Generated Narrative: ValueSet R5-v3-xActInvoiceDetailPharmacyCode-for-R4 This value set expansion contains 1,121 concepts. Code System Display Definition GTIN http://terminology.hl7.org/CodeSystem/v3-ActCode Global Trade Item Number **Description:**Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council). UPC http://terminology.hl7.org/CodeSystem/v3-ActCode Universal Product Code **Description:**Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores. COIN http://terminology.hl7.org/CodeSystem/v3-ActCode coinsurance That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results. COPAYMENT http://terminology.hl7.org/CodeSystem/v3-ActCode patient co-pay That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results. DEDUCTIBLE http://terminology.hl7.org/CodeSystem/v3-ActCode deductible That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results. PAY http://terminology.hl7.org/CodeSystem/v3-ActCode payment The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization. SPEND http://terminology.hl7.org/CodeSystem/v3-ActCode spend down That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results COINS http://terminology.hl7.org/CodeSystem/v3-ActCode co-insurance The covered party pays a percentage of the cost of covered services. AFTHRS http://terminology.hl7.org/CodeSystem/v3-ActCode non-normal hours Premium paid on service fees in compensation for practicing outside of normal working hours. ISOL http://terminology.hl7.org/CodeSystem/v3-ActCode isolation allowance Premium paid on service fees in compensation for practicing in a remote location. OOO http://terminology.hl7.org/CodeSystem/v3-ActCode out of office Premium paid on service fees in compensation for practicing at a location other than normal working location. CANCAPT http://terminology.hl7.org/CodeSystem/v3-ActCode cancelled appointment A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient. DSC http://terminology.hl7.org/CodeSystem/v3-ActCode discount A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase. ESA http://terminology.hl7.org/CodeSystem/v3-ActCode extraordinary service assessment A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies. FFSTOP http://terminology.hl7.org/CodeSystem/v3-ActCode fee for service top off Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount. FNLFEE http://terminology.hl7.org/CodeSystem/v3-ActCode final fee Anticipated or actual final fee associated with treating a patient. FRSTFEE http://terminology.hl7.org/CodeSystem/v3-ActCode first fee Anticipated or actual initial fee associated with treating a patient. MARKUP http://terminology.hl7.org/CodeSystem/v3-ActCode markup or up-charge An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost. MISSAPT http://terminology.hl7.org/CodeSystem/v3-ActCode missed appointment A charge to compensate the provider when a patient does not show for an appointment. PERFEE http://terminology.hl7.org/CodeSystem/v3-ActCode periodic fee Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element. PERMBNS http://terminology.hl7.org/CodeSystem/v3-ActCode performance bonus The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed. RESTOCK http://terminology.hl7.org/CodeSystem/v3-ActCode restocking fee A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use. TRAVEL http://terminology.hl7.org/CodeSystem/v3-ActCode travel A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement. URGENT http://terminology.hl7.org/CodeSystem/v3-ActCode urgent Premium paid on service fees in compensation for providing an expedited response to an urgent situation. FST http://terminology.hl7.org/CodeSystem/v3-ActCode federal sales tax Federal tax on transactions such as the Goods and Services Tax (GST) HST http://terminology.hl7.org/CodeSystem/v3-ActCode harmonized sales Tax Joint Federal/Provincial Sales Tax PST http://terminology.hl7.org/CodeSystem/v3-ActCode provincial/state sales tax Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax C http://terminology.hl7.org/CodeSystem/v3-ActCode corrected **Description:**Indicates that result data has been corrected. DIET http://terminology.hl7.org/CodeSystem/v3-ActCode Diet Code set to define specialized/allowed diets DRUGPRG http://terminology.hl7.org/CodeSystem/v3-ActCode drug program Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria. F http://terminology.hl7.org/CodeSystem/v3-ActCode final **Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code. PRLMN http://terminology.hl7.org/CodeSystem/v3-ActCode preliminary **Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code. SUBSIDFFS http://terminology.hl7.org/CodeSystem/v3-ActCode subsidized fee for service program Definition: A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code. WRKCOMP http://terminology.hl7.org/CodeSystem/v3-ActCode (workers compensation program Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. COPAY http://terminology.hl7.org/CodeSystem/v3-ActCode DEDUCT http://terminology.hl7.org/CodeSystem/v3-ActCode DOSEIND http://terminology.hl7.org/CodeSystem/v3-ActCode PRA http://terminology.hl7.org/CodeSystem/v3-ActCode STORE http://terminology.hl7.org/CodeSystem/v3-ActCode Storage The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen. ACCTRECEIVABLE http://terminology.hl7.org/CodeSystem/v3-ActCode account receivable An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter. CASH http://terminology.hl7.org/CodeSystem/v3-ActCode Cash CC http://terminology.hl7.org/CodeSystem/v3-ActCode credit card Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products. PBILLACCT http://terminology.hl7.org/CodeSystem/v3-ActCode patient billing account An account representing charges and credits (financial transactions) for a patient's encounter. AA http://terminology.hl7.org/CodeSystem/v3-ActCode adjudicated with adjustments The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). AR http://terminology.hl7.org/CodeSystem/v3-ActCode adjudicated as refused The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting). AS http://terminology.hl7.org/CodeSystem/v3-ActCode adjudicated as submitted The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). CONT http://terminology.hl7.org/CodeSystem/v3-ActCode contract Transaction