DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

V3-RoleClass.xml

Raw XML (canonical form)

Codes for the Role class hierarchy. The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role. Roles names are derived from the name of the playing entity in that role. The role hierarchy stems from three core concepts, or abstract domains: RoleClassOntological is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity. RoleClassPartitive collects roles in which the playing entity is in some sense a "part" of the scoping entity. RoleClassAssociative collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between: RoleClassPassive which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity. RoleClassMutualRelationship which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may bede facto behavior. Thus, this sub-domain is further divided into: RoleClassRelationshipFormal in which the relationship is formally defined, frequently by a contract or agreement. Personal relationship which inks two people in a personal relationship. The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the "Personal relationship" which is a leaf concept. OpenIssue: Description copied from Concept Domain of same name. Must be verified.

Raw XML

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-RoleClass"/>
  <meta>
    <lastUpdated value="2015-03-23T00:00:00.000+11:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.113883.1.11.11555"/>
  </extension>
  <url value="http://hl7.org/fhir/v3/vs/RoleClass"/>
  <version value="2015-03-23"/>
  <name value="v3 Code System RoleClass"/>
  <publisher value="HL7, Inc"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <description value=" Codes for the Role class hierarchy.  The values in this hierarchy, represent a Role which
     is an association or relationship between two entities - the entity that plays the role
     and the entity that scopes the role.  Roles names are derived from the name of the playing
     entity in that role. The role hierarchy stems from three core concepts, or abstract domains:
        RoleClassOntological is an abstract domain that collects roles in which the playing
     entity is defined or specified by the scoping entity.   RoleClassPartitive collects roles
     in which the playing entity is in some sense a &quot;part&quot; of the scoping entity.
       RoleClassAssociative collects all of the remaining forms of association between the
     playing entity and the scoping entity. This set of roles is further partitioned between:
        RoleClassPassive which are roles in which the playing entity is used, known, treated,
     handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing
     entity is passive in these roles in that the role exists without an agreement from the
     playing entity.   RoleClassMutualRelationship which are relationships based on mutual
     behavior of the two entities. The basis of these relationship may be formal agreements
     or they may bede facto behavior.  Thus, this sub-domain is further divided into:    RoleClassRelatio
    nshipFormal in which the relationship is formally defined, frequently by a contract or
     agreement.   Personal relationship which inks two people in a personal relationship. The
     hierarchy discussed above is represented In the current vocabulary tables as a set of
     abstract domains, with the exception of the  &quot;Personal relationship&quot; which is
     a leaf concept.  OpenIssue: Description copied from Concept Domain of same name.  Must
     be verified."/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2015-03-23"/>
  <define>
    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
      <valueUri value="urn:oid:2.16.840.1.113883.5.110"/>
    </extension>
    <system value="http://hl7.org/fhir/v3/RoleClass"/>
    <caseSensitive value="true"/>
    <concept>
      <code value="ROL"/>
      <abstract value="false"/>
      <display value="role"/>
      <definition value="Corresponds to the Role class"/>
      <concept>
        <code value="_RoleClassAssociative"/>
        <abstract value="true"/>
        <display value="RoleClassAssociative"/>
        <definition value="A general association between two entities that is neither partitive nor ontological."/>
        <concept>
          <code value="_RoleClassMutualRelationship"/>
          <abstract value="true"/>
          <display value="RoleClassMutualRelationship"/>
          <definition value="A relationship that is based on mutual behavior of the two Entities as being related.
             The basis of such relationship may be agreements (e.g., spouses, contract parties) or
             they may be de facto behavior (e.g. friends) or may be an incidental involvement with
             each other (e.g. parties over a dispute, siblings, children)."/>
          <concept>
            <code value="_RoleClassRelationshipFormal"/>
            <abstract value="true"/>
            <display value="RoleClassRelationshipFormal"/>
            <definition value="A relationship between two entities that is formally recognized, frequently by a contract
               or similar agreement."/>
            <concept>
              <code value="AFFL"/>
              <abstract value="false"/>
              <display value="affiliate"/>
              <definition value="Player of the Affiliate role has a business/professional relationship with scoper.  Player
                 and scoper may be persons or organization.  The Affiliate relationship does not imply
                 membership in a group, nor does it exist for resource scheduling purposes.           
                                                           Example: A healthcare provider is affiliated
                 with another provider as a business associate."/>
            </concept>
            <concept>
              <code value="AGNT"/>
              <abstract value="false"/>
              <display value="agent"/>
              <definition value="An entity (player) that acts or is authorized to act on behalf of another entity (scoper)."/>
              <concept>
                <code value="ASSIGNED"/>
                <abstract value="false"/>
                <display value="assigned entity"/>
                <definition value="An agent role in which the agent is an Entity acting in the employ of an organization.
