v3-ActReason
type: CodeSystem
node role: treeRoot
id:
  v: v3-ActReason
text:
  status:
    v: generated
  div: Generated Narrative: CodeSystem v3-ActReason 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 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 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 Concepts This case-sensitive code system http://terminology.hl7.org/CodeSystem/v3-ActReason defines the following codes in a Is-A hierarchy: Lvl Code Display Definition Not Selectable Child status 1 _ActAccommodationReason ActAccommodationReason Identifies the reason the patient is assigned to this accommodation type true 2 ACCREQNA Accommodation Requested Not Available Accommodation requested is not available. 2 FLRCNV Floor Convenience Accommodation is assigned for floor convenience. 2 MEDNEC Medical Necessity Required for medical reasons(s). 2 PAT Patient request The Patient requested the action 1 _ActCoverageReason ActCoverageReason Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties. true 2 _EligibilityActReasonCode EligibilityActReasonCode Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are clien…
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: pc
url:
  v: http://terminology.hl7.org/CodeSystem/v3-ActReason
version:
  v: 2018-08-12
name:
  v: v3.ActReason
title:
  v: v3 Code System ActReason
status:
  v: active
experimental:
  v: false
date:
  v: 2018-08-12T00:00:00+10:00
publisher:
  v: Patient Care
contact:
  name:
    v: Patient Care
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/patientcare
description:
  v: A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".
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-ActReason|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: 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: 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
concept:
  code:
    v: _ActAccommodationReason
  display:
    v: ActAccommodationReason
  definition:
    v: Identifies the reason the patient is assigned to this accommodation type
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: ACCREQNA
    display:
      v: Accommodation Requested Not Available
    definition:
      v: Accommodation requested is not available.
  concept:
    code:
      v: FLRCNV
    display:
      v: Floor Convenience
    definition:
      v: Accommodation is assigned for floor convenience.
  concept:
    code:
      v: MEDNEC
    display:
      v: Medical Necessity
    definition:
      v: Required for medical reasons(s).
  concept:
    code:
      v: PAT
    display:
      v: Patient request
    definition:
      v: The Patient requested the action
concept:
  code:
    v: _ActCoverageReason
  display:
    v: ActCoverageReason
  definition:
    v: Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: _EligibilityActReasonCode
    display:
      v: EligibilityActReasonCode
    definition:
      v: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
    property:
      code:
        v: notSelectable
      value: boolean
        v: true
    concept:
      code:
        v: _ActIneligibilityReason
      display:
        v: ActIneligibilityReason
      definition:
        v: Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy. Examples are client deceased & adopted client has been given a new policy identifier.
      property:
        value: boolean
    concept:
      code:
        v: _CoverageEligibilityReason
      display:
        v: CoverageEligibilityReason
      definition:
        v: Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
      property:
        value: boolean
concept:
  code:
    v: _ActInformationManagementReason
  display:
    v: ActInformationManagementReason
  definition:
    v: Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true

v: notSelectable

boolean
v: true

v: COVSUS

v: coverage suspended

v: When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc. Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).

v: DECSD

v: deceased

v: Client deceased.

v: REGERR

v: registered in error

v: Client was registered in error.

v: notSelectable

boolean
v: true

v: AGE

v: age eligibility

v: A person becomes eligible for a program based on age. Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare.

v: CRIME

v: crime victim

v: A person becomes eligible for insurance or a program because of crime related health condition or injury. Example: A person is a claimant under the U.S. Crime Victims Compensation program.

v: DIS

v: disability

v: A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.

v: EMPLOY

v: employment benefit

v: A person becomes eligible for insurance provided as an employment benefit based on employment status.

v: FINAN

v: financial eligibility

v: A person becomes eligible for a program based on financial criteria. Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.

v: HEALTH

v: health status

v: A person becomes eligible for a program because of a qualifying health condition or injury. Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program

v: MULTI

v: multiple criteria eligibility

v: A person becomes eligible for a program based on more than one criterion. Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.

v: PNC

v: property and casualty condition

v: A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.

v: STATUTORY

v: statutory eligibility

v: A person becomes eligible for a program based on statutory criteria. Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.

v: VEHIC

v: motor vehicle accident victim

v: A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.

v: WORK

v: work related

v: A person becomes eligible for insurance or a program because of a work related health condition or injury. Example: A person is a claimant under the U.S. Black Lung Program.