counts and value totals by Contract Identifier. DAY http://terminology.hl7.org/CodeSystem/v3-ActCode day Transaction counts and value totals for each calendar day within the date range specified. LOC http://terminology.hl7.org/CodeSystem/v3-ActCode location Transaction counts and value totals by service location (e.g clinic). MONTH http://terminology.hl7.org/CodeSystem/v3-ActCode month Transaction counts and value totals for each calendar month within the date range specified. PERIOD http://terminology.hl7.org/CodeSystem/v3-ActCode period Transaction counts and value totals for the date range specified. PROV http://terminology.hl7.org/CodeSystem/v3-ActCode provider Transaction counts and value totals by Provider Identifier. WEEK http://terminology.hl7.org/CodeSystem/v3-ActCode week Transaction counts and value totals for each calendar week within the date range specified. YEAR http://terminology.hl7.org/CodeSystem/v3-ActCode year Transaction counts and value totals for each calendar year within the date range specified. DISPLAY http://terminology.hl7.org/CodeSystem/v3-ActCode Display The adjudication result associated is to be displayed to the receiver of the adjudication result. FORM http://terminology.hl7.org/CodeSystem/v3-ActCode Print on Form The adjudication result associated is to be printed on the specified form, which is then provided to the covered party. NAT http://terminology.hl7.org/CodeSystem/v3-ActCode Insufficient authorization The requesting party has insufficient authorization to invoke the interaction. SUPPRESSED http://terminology.hl7.org/CodeSystem/v3-ActCode record suppressed Description: One or more records in the query response have been suppressed due to consent or privacy restrictions. VALIDAT http://terminology.hl7.org/CodeSystem/v3-ActCode validation issue **Description:**The specified element did not pass business-rule validation. KEY204 http://terminology.hl7.org/CodeSystem/v3-ActCode Unknown key identifier The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient. KEY205 http://terminology.hl7.org/CodeSystem/v3-ActCode Duplicate key identifier The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.). KEY206 http://terminology.hl7.org/CodeSystem/v3-ActCode non-matching identification Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified. OBSOLETE http://terminology.hl7.org/CodeSystem/v3-ActCode obsolete record returned Description: One or more records in the query response have a status of 'obsolete'. CPTM http://terminology.hl7.org/CodeSystem/v3-ActCode CPT modifier codes **Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition. HCPCSA http://terminology.hl7.org/CodeSystem/v3-ActCode HCPCS Level II and Carrier-assigned **Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin. BLK http://terminology.hl7.org/CodeSystem/v3-ActCode block funding A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors. CAP http://terminology.hl7.org/CodeSystem/v3-ActCode capitation funding A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice). CONTF http://terminology.hl7.org/CodeSystem/v3-ActCode contract funding A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures. FINBILL http://terminology.hl7.org/CodeSystem/v3-ActCode financial A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement. ROST http://terminology.hl7.org/CodeSystem/v3-ActCode roster funding A billing arrangement where funding is based on a list of individuals registered as patients of the Provider. SESS http://terminology.hl7.org/CodeSystem/v3-ActCode sessional funding A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary. FFS http://terminology.hl7.org/CodeSystem/v3-ActCode fee for service A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes. ROIFS http://terminology.hl7.org/CodeSystem/v3-ActCode fully specified ROI A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4. ROIPS http://terminology.hl7.org/CodeSystem/v3-ActCode partially specified ROI A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed. AUTOATTCH http://terminology.hl7.org/CodeSystem/v3-ActCode auto attachment Description: Automobile Information Attachment DOCUMENT http://terminology.hl7.org/CodeSystem/v3-ActCode document Description: Document Attachment HEALTHREC http://terminology.hl7.org/CodeSystem/v3-ActCode health record Description: Health Record Attachment IMG http://terminology.hl7.org/CodeSystem/v3-ActCode image attachment Description: Image Attachment LABRESULTS http://terminology.hl7.org/CodeSystem/v3-ActCode lab results Description: Lab Results Attachment MODEL http://terminology.hl7.org/CodeSystem/v3-ActCode model Description: Digital Model Attachment WIATTCH http://terminology.hl7.org/CodeSystem/v3-ActCode work injury report attachment Description: Work Injury related additional Information Attachment XRAY http://terminology.hl7.org/CodeSystem/v3-ActCode x-ray Description: Digital X-Ray Attachment EMRGONLY http://terminology.hl7.org/CodeSystem/v3-ActCode emergency only Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy. Usage Note: To specify the scope of an "EMRGONLY" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8. ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition. BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access. ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use. THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence. DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone. Map: An "emergency only" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access GRANTORCHOICE http://terminology.hl7.org/CodeSystem/v3-ActCode grantor choice A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions. Comment: A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms. Usage Note: If the grantor's term of agreement must be accepted in full, then this is considered "basic consent". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered "granular consent". Examples: Healthcare: A PHR account holder [grantor] may require any PHR user [grantee] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. Non-healthcare: The owner of a resource server [grantor] may require any authorization server [grantee] to meet authorization requirements stipulated in the grantor's terms of agreement. IMPLIED http://terminology.hl7.org/CodeSystem/v3-ActCode implied consent A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee. Comment: Implied or "implicit" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms. Usage Note: Implied consent with no opportunity to assent or dissent to certain terms is considered "basic consent". Examples: Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient [grantor] agrees to the rights granted to the provider [grantee] in an implicit consent directive. An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws. IMPLIEDD http://terminology.hl7.org/CodeSystem/v3-ActCode implied consent with opportunity to dissent A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms. Comment: A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent. Usage Note: Implied or "implicit" consent with an "opportunity to dissent" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered "granular consent". Examples: Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures. A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes. NOCONSENT http://terminology.hl7.org/CodeSystem/v3-ActCode no consent No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement. Comment: A "No Consent" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles [FIPP] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures. Usage Note: The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge. Examples: Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items. NOPP http://terminology.hl7.org/CodeSystem/v3-ActCode notice of privacy practices An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling. Usage Notes: Map: An "implied" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied". OPTIN http://terminology.hl7.org/CodeSystem/v3-ActCode opt-in A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms. Comment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement. OPTINR http://terminology.hl7.org/CodeSystem/v3-ActCode opt-in with restrictions A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms. Comment: A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent. Usage Note: Opt-in with restrictions is considered "granular consent" because the grantor has an opportunity to narrow the permissions sought by the grantee. Examples: Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability. OPTOUT http://terminology.hl7.org/CodeSystem/v3-ActCode op-out A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms. Comment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. Non-healthcare: An employee [grantor] refuses to sign an employer's [grantee's] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights. A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption. OPTOUTE http://terminology.hl7.org/CodeSystem/v3-ActCode opt-out with exceptions A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms. Comment: A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms. Usage Note: Opt-out with exceptions is considered a "granular consent" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms. Examples: Healthcare: A patient [grantor] dissents to a health information exchange consent directive with the exception of disclosure based on a limited "time to live" shared secret [e.g., a token or password], which the patient can give to a provider when seeking care. Non-healthcare: A social media user [grantor] dissents from public access to their account, but assents to access to a circle of friends. ICOL http://terminology.hl7.org/CodeSystem/v3-ActCode information collection Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated. IDSCL http://terminology.hl7.org/CodeSystem/v3-ActCode information disclosure Definition: Consent to have collected healthcare information disclosed. INFA http://terminology.hl7.org/CodeSystem/v3-ActCode information access Definition: Consent to access healthcare information. IRDSCL http://terminology.hl7.org/CodeSystem/v3-ActCode information redisclosure Definition: Information re-disclosed without the patient's consent. RESEARCH http://terminology.hl7.org/CodeSystem/v3-ActCode research information access Definition: Consent to have healthcare information in an electronic health record accessed for research purposes. ID http://terminology.hl7.org/CodeSystem/v3-ActCode Identified Used by one system to inform another that it has received a container. IP http://terminology.hl7.org/CodeSystem/v3-ActCode In Position Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.). L http://terminology.hl7.org/CodeSystem/v3-ActCode Left Equipment Used by one system to inform another that the container has been released from that system. M http://terminology.hl7.org/CodeSystem/v3-ActCode Missing Used by one system to inform another that the container did not arrive at its next expected location. O http://terminology.hl7.org/CodeSystem/v3-ActCode In Process Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant. R http://terminology.hl7.org/CodeSystem/v3-ActCode Process Completed Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system. X http://terminology.hl7.org/CodeSystem/v3-ActCode Container Unavailable Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded). AUTO http://terminology.hl7.org/CodeSystem/v3-ActCode auto-repeat permission Specifies whether or not automatic repeat testing is to be initiated on specimens. ENDC http://terminology.hl7.org/CodeSystem/v3-ActCode endogenous content A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered. REFLEX http://terminology.hl7.org/CodeSystem/v3-ActCode reflex permission Specifies whether or not further testing may be automatically or manually initiated on specimens. AUTH http://terminology.hl7.org/CodeSystem/v3-ActCode Authorized Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization. NAUTH http://terminology.hl7.org/CodeSystem/v3-ActCode Not Authorized Authorization for specified healthcare service(s) and/or product(s) denied. ELG http://terminology.hl7.org/CodeSystem/v3-ActCode Eligible Insurance coverage is in effect for healthcare service(s) and/or product(s). NELG http://terminology.hl7.org/CodeSystem/v3-ActCode Not Eligible Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility. COVMX