                    The focus is on functional role on behalf of the organization, unlike the Employee role
                   where the focus is on the 'Human Resources' relationship between the employee and the
                   organization."/>
                <concept>
                  <code value="COMPAR"/>
                  <abstract value="false"/>
                  <display value="commissioning party"/>
                  <definition value="An Entity that is authorized to issue or instantiate permissions, privileges, credentials
                     or other formal/legal authorizations."/>
                </concept>
                <concept>
                  <code value="SGNOFF"/>
                  <abstract value="false"/>
                  <display value="signing authority or officer"/>
                  <definition value="The role of a person (player) who is the officer or signature authority for of a scoping
                     entity, usually an organization (scoper)."/>
                </concept>
              </concept>
              <concept>
                <code value="CON"/>
                <abstract value="false"/>
                <display value="contact"/>
                <definition value="A person or an organization (player) which provides or receives information regarding
                   another entity (scoper).  Examples; patient NOK and emergency contacts; guarantor contact;
                   employer contact."/>
                <concept>
                  <code value="ECON"/>
                  <abstract value="false"/>
                  <display value="emergency contact"/>
                  <definition value="An entity to be contacted in the event of an emergency."/>
                </concept>
                <concept>
                  <code value="NOK"/>
                  <abstract value="false"/>
                  <display value="next of kin"/>
                  <definition value="An individual designated for notification as the next of kin for a given entity."/>
                </concept>
              </concept>
              <concept>
                <code value="GUARD"/>
                <abstract value="false"/>
                <display value="guardian"/>
                <definition value="Guardian of a ward"/>
              </concept>
            </concept>
            <concept>
              <code value="CIT"/>
              <abstract value="false"/>
              <display value="citizen"/>
              <definition value="Citizen of apolitical entity"/>
            </concept>
            <concept>
              <code value="COVPTY"/>
              <abstract value="false"/>
              <display value="covered party"/>
              <definition value="A role class played by a person who receives benefit coverage under the terms of a particular
                 insurance policy.  The underwriter of that policy is the scoping entity.  The covered
                 party receives coverage because of some contractual or other relationship with the holder
                 of that policy.                                                      Discussion:This reason
                 for coverage is captured in 'Role.code' and a relationship link with type code of indirect
                 authority should be included using the policy holder role as the source, and the covered
                 party role as the target.                          Note that a particular policy may cover
                 several individuals one of whom may be, but need not be, the policy holder.  Thus the
                 notion of covered party is a role that is distinct from that of the policy holder."/>
              <concept>
                <code value="CLAIM"/>
                <abstract value="false"/>
                <display value="claimant"/>
                <definition value="Description: A role played by a party making a claim for coverage under a policy or program.
                    A claimant must be either a person or organization, or a group of persons or organizations.
                    A claimant is not a named insured or a program eligible.                            
                                            Discussion: With respect to liability insurance such as property
                   and casualty insurance, a claimant must file a claim requesting indemnification for a
                   loss that the claimant considers covered under the policy of a named insured.  The claims
                   adjuster for the policy underwriter will review the claim to determine whether the loss
                   meets the benefit coverage criteria under a policy, and base any indemnification or coverage
                   payment on that review.  If a third party is liable in whole or part for the loss, the
                   underwriter may pursue third party liability recovery.  A claimant may be involved in
                   civil or criminal legal proceedings involving claims against a defendant party that is
                   indemnified by an insurance policy or to protest the finding of a claims adjustor. With
                   respect to life insurance, a beneficiary designated by a named insured becomes a claimant
                   of the proceeds of coverage, as in the case of a life insurance policy.  However, a claimant
                   for coverage under life insurance is not necessarily a designated beneficiary.       
                                                                 Note: A claimant is not a named insured.
                    However, a named insured may make a claim under a policy, e.g., an insured driver may
                   make a claim for an injury under his or her comprehensive automobile insurance policy.
                    Similarly, a program eligible may make a claim under program, e.g., an unemployed worker
                   may claim benefits under an unemployment insurance program, but parties playing these
                   covered party role classes are not, for purposes of this vocabulary and in an effort to
                   clearly distinguish role classes, considered claimants.                          In the
                   case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes
                   the class to indicate that either a named insured or an individual insured has filed a
                   claim for a loss.  In the case of a program eligible, a role type code INJWKR (injured
                   worker) subtypes the class to indicate that the covered party in a workers compensation
                   program is an injured worker, and as such, has filed a &quot;claim&quot; under the program
                   for benefits.  Likewise, a covered role type code UNEMP (unemployed worker) subtypes the
                   program eligible class to indicate that the covered party in an unemployment insurance
                   program has filed a claim for unemployment benefits.                                 
                                       Example: A claimant under automobile policy that is not the named
                   insured."/>
              </concept>
              <concept>
                <code value="NAMED"/>
                <abstract value="false"/>
                <display value="named insured"/>
                <definition value="Description: A role played by a party to an insurance policy to which the insurer agrees
                   to indemnify for losses, provides benefits for, or renders services.  A named insured
                   may be either a person, non-person living subject, or an organization, or a group of persons,
                   non-person living subjects, or organizations.                                        
                                Discussion: The coded concept NAMED should not be used where a more specific
                   child concept in this Specializable value set applies.  In some cases, the named insured
                   may not be the policy holder, e.g., where a policy holder purchases life insurance policy
                   in which another party is the named insured and the policy holder is the beneficiary of
                   the policy.                                                      Note: The party playing
                   the role of a named insured is not a claimant in the sense conveyed by the RoleClassCoveredParty
                   CLAIM (claimant).  However, a named insured may make a claim under a policy, e.g., e.g.,
                   a party that is the named insured and policy holder under a comprehensive automobile insurance
                   policy may become the claimant for coverage under that policy e.g., if injured in an automobile
                   accident and there is no liable third party.  In the case of a named insured making a
                   claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that
                   a named insured has filed a claim for a loss.                                        
                                Example: The named insured under a comprehensive automobile, disability,
                   or property and casualty policy that is the named insured and may or may not be the policy
                   holder."/>
                <concept>
                  <code value="DEPEN"/>
                  <abstract value="false"/>
                  <display value="dependent"/>
                  <definition value="Description: A role played by a person covered under a policy or program based on an association
                     with a subscriber, which is recognized by the policy holder.                         
                                                 Note:  The party playing the role of a dependent is not a
                     claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However,
                     a dependent may make a claim under a policy, e.g., a dependent under a health insurance
                     policy may become the claimant for coverage under that policy for wellness examines or
                     if injured and there is no liable third party.  In the case of a dependent making a claim,
                     a role type code INSCLM (insured claimant) subtypes the class to indicate that the dependent
                     has filed a claim for services covered under the health insurance policy.            