code:
  v: _ActHealthInformationManagementReason
display:
  v: ActHealthInformationManagementReason
definition:
  v: Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _ActConsentInformationAccessOverrideReason
  display:
    v: ActConsentInformationAccessOverrideReason
  definition:
    v: To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety. Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: OVRER
    display:
      v: emergency treatment override
    definition:
      v: To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention. Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.
  concept:
    code:
      v: OVRINCOMP
    display:
      v: incompetency override
    definition:
      v: To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent. Usage Note: Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC "Subject is not competent to consent".
  concept:
    code:
      v: OVRPJ
    display:
      v: professional judgment override
    definition:
      v: To perform one or more operations on information to which the patient declined to consent for providing health care. Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.
  concept:
    code:
      v: OVRPS
    display:
      v: public safety override
    definition:
      v: To perform one or more operations on information to which the patient has not consented for public safety reasons. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.
  concept:
    code:
      v: OVRTPS
    display:
      v: third party safety override
    definition:
      v: To perform one or more operations on information to which the patient has not consented for third party safety. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.
concept:
  code:
    v: PurposeOfUse
  display:
    v: purpose of use
  definition:
    v: Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
  concept:
    code:
      v: HMARKT
    display:
      v: healthcare marketing
    definition:
      v: To perform one or more operations on information for marketing services and products related to health care.
  concept:
    code:
      v: HOPERAT
    display:
      v: healthcare operations
    definition:
      v: To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.
    concept:
      code:
        v: CAREMGT
      display:
        v: care management
      definition:
        v: To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. Usage Note: The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service. Map: Maps to ISO 14265 Classification Term "Health service management and quality assurance" described as "To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services." There is a semantic gap in concepts. This classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.
    concept:
      code:
        v: DONAT
      display:
        v: donation
      definition:
        v: To perform one or more operations on information used for cadaveric organ, eye or tissue donation.
    concept:
      code:
        v: FRAUD
      display:
        v: fraud
      definition:
        v: To perform one or more operations on information used for fraud detection and prevention processes.
    concept:
      code:
        v: GOV
      display:
        v: government
      definition:
        v: To perform one or more operations on information used within government processes.
    concept:
      code:
        v: HACCRED
      display:
        v: health accreditation
      definition:
        v: To perform one or more operations on information for conducting activities related to meeting accreditation criteria.
    concept:
      code:
        v: HCOMPL
      display:
        v: health compliance
      definition:
        v: To perform one or more operations on information used for conducting activities required to meet a mandate.
    concept:
      code:
        v: HDECD
      display:
        v: decedent
      definition:
        v: To perform one or more operations on information used for handling deceased patient matters.
    concept:
      code:
        v: HDIRECT
      display:
        v: directory
      definition:
        v: To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory
    concept:
      code:
        v: HDM
      display:
        v: healthcare delivery management
      definition:
        v: To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. Usage Note: Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking. Map: Maps to ISO 14265 Classification Term "Administration of care for an individual subject of care" described as "To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care." However, this classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.
    concept:
      code:
        v: HLEGAL
      display:
        v: legal
      definition:
        v: To perform one or more operations on information for conducting activities required by legal proceeding.
    concept:
      code:
        v: HOUTCOMS
      display:
        v: health outcome measure
      definition:
        v: To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.
    concept:
      code:
        v: HPRGRP
      display:
        v: health program reporting
      definition:
        v: To perform one or more operations on information used for conducting activities to meet program accounting requirements.
    concept:
      code:
        v: HQUALIMP
      display:
        v: health quality improvement
      definition:
        v: To perform one or more operations on information used for conducting administrative activities to improve health care quality.
    concept:
      code:
        v: HSYSADMIN
      display:
        v: health system administration
      definition:
        v: To perform one or more operations on information to administer the electronic systems used for the delivery of health care.
    concept:
      code:
        v: MEMADMIN
      display:
        v: member administration
      definition:
        v: To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.
    concept:
      code:
        v: MILCDM
      display:
        v: military command
      definition:
        v: To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law.
    concept:
      code:
        v: PATADMIN
      display:
        v: patient administration
      definition:
        v: To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.
    concept:
      code:
        v: PATSFTY
      display:
        v: patient safety

v: LABELING

v: labeling

v: To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies. Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification. Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked.

v: METAMGT

v: metadata management

v: To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location.

v: To perform one or more operations on information in processes related to ensuring the safety of health care.

code:
  v: PERFMSR
display:
  v: performance measure
definition:
  v: To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.

code:
  v: RECORDMGT
display:
  v: records management
definition:
  v: To perform one or more operations on information used within the health records management process.

code:
  v: SYSDEV
display:
  v: system development
definition:
  v: To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application.
concept:
  code:
    v: HTEST
  display:
    v: test health data
  definition:
    v: To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment. Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications.

code:
  v: TRAIN
display:
  v: training
definition:
  v: To perform one or more operations on information used in training and education.