http://terminology.hl7.org/CodeSystem/v3-ActCode coverage maximum Definition: Codes representing the maximum coverate or financial participation requirements. COVPRD http://terminology.hl7.org/CodeSystem/v3-ActCode coverage period Codes representing the time period during which coverage is available; or financial participation requirements are in effect. LFEMX http://terminology.hl7.org/CodeSystem/v3-ActCode life time maximum Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime. NETAMT http://terminology.hl7.org/CodeSystem/v3-ActCode Net Amount Maximum net amount that will be covered for the product or service specified. PRDMX http://terminology.hl7.org/CodeSystem/v3-ActCode period maximum Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act. UNITPRICE http://terminology.hl7.org/CodeSystem/v3-ActCode Unit Price Maximum unit price that will be covered for the authorized product or service. UNITQTY http://terminology.hl7.org/CodeSystem/v3-ActCode Unit Quantity Maximum number of items that will be covered of the product or service specified. CACC http://terminology.hl7.org/CodeSystem/v3-ActCode certified anatomic pathology and clinical pathology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CAIC http://terminology.hl7.org/CodeSystem/v3-ActCode certified allergy and immunology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CAMC http://terminology.hl7.org/CodeSystem/v3-ActCode certified aerospace medicine care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CANC http://terminology.hl7.org/CodeSystem/v3-ActCode certified anesthesiology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CAPC http://terminology.hl7.org/CodeSystem/v3-ActCode certified anatomic pathology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CBGC http://terminology.hl7.org/CodeSystem/v3-ActCode certified clinical biochemical genetics care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CCCC http://terminology.hl7.org/CodeSystem/v3-ActCode certified clinical cytogenetics care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CCGC http://terminology.hl7.org/CodeSystem/v3-ActCode certified clinical genetics (M.D.) care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CCPC http://terminology.hl7.org/CodeSystem/v3-ActCode certified clinical pathology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CCSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified colon and rectal surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CDEC http://terminology.hl7.org/CodeSystem/v3-ActCode certified dermatology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CDRC http://terminology.hl7.org/CodeSystem/v3-ActCode certified diagnostic radiology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CEMC http://terminology.hl7.org/CodeSystem/v3-ActCode certified emergency medicine care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CFPC http://terminology.hl7.org/CodeSystem/v3-ActCode certified family practice care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CIMC http://terminology.hl7.org/CodeSystem/v3-ActCode certified internal medicine care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CMGC http://terminology.hl7.org/CodeSystem/v3-ActCode certified clinical molecular genetics care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CNEC http://terminology.hl7.org/CodeSystem/v3-ActCode certified neurology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board CNMC http://terminology.hl7.org/CodeSystem/v3-ActCode certified nuclear medicine care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CNQC http://terminology.hl7.org/CodeSystem/v3-ActCode certified neurology with special qualifications in child neurology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CNSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified neurological surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. COGC http://terminology.hl7.org/CodeSystem/v3-ActCode certified obstetrics and gynecology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. COMC http://terminology.hl7.org/CodeSystem/v3-ActCode certified occupational medicine care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. COPC http://terminology.hl7.org/CodeSystem/v3-ActCode certified ophthalmology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. COSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified orthopaedic surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. COTC http://terminology.hl7.org/CodeSystem/v3-ActCode certified otolaryngology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CPEC http://terminology.hl7.org/CodeSystem/v3-ActCode certified pediatrics care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CPGC http://terminology.hl7.org/CodeSystem/v3-ActCode certified Ph.D. medical genetics care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CPHC http://terminology.hl7.org/CodeSystem/v3-ActCode certified public health and general preventive medicine care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CPRC http://terminology.hl7.org/CodeSystem/v3-ActCode certified physical medicine and rehabilitation care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CPSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified plastic surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CPYC http://terminology.hl7.org/CodeSystem/v3-ActCode certified psychiatry care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CROC http://terminology.hl7.org/CodeSystem/v3-ActCode certified radiation oncology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CRPC http://terminology.hl7.org/CodeSystem/v3-ActCode certified radiological physics care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CSUC http://terminology.hl7.org/CodeSystem/v3-ActCode certified surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CTSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified thoracic surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CURC http://terminology.hl7.org/CodeSystem/v3-ActCode certified urology care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. CVSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified vascular surgery care **Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board. LGPC http://terminology.hl7.org/CodeSystem/v3-ActCode licensed general physician care **Description:**Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency. AALC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited assisted living care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. AAMC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited ambulatory care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. ABHC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited behavioral health care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. ACAC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited critical access hospital care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. ACHC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited hospital care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. AHOC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited home care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. ALTC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited long term care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. AOSC http://terminology.hl7.org/CodeSystem/v3-ActCode accredited office-based surgery care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency. CACS http://terminology.hl7.org/CodeSystem/v3-ActCode certified acute coronary syndrome care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CAMI http://terminology.hl7.org/CodeSystem/v3-ActCode certified acute myocardial infarction care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CAST http://terminology.hl7.org/CodeSystem/v3-ActCode certified asthma care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CBAR http://terminology.hl7.org/CodeSystem/v3-ActCode certified bariatric surgery care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CCAD http://terminology.hl7.org/CodeSystem/v3-ActCode certified coronary artery disease care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CCAR http://terminology.hl7.org/CodeSystem/v3-ActCode certified cardiac care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CDEP http://terminology.hl7.org/CodeSystem/v3-ActCode certified depression care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CDGD http://terminology.hl7.org/CodeSystem/v3-ActCode certified digestive/gastrointestinal disorders care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CDIA http://terminology.hl7.org/CodeSystem/v3-ActCode certified diabetes care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CEPI http://terminology.hl7.org/CodeSystem/v3-ActCode certified epilepsy care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CFEL http://terminology.hl7.org/CodeSystem/v3-ActCode certified frail elderly care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CHFC http://terminology.hl7.org/CodeSystem/v3-ActCode certified heart failure care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CHRO http://terminology.hl7.org/CodeSystem/v3-ActCode certified high risk obstetrics care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CHYP http://terminology.hl7.org/CodeSystem/v3-ActCode certified hyperlipidemia care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CMIH http://terminology.hl7.org/CodeSystem/v3-ActCode certified migraine headache care Description:. CMSC http://terminology.hl7.org/CodeSystem/v3-ActCode certified multiple sclerosis care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. COJR http://terminology.hl7.org/CodeSystem/v3-ActCode certified orthopedic joint replacement care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CONC http://terminology.hl7.org/CodeSystem/v3-ActCode certified oncology care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. COPD http://terminology.hl7.org/CodeSystem/v3-ActCode certified chronic obstructive pulmonary disease care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CORT http://terminology.hl7.org/CodeSystem/v3-ActCode certified organ transplant care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CPAD http://terminology.hl7.org/CodeSystem/v3-ActCode certified parkinsons disease care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CPND http://terminology.hl7.org/CodeSystem/v3-ActCode certified pneumonia disease care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CPST http://terminology.hl7.org/CodeSystem/v3-ActCode certified primary stroke center care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CSDM http://terminology.hl7.org/CodeSystem/v3-ActCode certified stroke disease management care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CSIC http://terminology.hl7.org/CodeSystem/v3-ActCode certified sickle cell care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CSLD http://terminology.hl7.org/CodeSystem/v3-ActCode certified sleep disorders care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CSPT http://terminology.hl7.org/CodeSystem/v3-ActCode certified spine treatment care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CTBU http://terminology.hl7.org/CodeSystem/v3-ActCode certified trauma/burn center care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CVDC http://terminology.hl7.org/CodeSystem/v3-ActCode certified vascular diseases care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CWMA http://terminology.hl7.org/CodeSystem/v3-ActCode certified wound management care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. CWOH http://terminology.hl7.org/CodeSystem/v3-ActCode certified women's health care **Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency. 1 http://terminology.hl7.org/CodeSystem/v3-ActCode Therapy Appropriate Confirmed drug therapy appropriate 14 http://terminology.hl7.org/CodeSystem/v3-ActCode Supply Appropriate Confirmed supply action appropriate 8 http://terminology.hl7.org/CodeSystem/v3-ActCode Other Action Taken Order is performed as issued, but other action taken to mitigate potential adverse effects AMB http://terminology.hl7.org/CodeSystem/v3-ActCode ambulatory A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter. EMER http://terminology.hl7.org/CodeSystem/v3-ActCode emergency A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.) FLD