                                                              Example: The dependent has an association with
                     the subscriber such as a financial dependency or personal relationship such as that of
                     a spouse, or a natural or adopted child.  The policy holder may be required by law to
                     recognize certain associations or may have discretion about the associations.  For example,
                     a policy holder may dictate the criteria for the dependent status of adult children who
                     are students, such as requiring full time enrollment, or may recognize domestic partners
                     as dependents.  Under certain circumstances, the dependent may be under the indirect authority
                     of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber
                     is differently abled or deceased, a guardian ad Lidem or estate executor may be appointed
                     to assume the subscriberaTMs legal standing in the relationship with the dependent."/>
                </concept>
                <concept>
                  <code value="INDIV"/>
                  <abstract value="false"/>
                  <display value="individual"/>
                  <definition value="Description: A role played by a party covered under a policy as the policy holder.  An
                     individual may be either a person or an organization.                                
                                          Note: The party playing the role of an individual insured is not
                     a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However,
                     a named insured may make a claim under a policy, e.g., a party that is the named insured
                     and policy holder under a comprehensive automobile insurance policy may become the claimant
                     for coverage under that policy if injured in an automobile accident and there is no liable
                     third party.  In the case of an individual insured making a claim, a role type code INSCLM
                     (insured claimant) subtypes the class to indicate that an individual insured has filed
                     a claim for a loss.                                                      Example: The
                     individual insured under a comprehensive automobile, disability, or property and casualty
                     policy that is the policy holder."/>
                </concept>
                <concept>
                  <code value="SUBSCR"/>
                  <abstract value="false"/>
                  <display value="subscriber"/>
                  <definition value="Description: A role played by a person covered under a policy based on association with
                     a sponsor who is the policy holder, and whose association may provide for the eligibility
                     of dependents for coverage.                                                      Discussion:
                     The policy holder holds the contract with the policy or program underwriter.  The subscriber
                     holds a certificate of coverage under the contract.  In legal proceedings concerning the
                     policy or program, the terms of the contract takes precedence over the terms of the certificate
                     of coverage if there are any inconsistencies.                                        
                                  Note: The party playing the role of a subscriber is not a claimant in the
                     sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a subscriber may
                     make a claim under a policy, e.g., a subscriber under a health insurance policy may become
                     the claimant for coverage under that policy for wellness examines or if injured and there
                     is no liable third party.  In the case of a subscriber making a claim, a role type code
                     INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed
                     a claim for services covered under the health insurance policy.                      
                                                    Example: An employee or a member of an association."/>
                </concept>
              </concept>
              <concept>
                <code value="PROG"/>
                <abstract value="false"/>
                <display value="program eligible"/>
                <definition value="Description: A role played by a party that meets the eligibility criteria for coverage
                   under a program.  A program eligible may be either a person, non-person living subject,
                   or an organization, or a group of persons, non-person living subjects, or organizations.
                                                                        Discussion: A program as typically
                   government administered coverage for parties determined eligible under the terms of the
                   program.                                                      Note: The party playing
                   a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty
                   CLAIM (claimant).  However a program eligible may make a claim under program, e.g., an
                   unemployed worker may claim benefits under an unemployment insurance program, but parties
                   playing these covered party role classes are not, for purposes of this vocabulary and
                   in an effort to clearly distinguish role classes, considered claimants.              
                              In the case of a program eligible, a role type code INJWKR (injured worker)
                   subtypes the class to indicate that the covered party in a workers compensation program
                   is an injured worker, and as such, has filed a &quot;claim&quot; under the program for
                   benefits.  Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program
                   eligible class to indicate that the covered party in an unemployment insurance program
                   has filed a claim for unemployment benefits.                                         
                               Example: A party meeting eligibility criteria related to health or financial
                   status, e.g., in the U.S., persons meeting health, demographic, or financial criteria
                   established by state and federal law are eligible for Medicaid."/>
              </concept>
            </concept>
            <concept>
              <code value="CRINV"/>
              <abstract value="false"/>
              <display value="clinical research investigator"/>
              <definition value="A role played by a provider, always a person, who has agency authority from a Clinical
                 Research Sponsor to direct the conduct of a clinical research trial or study on behalf
                 of the sponsor."/>
            </concept>
            <concept>
              <code value="CRSPNSR"/>
              <abstract value="false"/>
              <display value="clinical research sponsor"/>
              <definition value="A role played by an entity, usually an organization, that is the sponsor of a clinical
                 research trial or study.  The sponsor commissions the study, bears the expenses, is responsible
                 for satisfying all legal requirements concerning subject safety and privacy, and is generally
                 responsible for collection, storage and analysis of the data generated during the trial.
                  No scoper is necessary, as a clinical research sponsor undertakes the role on its own
                 authority and declaration. Clinical research sponsors are usually educational or other
                 research organizations, government agencies or biopharmaceutical companies."/>
            </concept>
            <concept>
              <code value="EMP"/>
              <abstract value="false"/>
              <display value="employee"/>
              <definition value="A relationship between a person or organization and a person or organization formed for
                 the purpose of exchanging work for compensation.  The purpose of the role is to identify
                 the type of relationship the employee has to the employer, rather than the nature of the
                 work actually performed.  (Contrast with AssignedEntity.)"/>
              <concept>
                <code value="MIL"/>
                <abstract value="false"/>
                <display value="military person"/>
                <definition value="A role played by a member of a military service. Scoper is the military service (e.g.