code:
  v: HPAYMT
display:
  v: healthcare payment
definition:
  v: To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.
concept:
  code:
    v: CLMATTCH
  display:
    v: claim attachment
  definition:
    v: To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.
concept:
  code:
    v: COVAUTH
  display:
    v: coverage authorization
  definition:
    v: To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.
concept:
  code:
    v: COVERAGE
  display:
    v: coverage under policy or program
  definition:
    v: To perform one or more operations on information for conducting activities related to coverage under a program or policy.
  concept:
    code:
      v: ELIGDTRM
    display:
      v: eligibility determination
    definition:
      v: To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.
  concept:
    code:
      v: ELIGVER
    display:
      v: eligibility verification
    definition:
      v: To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.
  concept:
    code:
      v: ENROLLM
    display:
      v: enrollment
    definition:
      v: To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.
  concept:
    code:
      v: MILDCRG
    display:
      v: military discharge
    definition:
      v: To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment.
concept:
  code:
    v: REMITADV
  display:
    v: remittance advice
  definition:
    v: To perform one or more operations on information about the amount remitted for a health care claim.

code:
  v: HRESCH
display:
  v: healthcare research
definition:
  v: To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research.
concept:
  code:
    v: BIORCH
  display:
    v: biomedical research
  definition:
    v: To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use.
concept:
  code:
    v: CLINTRCH
  display:
    v: clinical trial research
  definition:
    v: To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.
  concept:
    code:
      v: CLINTRCHNPC
    display:
      v: clinical trial research without patient care
    definition:
      v: To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population.
  concept:
    code:
      v: CLINTRCHPC
    display:
      v: clinical trial research with patient care
    definition:
      v: To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population.
  concept:
    code:
      v: PRECLINTRCH
    display:
      v: preclinical trial research
    definition:
      v: To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research.
concept:
  code:
    v: DSRCH
  display:
    v: disease specific healthcare research
  definition:
    v: To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use.
concept:
  code:
    v: POARCH
  display:
    v: population origins or ancestry healthcare research
  definition:
    v: To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use.
concept:
  code:
    v: TRANSRCH
  display:
    v: translational healthcare research
  definition:
    v: To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use.

code:
  v: PATRQT
display:
  v: patient requested
definition:
  v: To perform one or more operations on information in response to a patient's request.
concept:
  code:
    v: FAMRQT
  display:
    v: family requested
  definition:
    v: To perform one or more operations on information in response to a request by a family member authorized by the patient.
concept:
  code:
    v: PWATRNY
  display:
    v: power of attorney
  definition:
    v: To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.
concept:
  code:
    v: SUPNWK
  display:
    v: support network
  definition:
    v: To perform one or more operations on information in response to a request by a person authorized by the patient.

code:
  v: PUBHLTH
display:
  v: public health
definition:
  v: To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.
concept:
  code:
    v: DISASTER
  display:
    v: disaster
  definition:
    v: To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.
concept:
  code:
    v: THREAT
  display:
    v: threat
  definition:
    v: To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.

code:
  v: TREAT
display:
  v: treatment
definition:
  v: To perform one or more operations on information for provision of health care.
concept:
  code:
    v: CLINTRL
  display:
    v: clinical trial
  definition:
    v: To perform health care as part of the clinical trial protocol.
concept:
  code:
    v: COC
  display:
    v: coordination of care
  definition:
    v: To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care. Usage Note: Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care. The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment. For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare. Map: Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests."
concept:
  code:
    v: ETREAT
  display:
    v: Emergency Treatment
  definition:
    v: To perform one or more operations on information for provision of immediately needed health care for an emergent condition.
  concept:
    code:
      v: BTG
    display:
      v: break the glass
    definition:
      v: To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access. Map: Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.
  concept:
    code:
      v: ERTREAT
    display:
      v: emergency room treatment
    definition:
      v: To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use. Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. There is a semantic gap in concepts. This classification term is described as activities “to inform personsâ€? rather than the rationale for performing actions/operations on information related to the activity.
concept:
  code:
    v: POPHLTH
  display:
    v: population health
  definition:
    v: To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.

code:
  v: _ActInformationPrivacyReason
display:
  v: ActInformationPrivacyReason
definition:
  v: Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: MARKT
  display:
    v: marketing
  definition:
    v: Description:
concept:
  code:
    v: OPERAT
  display:
    v: operations
  definition:
    v: Description:Administrative and contractual processes required to support an activity, product, or service
  concept:
    code:
      v: LEGAL
    display:
      v: subpoena
    definition:
      v: Definition:To provide information as a result of a subpoena.
  concept:
    code:
      v: ACCRED
    display:
      v: accreditation
    definition:
      v: Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service
  concept:
    code:
      v: COMPL
    display:
      v: compliance
    definition:
      v: Description:Operational activities required to meet a mandate related to an activity, product, or service
  concept:
    code:
      v: ENADMIN
    display:
      v: entity administration
    definition:
      v: Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service
  concept:
    code:
      v: OUTCOMS
    display:
      v: outcome measure
    definition:
      v: Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service
  concept:
    code:
      v: PRGRPT
    display:
      v: program reporting
    definition:
      v: Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service
  concept:
    code:
      v: QUALIMP
    display:
      v: quality improvement
    definition:
      v: Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service
  concept:
    code:
      v: SYSADMN
    display:
      v: system administration
    definition:
      v: Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service
concept:
  code:
    v: PAYMT
  display:
    v: payment
  definition:
    v: Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service
concept:
  code:
    v: RESCH
  display:
    v: research
  definition:
    v: Description:Investigative activities conducted for the purposes of obtaining knowledge
concept:
  code:
    v: SRVC
  display:
    v: service
  definition:
    v: Description:Provision of a service, product, or capability to an individual or organization

