V3-ParticipationFunction.xml

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

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-ParticipationFunction"/> 
  <meta> 
    <lastUpdated value="2018-04-01T00:00:00.000+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Release Date: 2018-04-01</p> 

      <table class="grid">
 
        <tr> 
          <td> 
            <b> Level</b> 
          </td> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> 
            <span style="color: grey">
              <i> (_AuthorizedParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_AuthorizedParticipationFunction"> </a> 
          </td> 
          <td> 
                        This code is used to specify the exact function an actor is authorized
               to have in a service in all necessary detail.
            <br/>  

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> TASST
            <a name="v3-ParticipationFunction-TASST"> </a> 
          </td> 
          <td> third assistant</td> 
          <td> 
                        In a typical surgery setting there is rarely a third assistant
               (e.g., in some Hip operations the third assistant postures the affected leg).
            <br/>  

                     
          </td> 
        </tr> 

      </table> 

    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="External"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueString value="vocab"/> 
  </extension> 
  <url value="http://hl7.org/fhir/ValueSet/v3-ParticipationFunction"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.1.11.10267"/> 
  </identifier> 
  <version value="2018-04-01"/> 
  <name value="v3 Code System ParticipationFunction"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2018-04-01"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value=" This code is used to specify the exact function an actor had in a service in all necessary
     detail. This domain may include local extensions (CWE)."/> 
  <immutable value="true"/> 
  <compose> 
    <include> 
      <system value="http://hl7.org/fhir/v3/ParticipationFunction"/> 
    </include> 
  </compose> 
</ValueSet>