                   Army, Navy, Air Force, etc.) or, more specifically, the unit (e.g. Company C, 3rd Battalion,
                   4th Division, etc.)"/>
              </concept>
            </concept>
            <concept>
              <code value="GUAR"/>
              <abstract value="false"/>
              <display value="guarantor"/>
              <definition value="A person or organization (player) that serves as a financial guarantor for another person
                 or organization (scoper)."/>
            </concept>
            <concept>
              <code value="INVSBJ"/>
              <abstract value="false"/>
              <display value="Investigation Subject"/>
              <definition value="An entity that is the subject of an investigation. This role is scoped by the party responsible
                 for the investigation."/>
              <concept>
                <code value="CASEBJ"/>
                <abstract value="false"/>
                <display value="Case Subject"/>
                <definition value="A person, non-person living subject, or place that is the subject of an investigation
                   related to a notifiable condition (health circumstance that is reportable within the applicable
                   public health jurisdiction)"/>
              </concept>
              <concept>
                <code value="RESBJ"/>
                <abstract value="false"/>
                <display value="research subject"/>
                <definition value="Definition:Specifies the administrative functionality within a formal experimental design
                   for which the ResearchSubject role was established.                                  
                                      Examples: Screening - role is used for pre-enrollment evaluation portion
                   of the design; enrolled - role is used for subjects admitted to the experimental portion
                   of the design."/>
              </concept>
            </concept>
            <concept>
              <code value="LIC"/>
              <abstract value="false"/>
              <display value="licensed entity"/>
              <definition value="A relationship in which the scoper certifies the player ( e. g. a medical care giver,
                 a medical device or a provider organization) to perform certain activities that fall under
                 the jurisdiction of the scoper (e.g., a health authority licensing healthcare providers,
                 a medical quality authority certifying healthcare professionals)."/>
              <concept>
                <code value="NOT"/>
                <abstract value="false"/>
                <display value="notary public"/>
                <definition value="notary public"/>
              </concept>
              <concept>
                <code value="PROV"/>
                <abstract value="false"/>
                <display value="healthcare provider"/>
                <definition value="An Entity (player) that is authorized to provide health care services by some authorizing
                   agency (scoper)."/>
              </concept>
            </concept>
            <concept>
              <code value="PAT"/>
              <abstract value="false"/>
              <display value="patient"/>
              <definition value="A Role of a LivingSubject (player) as an actual or potential recipient of health care
                 services from a healthcare provider organization (scoper).                           
                                           Usage Note: Communication about relationships between patients
                 and specific healthcare practitioners (people) is not done via scoper.  Instead this is
                 generally done using the CareProvision act.  This allows linkage between patient and a
                 particular healthcare practitioner role and also allows description of the type of care
                 involved in the relationship."/>
            </concept>
            <concept>
              <code value="PAYEE"/>
              <abstract value="false"/>
              <display value="payee"/>
              <definition value="The role of an organization or individual designated to receive payment for a claim against
                 a particular coverage. The scoping entity is the organization that is the submitter of
                 the invoice in question."/>
            </concept>
            <concept>
              <code value="PAYOR"/>
              <abstract value="false"/>
              <display value="invoice payor"/>
              <definition value="The role of an organization that undertakes to accept claims invoices, assess the coverage
                 or payments due for those invoices and pay to the designated payees for those invoices.
                  This role may be either the underwriter or a third-party organization authorized by the
                 underwriter.  The scoping entity is the organization that underwrites the claimed coverage."/>
            </concept>
            <concept>
              <code value="POLHOLD"/>
              <abstract value="false"/>
              <display value="policy holder"/>
              <definition value="A role played by a person or organization that holds an insurance policy.  The underwriter
                 of that policy is the scoping entity.                                                
                      Discussion:The identifier of the policy is captured in 'Role.id' when the Role is
                 a policy holder.                          A particular policy may cover several individuals
                 one of whom may be, but need not be, the policy holder.  Thus the notion of covered party
                 is a role that is distinct from that of the policy holder."/>
            </concept>
            <concept>
              <code value="QUAL"/>
              <abstract value="false"/>
              <display value="qualified entity"/>
              <definition value="An entity (player) that has been recognized as having certain training/experience or other
                 characteristics that would make said entity an appropriate performer for a certain activity.
                 The scoper is an organization that educates or qualifies entities."/>
            </concept>
            <concept>
              <code value="SPNSR"/>
              <abstract value="false"/>
              <display value="coverage sponsor"/>
              <definition value="A role played by an entity, usually an organization that is the sponsor of an insurance
                 plan or a health program. A sponsor is the party that is ultimately accountable for the
                 coverage by employment contract or by law.  A sponsor can be an employer, union, government
                 agency, or association.  Fully insured sponsors establish the terms of the plan and contract
                 with health insurance plans to assume the risk and to administer the plan.  Self-insured
                 sponsors delegate coverage administration, but not risk, to third-party administrators.
                  Program sponsors designate services to be covered in accordance with statute.   Program
                 sponsors may administer the coverage themselves, delegate coverage administration, but
                 not risk to third-party administrators, or contract with health insurance plans to assume
                 the risk and administrator a program. Sponsors qualify individuals who may become    
                                                                                                  a policy
                 holder of the plan;                                                                  
                                      where the sponsor is the policy holder, who may become a subscriber
                 or a dependent to a policy under the plan; or                                        
                                                                where the sponsor is a government agency,
                 who may become program eligibles under a program.                                    
                                                            The sponsor role may be further qualified by
                 the SponsorRole.code.  Entities playing the sponsor role may also play the role of a Coverage
                 Administrator.                                                      Example: An employer,
                 union, government agency, or association."/>
            </concept>
            <concept>
              <code value="STD"/>
              <abstract value="false"/>
              <display value="student"/>
              <definition value="A role played by an individual who is a student of a school, which is the scoping entity."/>
            </concept>
            <concept>
              <code value="UNDWRT"/>
              <abstract value="false"/>
              <display value="underwriter"/>
              <definition value="A role played by a person or an organization.  It is the party that                  
                                                                                    accepts fiscal responsibility
                 for insurance plans and the policies created under those plans;                      
                                                                                  administers and accepts
                 fiscal responsibility for a program that provides coverage for services to eligible individuals;
                 and/or                                                                               
                         has the responsibility to assess the merits of each risk and decide a suitable
                 premium for accepting all or part of the risk.  If played by an organization, this role
                 may be further specified by an appropriate RoleCode.                                 