code:
  v: _ActInvalidReason
display:
  v: ActInvalidReason
definition:
  v: Description: Types of reasons why a substance is invalid for use.
concept:
  code:
    v: ADVSTORAGE
  display:
    v: adverse storage condition
  definition:
    v: Description: Storage conditions caused the substance to be ineffective.
  concept:
    code:
      v: COLDCHNBRK
    display:
      v: cold chain break
    definition:
      v: Description: Cold chain was not maintained for the substance.
concept:
  code:
    v: EXPLOT
  display:
    v: expired lot
  definition:
    v: Description: The lot from which the substance was drawn was expired.
concept:
  code:
    v: OUTSIDESCHED
  display:
    v: administered outside recommended schedule or practice
  definition:
    v: The substance was administered outside of the recommended schedule or practice.
concept:
  code:
    v: PRODRECALL
  display:
    v: product recall
  definition:
    v: Description: The substance was recalled by the manufacturer.

code:
  v: _ActInvoiceCancelReason
display:
  v: ActInvoiceCancelReason
definition:
  v: Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: INCCOVPTY
  display:
    v: incorrect covered party as patient
  definition:
    v: The covered party (patient) specified with the Invoice is not correct.
concept:
  code:
    v: INCINVOICE
  display:
    v: incorrect billing
  definition:
    v: The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.
concept:
  code:
    v: INCPOLICY
  display:
    v: incorrect policy
  definition:
    v: The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.
concept:
  code:
    v: INCPROV
  display:
    v: incorrect provider
  definition:
    v: The provider specified with the Invoice is not correct.

code:
  v: _ActNoImmunizationReason
display:
  v: ActNoImmunizationReason
definition:
  v: A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: IMMUNE
  display:
    v: immunity
  definition:
    v: Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
concept:
  code:
    v: MEDPREC
  display:
    v: medical precaution
  definition:
    v: Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
concept:
  code:
    v: OSTOCK
  display:
    v: product out of stock
  definition:
    v: Definition:There was no supply of the product on hand to perform the service.
concept:
  code:
    v: PATOBJ
  display:
    v: patient objection
  definition:
    v: Definition:The patient or their guardian objects to receiving the vaccine.
concept:
  code:
    v: PHILISOP
  display:
    v: philosophical objection
  definition:
    v: Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
concept:
  code:
    v: RELIG
  display:
    v: religious objection
  definition:
    v: Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.
concept:
  code:
    v: VACEFF
  display:
    v: vaccine efficacy concerns
  definition:
    v: Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure.
concept:
  code:
    v: VACSAF
  display:
    v: vaccine safety concerns
  definition:
    v: Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.

code:
  v: _ActSupplyFulfillmentRefusalReason
display:
  v: ActSupplyFulfillmentRefusalReason
definition:
  v: Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations)
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: FRR01
  display:
    v: order stopped
  definition:
    v: Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc.
concept:
  code:
    v: FRR02
  display:
    v: stale-dated order
  definition:
    v: Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.
concept:
  code:
    v: FRR03
  display:
    v: incomplete data
  definition:
    v: Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.
concept:
  code:
    v: FRR04
  display:
    v: product unavailable
  definition:
    v: Definition:Product not available or manufactured. Cannot supply.
concept:
  code:
    v: FRR05
  display:
    v: ethical/religious
  definition:
    v: Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
concept:
  code:
    v: FRR06
  display:
    v: unable to provide care
  definition:
    v: Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.

code:
  v: _ClinicalResearchEventReason
display:
  v: ClinicalResearchEventReason
definition:
  v: Definition:Specifies the reason that an event occurred in a clinical research study.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: RET
  display:
    v: retest
  definition:
    v: Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.
concept:
  code:
    v: SCH
  display:
    v: scheduled
  definition:
    v: Definition:The event occurred due to it being scheduled in the research protocol.
concept:
  code:
    v: TRM
  display:
    v: termination
  definition:
    v: Definition:The event occurred in order to terminate the subject's participation in the study.
concept:
  code:
    v: UNS
  display:
    v: unscheduled
  definition:
    v: Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons.

code:
  v: _ClinicalResearchObservationReason
display:
  v: ClinicalResearchObservationReason
definition:
  v: Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study. Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: NPT
  display:
    v: non-protocol
  definition:
    v: Definition:The observation or test was neither defined or scheduled in the study protocol.
concept:
  code:
    v: PPT
  display:
    v: per protocol
  definition:
    v: Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.
concept:
  code:
    v: UPT
  display:
    v: per definition
  definition:
    v: :The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.

