Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants. A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.]
  concept:
    code:
      v: TRSTFWKOBS
    display:
      v: trust framework observation
    definition:
      v: Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
  concept:
    code:
      v: TRSTLOAOBS
    display:
      v: trust assurance observation
    definition:
      v: Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
  concept:
    code:
      v: TRSTMECOBS
    display:
      v: trust mechanism observation
    definition:
      v: Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.