                                                                                          Example:    
                                                                                                      
                                    A health insurer;                                                 
                                                        Medicaid Program;                             
                                                                           Lloyd's of London"/>
            </concept>
          </concept>
          <concept>
            <code value="CAREGIVER"/>
            <abstract value="false"/>
            <display value="caregiver"/>
            <definition value="A person responsible for the primary care of a patient at home."/>
          </concept>
          <concept>
            <code value="PRS"/>
            <abstract value="false"/>
            <display value="personal relationship"/>
            <definition value="Links two entities with classCode PSN (person) in a personal relationship. The character
               of the relationship must be defined by a PersonalRelationshipRoleType code. The player
               and scoper are determined by PersonalRelationshipRoleType code as well."/>
          </concept>
        </concept>
        <concept>
          <code value="_RoleClassPassive"/>
          <abstract value="true"/>
          <display value="RoleClassPassive"/>
          <definition value="An association for a playing Entity that is used, known, treated, handled, built, or destroyed,
             etc. under the auspices of the scoping Entity. The playing Entity is passive in these
             roles (even though it may be active in other roles), in the sense that the kinds of things
             done to it in this role happen without an agreement from the playing Entity."/>
          <concept>
            <code value="ACCESS"/>
            <abstract value="false"/>
            <display value="access"/>
            <definition value="A role in which the playing entity (material) provides access to another entity. The principal
               use case is intravenous (or other bodily) access lines that preexist and need to be referred
               to for medication routing instructions."/>
          </concept>
          <concept>
            <code value="ADJY"/>
            <abstract value="false"/>
            <display value="adjacency"/>
            <definition value="A physical association whereby two Entities are in some (even lose) spatial relationship
               with each other such that they touch each other in some way.                         
                                           Examples: the colon is connected (and therefore adjacent)
               to the jejunum; the colon is adjacent to the liver (even if not actually connected.) 
                                                                   UsageConstraints: Adjacency is in
               principle a symmetrical connection, but scoper and player of the role should, where applicable,
               be assigned to have scoper be the larger, more central Entity and player the smaller,
               more distant, appendage."/>
            <concept>
              <code value="CONC"/>
              <abstract value="false"/>
              <display value="connection"/>
              <definition value="An adjacency of two Entities held together by a bond which attaches to each of the two
                 entities.                                                       Examples: biceps brachii
                 muscle connected to the radius bone, port 3 on a network switch connected to port 5 on
                 a patch panel.                                                      UsageConstraints:
                 See Adjacency for the assignment of scoper (larger, more central) and player (smaller,
                 more distant)."/>
              <concept>
                <code value="BOND"/>
                <abstract value="false"/>
                <display value="molecular bond"/>
                <definition value="A connection between two atoms of a molecule.                                        
                                Examples: double bond between first and second C in ethane, peptide bond
                   between two amino-acid, disulfide bridge between two proteins, chelate and ion associations,
                   even the much weaker van-der-Waals bonds can be considered molecular bonds.          
                                                              UsageConstraints: See connection and adjacency
                   for the assignment of player and scoper."/>
              </concept>
              <concept>
                <code value="CONY"/>
                <abstract value="false"/>
                <display value="continuity"/>
                <definition value="A connection between two regional parts.                                             
                           Examples:  the connection between ascending aorta and the aortic arc, connection
                   between descending colon and sigmoid.                                                
                        UsageConstraints: See connection and adjacency for the assignment of player and scoper."/>
              </concept>
            </concept>
          </concept>
          <concept>
            <code value="ADMM"/>
            <abstract value="false"/>
            <display value="Administerable Material"/>
            <definition value="A material (player) that can be administered to an Entity (scoper)."/>
          </concept>
          <concept>
            <code value="BIRTHPL"/>
            <abstract value="false"/>
            <display value="birthplace"/>
            <definition value="Relates a place (playing Entity) as the location where a living subject (scoping Entity)
               was born."/>
          </concept>
          <concept>
            <code value="DEATHPLC"/>
            <abstract value="false"/>
            <display value="place of death"/>
            <definition value="Definition: Relates a place (playing Entity) as the location where a living subject (scoping
               Entity) died."/>
          </concept>
          <concept>
            <code value="DST"/>
            <abstract value="false"/>
            <display value="distributed material"/>
            <definition value="A material (player) distributed by a distributor (scoper) who functions between a manufacturer
               and a buyer or retailer."/>
            <concept>
              <code value="RET"/>
              <abstract value="false"/>
              <display value="retailed material"/>
              <definition value="Material (player) sold by a retailer (scoper), who also give advice to prospective buyers."/>
            </concept>
          </concept>
          <concept>
            <code value="EXLOC"/>
            <abstract value="false"/>
            <display value="event location"/>
            <definition value="A role played by a place at which the location of an event may be recorded."/>
            <concept>
              <code value="SDLOC"/>
              <abstract value="false"/>
              <display value="service delivery location"/>
              <definition value="A role played by a place at which services may be provided."/>
              <concept>
                <code value="DSDLOC"/>
                <abstract value="false"/>
                <display value="dedicated service delivery location"/>
                <definition value="A role of a place (player) that is intended to house the provision of services. Scoper
                   is the Entity (typically Organization) that provides these services. This is not synonymous
                   with &quot;ownership.&quot;"/>
              </concept>
              <concept>
                <code value="ISDLOC"/>
                <abstract value="false"/>
                <display value="incidental service delivery location"/>
                <definition value="A role played by a place at which health care services may be provided without prior designation
                   or authorization."/>