code:
  v: _CombinedPharmacyOrderSuspendReasonCode
display:
  v: CombinedPharmacyOrderSuspendReasonCode
definition:
  v: Description:Indicates why the prescription should be suspended.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ALTCHOICE
  display:
    v: try another treatment first
  definition:
    v: Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
concept:
  code:
    v: CLARIF
  display:
    v: prescription requires clarification
  definition:
    v: Description:Clarification is required before the order can be acted upon.
concept:
  code:
    v: DRUGHIGH
  display:
    v: drug level too high
  definition:
    v: Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
concept:
  code:
    v: HOSPADM
  display:
    v: admission to hospital
  definition:
    v: Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
concept:
  code:
    v: LABINT
  display:
    v: lab interference issues
  definition:
    v: Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
concept:
  code:
    v: NON-AVAIL
  display:
    v: patient not-available
  definition:
    v: Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
concept:
  code:
    v: PREG
  display:
    v: parent is pregnant/breast feeding
  definition:
    v: Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
concept:
  code:
    v: SALG
  display:
    v: allergy
  definition:
    v: Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
concept:
  code:
    v: SDDI
  display:
    v: drug interacts with another drug
  definition:
    v: Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
concept:
  code:
    v: SDUPTHER
  display:
    v: duplicate therapy
  definition:
    v: Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.
concept:
  code:
    v: SINTOL
  display:
    v: suspected intolerance
  definition:
    v: Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
concept:
  code:
    v: SURG
  display:
    v: patient scheduled for surgery
  definition:
    v: Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
concept:
  code:
    v: WASHOUT
  display:
    v: waiting for old drug to wash out
  definition:
    v: Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.

code:
  v: _ControlActNullificationReasonCode
display:
  v: ControlActNullificationReasonCode
definition:
  v: Description:Identifies reasons for nullifying (retracting) a particular control act.
concept:
  code:
    v: ALTD
  display:
    v: altered decision
  definition:
    v: Description:The decision on which the recorded information was based was changed before the decision had an effect. Example:Aborted prescription before patient left office, released prescription before suspend took effect.
concept:
  code:
    v: EIE
  display:
    v: entered in error
  definition:
    v: Description:The information was recorded incorrectly or was recorded in the wrong record.
concept:
  code:
    v: NORECMTCH
  display:
    v: no record match
  definition:
    v: Description: There is no match for the record in the database.

code:
  v: _ControlActNullificationRefusalReasonType
display:
  v: ControlActNullificationRefusalReasonType
definition:
  v: Description: Reasons to refuse a transaction to be undone.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: INRQSTATE
  display:
    v: in requested state
  definition:
    v: The record is already in the requested state.
concept:
  code:
    v: NOMATCH
  display:
    v: no match
  definition:
    v: Description: There is no match.
  property:
    code:
      v: child
    value: code
      v: NORECMTCH
  concept:
    code:
      v: NOPRODMTCH
    display:
      v: no product match
    definition:
      v: Description: There is no match for the product in the master file repository.
  concept:
    code:
      v: NOSERMTCH
    display:
      v: no service match
    definition:
      v: Description: There is no match for the service in the master file repository.
  concept:
    code:
      v: NOVERMTCH
    display:
      v: no version match
    definition:
      v: Description: There is no match for the record and version.
concept:
  code:
    v: NOPERM
  display:
    v: no permission
  definition:
    v: Description: There is no permission.
  concept:
    code:
      v: NOUSERPERM
    display:
      v: no user permission
    definition:
      v: Definition:The user does not have permission
  concept:
    code:
      v: NOAGNTPERM
    display:
      v: no agent permission
    definition:
      v: Description: The agent does not have permission.
  concept:
    code:
      v: NOUSRPERM
    display:
      v: no user permission
    definition:
      v: Description: The user does not have permission.
    property:
      code:
        v: status
      value: code
        v: retired
concept:
  code:
    v: WRNGVER
  display:
    v: wrong version
  definition:
    v: Description: The record and version requested to update is not the current version.

code:
  v: _ControlActReason
display:
  v: ControlActReason
definition:
  v: Identifies why a specific query, request, or other trigger event occurred.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: _MedicationOrderAbortReasonCode
  display:
    v: medication order abort reason
  definition:
    v: Description:Indicates the reason the medication order should be aborted.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: DISCONT
    display:
      v: product discontinued
    definition:
      v: Description:The medication is no longer being manufactured or is otherwise no longer available.
  concept:
    code:
      v: INEFFECT
    display:
      v: ineffective
    definition:
      v: Description:The therapy has been found to not have the desired therapeutic benefit on the patient.
  concept:
    code:
      v: MONIT
    display:
      v: response to monitoring
    definition:
      v: Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.
  concept:
    code:
      v: NOREQ
    display:
      v: no longer required for treatment
    definition:
      v: Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.
  concept:
    code:
      v: NOTCOVER
    display:
      v: not covered
    definition:
      v: Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.
  concept:
    code:
      v: PREFUS
    display:
      v: patient refuse
    definition:
      v: Description:The patient refused to take the product.
  concept:
    code:
      v: RECALL
    display:
      v: product recalled
    definition:
      v: Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.
  concept:
    code:
      v: REPLACE
    display:
      v: change in order
    definition:
      v: Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.
    concept:
      code:
        v: DOSECHG
      display:
        v: change in medication/dose
      definition:
        v: Description:The medication is being re-prescribed at a different dosage.
  concept:
    code:
      v: REPLACEFIX
    display:
      v: error in order
    definition:
      v: Description:Current order was issued with incorrect data and a new order has/will be created to replace it.
  concept:
    code:
      v: UNABLE
    display:
      v: unable to use
    definition:
      v: Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed. Example:CanaTMt swallow.
concept:
  code:
    v: _MedicationOrderReleaseReasonCode
  display:
    v: medication order release reason
  definition:
    v: Definition:A collection of concepts that indicate why the prescription should be released from suspended state.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: HOLDDONE
    display:
      v: suspend reason no longer applies
    definition:
      v: Definition:The original reason for suspending the medication has ended.
  concept:
    code:
      v: HOLDINAP
    display:
      v: suspend reason inappropriate
    definition:
      v: Definition:
concept:
  code:
    v: _ModifyPrescriptionReasonType
  display:
    v: ModifyPrescriptionReasonType
  definition:
    v: Types of reason why a prescription is being changed.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  concept:
    code:
      v: ADMINERROR
    display:
      v: administrative error in order
    definition:
      v: Order was created with incorrect data and is changed to reflect the intended accuracy of the order.
  concept:
    code:
      v: CLINMOD
    display:
      v: clinical modification
    definition:
      v: Order is changed based on a clinical reason.
concept:
  code:
    v: _PharmacySupplyEventAbortReason
  display:
    v: PharmacySupplyEventAbortReason
  definition:
    v: Definition:Identifies why the dispense event was not completed.
  concept:
    code:
      v: CONTRA
    display:
      v: contraindication
    definition:
      v: Definition:Contraindication identified
  concept:
    code:
      v: FOABORT
    display:
      v: order aborted
    definition:
      v: Definition:Order to be fulfilled was aborted
  concept:
    code:
      v: FOSUSP
    display:
      v: order suspended
    definition:
      v: Definition:Order to be fulfilled was suspended
  concept:
    code:
      v: NOPICK
    display:
      v: not picked up
    definition:
      v: Definition:Patient did not come to get medication
  concept:
    code:
      v: PATDEC
    display:
      v: patient changed mind
    definition:
      v: Definition:Patient changed their mind regarding obtaining medication
  concept:
    code:
      v: QUANTCHG
    display:
      v: change supply quantity
    definition:
      v: Definition:Patient requested a revised quantity of medication

code:
  v: _PharmacySupplyEventStockReasonCode
display:
  v: pharmacy supply event stock reason
definition:
  v: Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: FLRSTCK
  display:
    v: floor stock
  definition:
    v: Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)
concept:
  code:
    v: LTC
  display:
    v: long term care use
  definition:
    v: Definition:The bulk supply will be administered within a long term care facility.
concept:
  code:
    v: OFFICE
  display:
    v: office use
  definition:
    v: Definition:The bulk supply is intended for general clinician office use.
concept:
  code:
    v: PHARM
  display:
    v: pharmacy transfer
  definition:
    v: Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage.
concept:
  code:
    v: PROG
  display:
    v: program use
  definition:
    v: Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization.

code:
  v: _PharmacySupplyRequestRenewalRefusalReasonCode
display:
  v: pharmacy supply request renewal refusal reason
definition:
  v: Definition:A collection of concepts that identifies why a renewal prescription has been refused.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: DISCONT
concept:
  code:
    v: ALREADYRX
  display:
    v: new prescription exists
  definition:
    v: Definition:Patient has already been given a new (renewal) prescription.
concept:
  code:
    v: FAMPHYS
  display:
    v: family physician must authorize further fills
  definition:
    v: Definition:Request for further authorization must be done through patient's family physician.
concept:
  code:
    v: MODIFY
  display:
    v: modified prescription exists
  definition:
    v: Definition:Therapy has been changed and new prescription issued
concept:
  code:
    v: NEEDAPMT
  display:
    v: patient must make appointment
  definition:
    v: Definition:Patient must see prescriber prior to further fills.
concept:
  code:
    v: NOTAVAIL
  display:
    v: prescriber not available
  definition:
    v: Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.
concept:
  code:
    v: NOTPAT
  display:
    v: patient no longer in this practice
  definition:
    v: Definition:Patient no longer or has never been under this prescribers care.
concept:
  code:
    v: ONHOLD
  display:
    v: medication on hold
  definition:
    v: Definition:This medication is on hold.
concept:
  code:
    v: PRNA
  display:
    v: product not available
  definition:
    v: Description:This product is not available or manufactured.
concept:
  code:
    v: STOPMED
  display:
    v: prescriber stopped medication for patient
  definition:
    v: Renewing or original prescriber informed patient to stop using the medication.
concept:
  code:
    v: TOOEARLY
  display:
    v: too early
  definition:
    v: Definition:The patient should have medication remaining.