              </concept>
            </concept>
          </concept>
          <concept>
            <code value="EXPR"/>
            <abstract value="false"/>
            <display value="exposed entity"/>
            <definition value="A role played by an entity that has been exposed to a person or animal suffering a contagious
               disease, or with a location from which a toxin has been distributed.  The player of the
               role is normally a person or animal, but it is possible that other entity types could
               become exposed.  The role is scoped by the source of the exposure, and it is quite possible
               for a person playing the role of exposed party to also become the scoper a role played
               by another person.  That is to say, once a person has become infected, it is possible,
               perhaps likely, for that person to infect others.                          Management
               of exposures and tracking exposed parties is a key function within public health, and
               within most public health contexts - exposed parties are known as &quot;contacts.&quot;"/>
          </concept>
          <concept>
            <code value="HLD"/>
            <abstract value="false"/>
            <display value="held entity"/>
            <definition value="Entity that is currently in the possession of a holder (scoper), who holds, or uses it,
               usually based on some agreement with the owner."/>
          </concept>
          <concept>
            <code value="HLTHCHRT"/>
            <abstract value="false"/>
            <display value="health chart"/>
            <definition value="The role of a material (player) that is the physical health chart belonging to an organization
               (scoper)."/>
          </concept>
          <concept>
            <code value="IDENT"/>
            <abstract value="false"/>
            <display value="identified entity"/>
            <definition value="A role in which the scoping entity designates an identifier for a playing entity."/>
          </concept>
          <concept>
            <code value="MANU"/>
            <abstract value="false"/>
            <display value="manufactured product"/>
            <definition value="Scoped by the manufacturer"/>
            <concept>
              <code value="THER"/>
              <abstract value="false"/>
              <display value="therapeutic agent"/>
              <definition value="A manufactured material (player) that is used for its therapeutic properties.  The manufacturer
                 is the scoper."/>
            </concept>
          </concept>
          <concept>
            <code value="MNT"/>
            <abstract value="false"/>
            <display value="maintained entity"/>
            <definition value="An entity (player) that is maintained by another entity (scoper).  This is typical role
               held by durable equipment. The scoper assumes responsibility for proper operation, quality,
               and safety."/>
          </concept>
          <concept>
            <code value="OWN"/>
            <abstract value="false"/>
            <display value="owned entity"/>
            <definition value="An Entity (player) for which someone (scoper) is granted by law the right to call the
               material (player) his own.  This entitles the scoper to make decisions about the disposition
               of that material."/>
          </concept>
          <concept>
            <code value="RGPR"/>
            <abstract value="false"/>
            <display value="regulated product"/>
            <definition value="A product regulated by some governmentatl orgnization.  The role is played by Material
               and scoped by Organization.                          Rationale: To support an entity clone
               used to identify the NDC number for a drug product."/>
          </concept>
          <concept>
            <code value="TERR"/>
            <abstract value="false"/>
            <display value="territory of authority"/>
            <definition value="Relates a place entity (player) as the region over which the scoper (typically an Organization)
               has certain authority (jurisdiction). For example, the Calgary Regional Health Authority
               (scoper) has authority over the territory &quot;Region 4 of Alberta&quot; (player) in
               matters of health."/>
          </concept>
          <concept>
            <code value="USED"/>
            <abstract value="false"/>
            <display value="used entity"/>
            <definition value="Description:An entity (player) that is used by another entity (scoper)"/>
          </concept>
          <concept>
            <code value="WRTE"/>
            <abstract value="false"/>
            <display value="warranted product"/>
            <definition value="A role a product plays when a guarantee is given to the purchaser by the seller (scoping
               entity) stating that the product is reliable and free from known defects and that the
               seller will repair or replace defective parts within a given time limit and under certain
               conditions."/>
          </concept>
        </concept>
      </concept>
      <concept>
        <code value="_RoleClassOntological"/>
        <abstract value="true"/>
        <display value="RoleClassOntological"/>
        <definition value="A relationship in which the scoping Entity defines or specifies what the playing Entity
           is.  Thus, the player's &quot;being&quot; (Greek: ontos) is specified."/>
        <concept>
          <code value="EQUIV"/>
          <abstract value="false"/>
          <display value="equivalent entity"/>
          <definition value="Description: Specifies the player Entity (the equivalent Entity) as an Entity that is
             considered to be equivalent to a reference Entity (scoper).  The equivalence is in principle
             a symmetric relationship, however, it is expected that the scoper is a reference entity
             which serves as reference entity for multiple different equivalent entities.         
                                                          Examples: An innovator's medicine formulation
             is the reference for &quot;generics&quot;, i.e., formulations manufactured differently
             but having been proven to be biologically equivalent to the reference medicine. Another
             example is a reference ingredient that serves as basis for quantity specifications (basis
             of strength, e.g., metoprolol succinate specified in terms of metoprolol tartrate.)"/>
          <concept>
            <code value="SAME"/>
            <abstract value="false"/>
            <display value="same"/>
            <definition value="The &quot;same&quot; role asserts an identity between playing and scoping entities, i.e.,
               that they are in fact two records of the same entity instance, and, in the case of discrepancies
               (e.g different DOB, gender), that one or both are in error.                          
                                          Usage:                                                   playing
               and scoping entities must have same classCode, but need not have identical attributes
               or values.                                                      Example:             
                                                     a provider registry maintains sets of conflicting
               demographic data for what is reported to be the same individual."/>
          </concept>
          <concept>
            <code value="SUBY"/>
            <abstract value="false"/>
            <display value="subsumed by"/>
            <definition value="Relates a prevailing record of an Entity (scoper) with another record (player) that it
               subsumes.                                                      Examples: Show a correct
               new Person object (scoper) that subsumes one or more duplicate Person objects that had
               accidentally been created for the same physical person.                              
                                      Constraints: Both the player and scoper must have the same classCode."/>
          </concept>
        </concept>
        <concept>
          <code value="GEN"/>
          <abstract value="false"/>
          <display value="has generalization"/>
          <definition value="Relates a specialized material concept (player) to its generalization (scoper)."/>
          <concept>
            <code value="GRIC"/>
            <abstract value="false"/>
            <display value="has generic"/>
            <definition value="A special link between pharmaceuticals indicating that the target (scoper) is a generic
               for the source (player)."/>
          </concept>
        </concept>
        <concept>
          <code value="INST"/>
          <abstract value="false"/>
          <display value="instance"/>
          <definition value="An individual piece of material (player) instantiating a class of material (scoper)."/>
        </concept>
      </concept>
      <concept>
        <code value="_RoleClassPartitive"/>
        <abstract value="true"/>
        <display value="RoleClassPartitive"/>
        <definition value="An association between two Entities where the playing Entity is considered in some way
           &quot;part&quot; of the scoping Entity, e.g., as a member, component, ingredient, or content.
           Being &quot;part&quot; in the broadest sense of the word can mean anything from being
           an integral structural component to a mere incidental temporary association of a playing
           Entity with a (generally larger) scoping Entity."/>
        <concept>
          <code value="CONT"/>
          <abstract value="false"/>
          <display value="content"/>
          <definition value="Relates a material as the content (player) to a container (scoper).  Unlike ingredients,
             the content and a container remain separate (not mixed) and the content can be removed
             from the container.  A content is not part of an empty container."/>
        </concept>
        <concept>
          <code value="EXPAGTCAR"/>
          <abstract value="false"/>
          <display value="exposure agent carrier"/>
          <definition value="An exposure agent carrier is an entity that is capable of conveying an exposure agent
             from one entity to another.  The scoper of the role must be the exposure agent (e.g.,
             pathogen)."/>
          <concept>
            <code value="EXPVECTOR"/>
            <abstract value="false"/>
            <display value="exposure vector"/>
            <definition value="Description: A vector is a living subject that carries an exposure agent.  The vector
               does not cause the disease itself, but exposes targets to the exposure agent.  A mosquito
               carrying malaria is an example of a vector.  The scoper of the role must be the exposure
               agent (e.g., pathogen)."/>
          </concept>
          <concept>
            <code value="FOMITE"/>
            <abstract value="false"/>
            <display value="fomite"/>
            <definition value="Description: A fomite is a non-living entity that is capable of conveying exposure agent
               from one entity to another.  A doorknob contaminated with a Norovirus is an example of
               a fomite.  Anyone touching the doorknob would be exposed to the virus.  The scoper of
               the role must be the exposure agent (e.g., pathogen)."/>
          </concept>
        </concept>
        <concept>
          <code value="INGR"/>
          <abstract value="false"/>
          <display value="ingredient"/>
          <definition value="Relates a component (player) to a mixture (scoper). E.g., Glucose and Water are ingredients
             of D5W, latex may be an ingredient in a tracheal tube."/>
          <concept>
            <code value="ACTI"/>
            <abstract value="false"/>
            <display value="active ingredient"/>
            <definition value="Definition: a therapeutically active ingredient (player) in a mixture (scoper), where
               the mixture is typically a manufactured pharmaceutical.  It is unknown if the quantity
               of such an ingredient is expressed precisely in terms of the playing ingredient substance,
               or, if it is specified in terms of a closely related substance (active moiety or reference
               substance)."/>
            <concept>
              <code value="ACTIB"/>
              <abstract value="false"/>
              <display value="active ingredient - basis of strength"/>
              <definition value="Description:  Active ingredient, where the ingredient substance (player) is itself the
                 &quot;basis of strength&quot;, i.e., where the Role.quantity specifies exactly the quantity
                 of the player substance in the medicine formulation.                                 
                                      Examples: Lopressor 50 mg actually contains 50 mg of metoprolol succinate,
                 even though the active moiety is metoprolol,  but also: Tenormin 50 mg contain 50 mg of
                 atenolol, as free base, i.e., where the active ingredient atenolol is also the active
                 moiety."/>
            </concept>
            <concept>
              <code value="ACTIM"/>
              <abstract value="false"/>
              <display value="active ingredient - moiety is basis of strength"/>
              <definition value="Description: Active ingredient, where not the ingredient substance (player), but itaTMs
                 active moiety is the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies
                 the quantity of the player substance's active moiety in the medicine formulation.    
                                                                  Examples: 1 mL of Betopic 5mg/mL eye
                 drops contains 5.6 mg betaxolol hydrochloride equivalent to betaxolol base 5 mg."/>
            </concept>
            <concept>
              <code value="ACTIR"/>
              <abstract value="false"/>
              <display value="active ingredient - reference substance is basis of strength"/>
              <definition value="Description: Active ingredient, where not the ingredient substance (player) but another
                 reference substance with the same active moiety, is the &quot;basis of strength&quot;,
                 i.e., where the Role.quantity specifies the quantity of a reference substance, similar
                 but different from the player substance's in the medicine formulation.               