code:
  v: _SupplyOrderAbortReasonCode
display:
  v: supply order abort reason
definition:
  v: Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: IMPROV
  display:
    v: condition improved
  definition:
    v: Definition:The patient's medical condition has nearly abated.
concept:
  code:
    v: INTOL
  display:
    v: intolerance
  definition:
    v: Description:The patient has an intolerance to the medication.
concept:
  code:
    v: NEWSTR
  display:
    v: new strength
  definition:
    v: Definition:The current medication will be replaced by a new strength of the same medication.
concept:
  code:
    v: NEWTHER
  display:
    v: new therapy
  definition:
    v: Definition:A new therapy will be commenced when current supply exhausted.

code:
  v: _GenericUpdateReasonCode
display:
  v: GenericUpdateReasonCode
definition:
  v: Description:Identifies why a change is being made to a record.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CHGDATA
  display:
    v: information change
  definition:
    v: Description:Information has changed since the record was created.
concept:
  code:
    v: FIXDATA
  display:
    v: error correction
  definition:
    v: Description:Previously recorded information was erroneous and is being corrected.
concept:
  code:
    v: MDATA
  display:
    v: merge data
  definition:
    v: Information is combined into the record.
concept:
  code:
    v: NEWDATA
  display:
    v: new information
  definition:
    v: Description:New information has become available to supplement the record.
concept:
  code:
    v: UMDATA
  display:
    v: unmerge data
  definition:
    v: Information is separated from the record.

code:
  v: _PatientProfileQueryReasonCode
display:
  v: patient profile query reason
definition:
  v: Definition:A collection of concepts identifying why the patient's profile is being queried.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: LEGAL
concept:
  code:
    v: ADMREV
  display:
    v: administrative review
  definition:
    v: Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.
concept:
  code:
    v: PATCAR
  display:
    v: patient care
  definition:
    v: Definition:To obtain records as part of patient care.
concept:
  code:
    v: PATREQ
  display:
    v: patient request query
  definition:
    v: Definition:Patient requests information from their profile.
concept:
  code:
    v: PRCREV
  display:
    v: practice review
  definition:
    v: Definition:To evaluate the provider's current practice for professional-improvement reasons.
concept:
  code:
    v: REGUL
  display:
    v: regulatory review
  definition:
    v: Description:Review for the purpose of regulatory compliance.
concept:
  code:
    v: RSRCH
  display:
    v: research
  definition:
    v: Definition:To provide research data, as authorized by the patient.
concept:
  code:
    v: VALIDATION
  display:
    v: validation review
  definition:
    v: Description:To validate the patient's record. Example:Merging or unmerging records.

code:
  v: _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
display:
  v: PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
definition:
  v: Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.
property:
  code:
    v: child
  value: code
    v: NOUSERPERM
concept:
  code:
    v: LOCKED
  display:
    v: locked
  definition:
    v: Definition:The prescription may not be reassigned from the original pharmacy.
concept:
  code:
    v: UNKWNTARGET
  display:
    v: unknown target
  definition:
    v: Definition:The target facility does not recognize the dispensing facility.

code:
  v: _RefusalReasonCode
display:
  v: RefusalReasonCode
definition:
  v: Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: NOMATCH
property:
  code:
    v: child
  value: code
    v: NOPERM

code:
  v: _SchedulingActReason
display:
  v: SchedulingActReason
definition:
  v: Reasons for cancelling or rescheduling an Appointment
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: PAT
concept:
  code:
    v: BLK
  display:
    v: Unexpected Block (of Schedule)
  definition:
    v: The time slots previously allocated are now blocked and no longer available for booking Appointments
concept:
  code:
    v: DEC
  display:
    v: Patient Deceased
  definition:
    v: The Patient is deceased
concept:
  code:
    v: FIN
  display:
    v: No Financial Backing
  definition:
    v: Patient unable to pay and not covered by insurance
concept:
  code:
    v: MED
  display:
    v: Medical Status Altered
  definition:
    v: The medical condition of the Patient has changed
concept:
  code:
    v: MTG
  display:
    v: In an outside meeting
  definition:
    v: The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment
concept:
  code:
    v: PHY
  display:
    v: Physician request
  definition:
    v: The Physician requested the action

code:
  v: _StatusRevisionRefusalReasonCode
display:
  v: StatusRevisionRefusalReasonCode
definition:
  v: Indicates why the act revision (status update) is being refused.
property:
  code:
    v: child
  value: code
    v: NORECMTCH
property:
  code:
    v: child
  value: code
    v: INRQSTATE
property:
  code:
    v: child
  value: code
    v: NOUSERPERM
concept:
  code:
    v: FILLED
  display:
    v: fully filled
  definition:
    v: Ordered quantity has already been completely fulfilled.