                                                       Examples: Toprol-XL 50 mg contains 47.5 mg of metoprolol
                 succinate equivalent to 50 mg of metoprolol tartrate."/>
            </concept>
          </concept>
          <concept>
            <code value="ADJV"/>
            <abstract value="false"/>
            <display value="adjuvant"/>
            <definition value="A component (player) added to enhance the action of an active ingredient (scoper) (in
               the manner of a catalyst) but which has no active effect in and of itself.  Such ingredients
               are significant in defining equivalence of products in a way that inactive ingredients
               are not."/>
          </concept>
          <concept>
            <code value="ADTV"/>
            <abstract value="false"/>
            <display value="additive"/>
            <definition value="An ingredient (player)  that is added to a base (scoper), that amounts to a minor part
               of the overall mixture."/>
          </concept>
          <concept>
            <code value="BASE"/>
            <abstract value="false"/>
            <display value="base"/>
            <definition value="A base ingredient (player) is what comprises the major part of a mixture (scoper). E.g.,
               Water in most i.v. solutions, or Vaseline in salves. Among all ingredients of a material,
               there should be only one base. A base substance can, in turn, be a mixture."/>
          </concept>
          <concept>
            <code value="CNTM"/>
            <abstract value="false"/>
            <display value="contaminant ingredient"/>
            <definition value="An ingredient whose presence is not intended but may not be reasonably avoided given the
               circumstances of the mixture's nature or origin."/>
          </concept>
          <concept>
            <code value="IACT"/>
            <abstract value="false"/>
            <display value="inactive ingredient"/>
            <definition value="An ingredient which is not considered therapeutically active, e.g., colors, flavors, stabilizers,
               or preservatives, fillers, or structural components added to an active ingredient in order
               to facilitate administration of the active ingredient but without being considered therapeutically
               active. An inactive ingredient need not be biologically inert, e.g., might be active as
               an allergen or might have a pleasant taste, but is not an essential constituent delivering
               the therapeutic effect."/>
            <concept>
              <code value="COLR"/>
              <abstract value="false"/>
              <display value="color additive"/>
              <definition value="A substance (player) influencing the optical aspect of material (scoper)."/>
            </concept>
            <concept>
              <code value="FLVR"/>
              <abstract value="false"/>
              <display value="flavor additive"/>
              <definition value="A substance (player) added to a mixture (scoper) to make it taste a certain way.  In food
                 the use is obvious, in pharmaceuticals flavors can hide disgusting taste of the active
                 ingredient (important in pediatric treatments)."/>
            </concept>
            <concept>
              <code value="PRSV"/>
              <abstract value="false"/>
              <display value="preservative"/>
              <definition value="A substance (player) added to a mixture (scoper) to prevent microorganisms (fungi, bacteria)
                 to spoil the mixture."/>
            </concept>
            <concept>
              <code value="STBL"/>
              <abstract value="false"/>
              <display value="stabilizer"/>
              <definition value="A stabilizer (player) added to a mixture (scoper) in order to prevent the molecular disintegration
                 of the main substance."/>
            </concept>
          </concept>
          <concept>
            <code value="MECH"/>
            <abstract value="false"/>
            <display value="mechanical ingredient"/>
            <definition value="An ingredient (player) of a medication (scoper) that is inseparable from the active ingredients,
               but has no intended chemical or pharmaceutical effect itself, but which may have some
               systemic effect on the patient.                          An example is a collagen matrix
               used as a base for transplanting skin cells.  The collagen matrix can be left permanently
               in the graft site.  Because it is of bovine origin, the patient may exhibit allergies
               or may have cultural objections to its use."/>
          </concept>
        </concept>
        <concept>
          <code value="LOCE"/>
          <abstract value="false"/>
          <display value="located entity"/>
          <definition value="Relates an entity (player) to a location (scoper) at which it is present in some way.
             This presence may be limited in time."/>
          <concept>
            <code value="STOR"/>
            <abstract value="false"/>
            <display value="stored entity"/>
            <definition value="Relates an entity (player) (e.g. a device) to a location (scoper) at which it is normally
               found or stored when not used."/>
          </concept>
        </concept>
        <concept>
          <code value="MBR"/>
          <abstract value="false"/>
          <display value="member"/>
          <definition value="A role played by an entity that is a member of a group.  The group provides the scope
             for this role.                          Among other uses, groups as used in insurance
             (groups of covered individuals) and in scheduling where resources may be grouped for scheduling
             and logistical purposes."/>
        </concept>
        <concept>
          <code value="PART"/>
          <abstract value="false"/>
          <display value="part"/>
          <definition value="Definition:  an association between two Entities where the playing Entity (the part) is
             a component of the whole (scoper) in the sense of an integral structural component, that
             is distinct from other parts in the same whole, has a distinct function in the whole,
             and, as an effect, the full integrity of the whole depends (to some degree) on the presence
             of this part, even though the part may often be separable from the whole.            
                                                      Discussion: Part is defined in opposition to
             (a) ingredient (not separable), (b) content (not a functional component), and (c) member
             (not functionally distinct from other members)."/>
          <concept>
            <code value="ACTM"/>
            <abstract value="false"/>
            <display value="active moiety"/>
            <definition value="The molecule or ion that is responsible for the intended pharmacological action of the
               drug substance, excluding those appended or associated parts of the molecule that make
               the molecule an ester, salt (including a salt with hydrogen or coordination bonds), or
               other noncovalent derivative (such as a complex, chelate, or clathrate).             
                           Examples: heparin-sodium and heparin-potassium have the same active moiety,
               heparin; the active moiety of morphine-hydrochloride is morphine."/>
          </concept>
        </concept>
        <concept>
          <code value="SPEC"/>
          <abstract value="false"/>
          <display value="specimen"/>
          <definition value="A role played by a material entity that is a specimen for an act. It is scoped by the
             source of the specimen."/>
          <concept>
            <code value="ALQT"/>
            <abstract value="false"/>
            <display value="aliquot"/>
            <definition value="A portion (player) of an original or source specimen (scoper) used for testing or transportation."/>
          </concept>
          <concept>
            <code value="ISLT"/>
            <abstract value="false"/>
            <display value="isolate"/>
            <definition value="A microorganism that has been isolated from other microorganisms or a source matrix."/>
          </concept>
        </concept>
      </concept>
    </concept>
  </define>
</ValueSet>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.