code:
  v: _SubstanceAdministrationPermissionRefusalReasonCode
display:
  v: SubstanceAdministrationPermissionRefusalReasonCode
definition:
  v: Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.
property:
  code:
    v: child
  value: code
    v: NOUSERPERM
concept:
  code:
    v: PATINELIG
  display:
    v: patient not eligible
  definition:
    v: Definition:Patient not eligible for drug
concept:
  code:
    v: PROTUNMET
  display:
    v: protocol not met
  definition:
    v: Definition:Patient does not meet required protocol
concept:
  code:
    v: PROVUNAUTH
  display:
    v: provider not authorized
  definition:
    v: Definition:Provider is not authorized to prescribe or dispense

code:
  v: _SubstanceAdminSubstitutionNotAllowedReason
display:
  v: SubstanceAdminSubstitutionNotAllowedReason
definition:
  v: Reasons why substitution of a substance administration request is not permitted.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: child
  value: code
    v: PAT
concept:
  code:
    v: ALGINT
  display:
    v: allergy intolerance
  definition:
    v: Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.
concept:
  code:
    v: COMPCON
  display:
    v: compliance concern
  definition:
    v: Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.
concept:
  code:
    v: THERCHAR
  display:
    v: therapeutic characteristics
  definition:
    v: The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.
concept:
  code:
    v: TRIAL
  display:
    v: clinical trial drug
  definition:
    v: Definition: The specific manufactured drug is part of a clinical trial.

code:
  v: _SubstanceAdminSubstitutionReason
display:
  v: SubstanceAdminSubstitutionReason
definition:
  v: SubstanceAdminSubstitutionReason
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: CT
  display:
    v: continuing therapy
  definition:
    v: Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.
concept:
  code:
    v: FP
  display:
    v: formulary policy
  definition:
    v: Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.
concept:
  code:
    v: OS
  display:
    v: out of stock
  definition:
    v: In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.
concept:
  code:
    v: RR
  display:
    v: regulatory requirement
  definition:
    v: Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.

code:
  v: _TransferActReason
display:
  v: TransferActReason
definition:
  v: The explanation for why a patient is moved from one location to another within the organization
property:
  code:
    v: notSelectable
  value: boolean
    v: true
concept:
  code:
    v: ER
  display:
    v: Error
  definition:
    v: Moved to an error in placing the patient in the original location.
concept:
  code:
    v: RQ
  display:
    v: Request
  definition:
    v: Moved at the request of the patient.

code:
  v: _ActBillableServiceReason
display:
  v: ActBillableServiceReason
definition:
  v: Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: retired
concept:
  code:
    v: _ActBillableClinicalServiceReason
  display:
    v: ActBillableClinicalServiceReason
  definition:
    v: Reason for Clinical Service being performed. This domain excludes reasons specified by diagnosed conditions. Examples of values from this domain include duplicate therapy and fraudulent prescription.
  property:
    code:
      v: notSelectable
    value: boolean
      v: true
  property:
    code:
      v: status
    value: code
      v: retired

code:
  v: BONUS
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: CHD
display:
  v: Children only
definition:
  v: Description:The level of coverage under the policy or program is available only to children
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: DEP
display:
  v: Dependents only
definition:
  v: Description:The level of coverage under the policy or program is available only to a subscriber's dependents.
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: ECH
display:
  v: Employee and children
definition:
  v: Description:The level of coverage under the policy or program is available to an employee and his or her children.
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: EDU
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: EMP
display:
  v: Employee only
definition:
  v: Description:The level of coverage under the policy or program is available only to an employee.
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: ESP
display:
  v: Employee and spouse
definition:
  v: Description:The level of coverage under the policy or program is available to an employee and his or her spouse.
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: FAM
display:
  v: Family
definition:
  v: Description:The level of coverage under the policy or program is available to a subscriber's family.
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: IND
display:
  v: Individual
definition:
  v: Description:The level of coverage under the policy or program is available to an individual.
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: INVOICE
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: PROA
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: RECOV
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: RETRO
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: SPC
display:
  v: Spouse and children
definition:
  v: Description:The level of coverage under the policy or program is available to a subscriber's spouse and children
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: SPO
display:
  v: Spouse only
definition:
  v: Description:The level of coverage under the policy or program is available only to a subscribers spouse
property:
  code:
    v: status
  value: code
    v: retired

code:
  v: TRAN
property:
  code:
    v: status
  value: code
    v: retired