http://terminology.hl7.org/CodeSystem/v3-ActCode field A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket. HH http://terminology.hl7.org/CodeSystem/v3-ActCode home health Healthcare encounter that takes place in the residence of the patient or a designee IMP http://terminology.hl7.org/CodeSystem/v3-ActCode inpatient encounter A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service. OBSENC http://terminology.hl7.org/CodeSystem/v3-ActCode observation encounter An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours. PRENC http://terminology.hl7.org/CodeSystem/v3-ActCode pre-admission A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc. SS http://terminology.hl7.org/CodeSystem/v3-ActCode short stay An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours. VR http://terminology.hl7.org/CodeSystem/v3-ActCode virtual A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference. CHLDCARE http://terminology.hl7.org/CodeSystem/v3-ActCode Day care - Child care Interaction Description: Exposure participants' interaction occurred in a child care setting CONVEYNC http://terminology.hl7.org/CodeSystem/v3-ActCode Common Conveyance Interaction Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane). HLTHCARE http://terminology.hl7.org/CodeSystem/v3-ActCode Health Care Interaction - Not Patient Care Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room). HOMECARE http://terminology.hl7.org/CodeSystem/v3-ActCode Care Giver Interaction Description: Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic. HOSPPTNT http://terminology.hl7.org/CodeSystem/v3-ActCode Hospital Patient Interaction Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility. HOSPVSTR http://terminology.hl7.org/CodeSystem/v3-ActCode Hospital Visitor Interaction Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility. HOUSEHLD http://terminology.hl7.org/CodeSystem/v3-ActCode Household Interaction Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household. INMATE http://terminology.hl7.org/CodeSystem/v3-ActCode Inmate Interaction Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility INTIMATE http://terminology.hl7.org/CodeSystem/v3-ActCode Intimate Interaction Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners). LTRMCARE http://terminology.hl7.org/CodeSystem/v3-ActCode Long Term Care Facility Interaction Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility). PLACE http://terminology.hl7.org/CodeSystem/v3-ActCode Common Space Interaction Description: An interaction where the exposure participants were both present in the same location/place/space. PTNTCARE http://terminology.hl7.org/CodeSystem/v3-ActCode Health Care Interaction - Patient Care Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office). SCHOOL2 http://terminology.hl7.org/CodeSystem/v3-ActCode School Interaction Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher). SOCIAL2 http://terminology.hl7.org/CodeSystem/v3-ActCode Social/Extended Family Interaction Description: An interaction where the exposure participants are social associates or members of the same extended family SUBSTNCE http://terminology.hl7.org/CodeSystem/v3-ActCode Common Substance Interaction Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item). TRAVINT http://terminology.hl7.org/CodeSystem/v3-ActCode Common Travel Interaction Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers). WORK2 http://terminology.hl7.org/CodeSystem/v3-ActCode Work Interaction Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers. CHRG http://terminology.hl7.org/CodeSystem/v3-ActCode Standard Charge A type of transaction that represents a charge for a service or product. Expressed in monetary terms. REV http://terminology.hl7.org/CodeSystem/v3-ActCode Standard Charge Reversal A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge. GDPRCD http://terminology.hl7.org/CodeSystem/v3-ActCode GDPR Consent Directive A consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her. Where processing is based on consent, the controller shall be able to demonstrate that the data subject has consented to processing of his or her personal data. If the data subject's consent is given in the context of a written declaration which also concerns other matters, the request for consent shall be presented in a manner which is clearly distinguishable from the other matters, in an intelligible and easily accessible form, using clear and plain language. Any part of such a declaration which constitutes an infringement of this Regulation shall not be binding. The data subject shall have the right to withdraw his or her consent at any time. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal. Prior to giving consent, the data subject shall be informed thereof. It shall be as easy to withdraw as to give consent. When assessing whether consent is freely given, utmost account shall be taken of whether, inter alia, the performance of a contract, including the provision of a service, is conditional on consent to the processing of personal data that is not necessary for the performance of that contract. Consent should be given by a clear affirmative act establishing a freely given, specific, informed and unambiguous indication of the data subject's agreement to the processing of personal data relating to him or her, such as by a written statement, including by electronic means, or an oral statement. This could include ticking a box when visiting an internet website, choosing technical settings for information society services or another statement or conduct which clearly indicates in this context the data subject's acceptance of the proposed processing of his or her personal data. Silence, pre-ticked boxes or inactivity should not therefore constitute consent. Consent should cover all processing activities carried out for the same purpose or purposes. When the processing has multiple purposes, consent should be given for all of them. If the data subject's consent is to be given following a request by electronic means, the request must be clear, concise and not unnecessarily disruptive to the use of the service for which it is provided. Usage Note: Article 4.11 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ 11) 'Consent' of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her. Article 7 GDPR Conditions for consent https://gdpr-info.eu/art-7-gdpr Recital 32 Conditions for consent* https://gdpr-info.eu/recitals/no-32 Recital 42 Burden of proof and requirements for consent* https://gdpr-info.eu/recitals/no-42/> Recital 43 Freely given consent* https://gdpr-info.eu/recitals/no-43 GDPR Consent Brief https://gdpr-info.eu/issues/consent/ Art. 4 GDPR Definitions Art. 6 GDPR Lawfulness of processing Art. 7 GDPR Conditions for consent Art. 8 GDPR Conditions applicable to child's consent in relation to information society services Art. 9 GDPR Processing of special categories of personal data Art. 22 GDPR Automated individual decision-making, including profiling Art. 49 GDPR Derogations for specific situations Relevant GDPR Recitals: (32) Conditions for consent (33) Consent to certain areas of scientific research (38) Special protection of children's personal data (40) Lawfulness of data processing (42) Burden of proof and requirements for consent (43) Freely given consent (50) Further processing of personal data (51) Protecting sensitive personal data (54) Processing of sensitive data in public health sector (71) Profiling (111) Exceptions for certain cases of international transfers (155) Processing in the employment context (161) Consenting to the participation in clinical trials (171) Repeal of Directive 95/46/EC and transitional provisions GDPRResearchCD http://terminology.hl7.org/CodeSystem/v3-ActCode GDPR Research Consent Directive A consent directive that complies with regulatory requirements for a consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her. GDPR research consent directive has the additional caveat that it is often not possible to fully identify the purpose of personal data processing for scientific research purposes at the time of data collection. Therefore, data subjects should be allowed to give their consent to certain areas of scientific research when in keeping with recognized ethical standards for scientific research. Data subjects should have the opportunity to give their consent only to certain areas of research or parts of research projects to the extent allowed by the intended purpose. Usage Note: HL7 Purpose of Use codes include specialize research purposes of use, which could be used to convey a data subject's purpose of use restrictions related to areas of research or parts of research projects. See citations for GDPRResearchCD and below: Recital 33 Consent to certain areas of scientific research https://gdpr-info.eu/recitals/no-33/> Recital 157 Information from registries and scientific research https://gdpr-info.eu/recitals/no-157 Recital 159 Processing for scientific research purposes* https://gdpr-info.eu/recitals/no-159/ GDPRCONSENT http://terminology.hl7.org/CodeSystem/v3-ActCode GDPR Consent Processing of personal data, inclusive of the special categories of data, is lawful only if the data subject has given explicit consent to the processing of his or her personal data, inclusive of the special categories of data, for one or more specific purposes, except where Union or Member State law provide that the prohibition to use the data may not be lifted by the data subject; and for personal data which are manifestly made public by the data subject. Usage Note: The description is based on the following GDPR provisions: Article 6.1.a https://gdpr-info.eu/art-6-gdpr/ 1Processing shall be lawful only if and to the extent that at least one of the following applies: (a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes. Article 9.1, 9.2a., 9.2.e https://gdpr-info.eu/art-9-gdpr/ 1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation shall be prohibited. 2. Paragraph 1 shall not apply if one of the following applies: (a) the data subject has given explicit consent to the processing of those personal data for one or more specified purposes, except where Union or Member State law provide that the prohibition referred to in paragraph 1 may not be lifted by the data subject; and (e) processing relates to personal data which are manifestly made public by the data subject. OIC http://terminology.hl7.org/CodeSystem/v3-ActCode opt-in to personal information or effect collection in a registry or repository An expressed privacy consent directive permitting the collection of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling. Usage Note: Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to collection of some or all of the individual's information by multiple registries and repositories. Map: An "expressed" consent directive maps to ISO/TS 17975:2015(E) definitions for "Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care" and "Opt-in". OIS http://terminology.hl7.org/CodeSystem/v3-ActCode opt-in to personal information or effect sharing via a registry or repository An expressed privacy consent directive permitting access, use, or disclosure of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling. Usage Note: Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to access, use, or disclosure of some or all of the individual's information by multiple registries and repositories. Map: An "expressed" consent directive maps to ISO/TS 17975:2015(E) Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care and "Opt-in". OOC http://terminology.hl7.org/CodeSystem/v3-ActCode opt-out of personal information or effect collection in a registry or repository An expressed privacy consent directive restricting or prohibiting collection of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling. Usage Note: Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories. Map: An "expressed" opt-out to collection consent directive maps to ISO/TS 17975:2015(E) definitions for "Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care" and "Express or Expressed (and Informed) Denial". OOS http://terminology.hl7.org/CodeSystem/v3-ActCode opt-out of personal information or effect sharing via a registry or repository An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling. Usage Note: Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories. Map: An "expressed" opt-out to sharing consent directive maps to ISO/TS 17975:2015(E) definitions for "Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care" and "Express or Expressed (and Informed) Denial". DENTAL http://terminology.hl7.org/CodeSystem/v3-ActCode dental care policy Definition: A health insurance policy that that covers benefits for dental services. DISEASE http://terminology.hl7.org/CodeSystem/v3-ActCode disease specific policy Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS. DRUGPOL http://terminology.hl7.org/CodeSystem/v3-ActCode drug policy Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies. EHCPOL http://terminology.hl7.org/CodeSystem/v3-ActCode extended healthcare Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy). HIP http://terminology.hl7.org/CodeSystem/v3-ActCode health insurance plan policy Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans. HSAPOL http://terminology.hl7.org/CodeSystem/v3-ActCode health spending account Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party. LTC http://terminology.hl7.org/CodeSystem/v3-ActCode long term care policy Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including: Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing Care in the community, such as in an adult day care facility Supervised care provided in an assisted living facility Skilled care provided in a nursing home MCPOL http://terminology.hl7.org/CodeSystem/v3-ActCode managed care policy Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member. MENTPOL http://terminology.hl7.org/CodeSystem/v3-ActCode mental health policy Definition: A health insurance policy that covers benefits for mental health services and prescriptions. POS http://terminology.hl7.org/CodeSystem/v3-ActCode point of service policy Definition: A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan. SUBPOL http://terminology.hl7.org/CodeSystem/v3-ActCode substance use policy Definition: A health insurance policy that covers benefits for substance use services. VISPOL http://terminology.hl7.org/CodeSystem/v3-ActCode vision care policy Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services. A health insurance policy that covers benefits for vision care services, prescriptions, and products. MVA http://terminology.hl7.org/CodeSystem/v3-ActCode Motor vehicle accident Incident or accident as the result of a motor vehicle accident SCHOOL http://terminology.hl7.org/CodeSystem/v3-ActCode School Accident Incident or accident is the result of a school place accident. SPT http://terminology.hl7.org/CodeSystem/v3-ActCode Sporting Accident Incident or accident is the result of a sporting accident. WPA http://terminology.hl7.org/CodeSystem/v3-ActCode Workplace accident Incident or accident is the result of a work place accident ACADR http://terminology.hl7.org/CodeSystem/v3-ActCode adverse drug reaction access Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient. ACALL http://terminology.hl7.org/CodeSystem/v3-ActCode all access Description: Provide consent to collect, use, disclose, or access all information for a patient. ACALLG http://terminology.hl7.org/CodeSystem/v3-ActCode allergy access Description: Provide consent to collect, use, disclose, or access allergy information for a patient. ACCONS http://terminology.hl7.org/CodeSystem/v3-ActCode informational consent access Description: Provide consent to collect, use, disclose, or access informational consent information for a patient. ACDEMO http://terminology.hl7.org/CodeSystem/v3-ActCode demographics access Description: Provide consent to collect, use, disclose, or access demographics information for a patient. ACDI http://terminology.hl7.org/CodeSystem/v3-ActCode diagnostic imaging access Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient. ACIMMUN http://terminology.hl7.org/CodeSystem/v3-ActCode immunization access Description: Provide consent to collect, use, disclose, or access immunization information for a patient. ACLAB http://terminology.hl7.org/CodeSystem/v3-ActCode lab test result access Description: Provide consent to collect, use, disclose, or access lab test result information for a patient. ACMED http://terminology.hl7.org/CodeSystem/v3-ActCode medication access Description: Provide consent to collect, use, disclose, or access medical condition information for a patient. ACMEDC http://terminology.hl7.org/CodeSystem/v3-ActCode medical condition access Definition: Provide consent to view or access medical condition information for a patient. ACMEN http://terminology.hl7.org/CodeSystem/v3-ActCode mental health access **Description:**Provide consent to collect, use, disclose, or access mental health information for a patient. ACOBS http://terminology.hl7.org/CodeSystem/v3-ActCode common observations access Description: Provide consent to collect, use, disclose, or access common observation information for a patient. ACPOLPRG http://terminology.hl7.org/CodeSystem/v3-ActCode policy or program information access Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient. ACPROV http://terminology.hl7.org/CodeSystem/v3-ActCode provider information access Description: Provide consent to collect, use, disclose, or access provider information for a patient. ACPSERV http://terminology.hl7.org/CodeSystem/v3-ActCode professional service access Description: Provide consent to collect, use, disclose, or access professional service information for a patient. ACSUBSTAB http://terminology.hl7.org/CodeSystem/v3-ActCode substance abuse access **Description:**Provide consent to collect, use, disclose, or access substance abuse information for a patient. INFAUT http://terminology.hl7.org/CodeSystem/v3-ActCode authorized information transfer Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit. INFCRT http://terminology.hl7.org/CodeSystem/v3-ActCode only on court order Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order. INFDNG http://terminology.hl7.org/CodeSystem/v3-ActCode only if danger to others Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence. INFEMER http://terminology.hl7.org/CodeSystem/v3-ActCode only in an emergency Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response. INFPWR http://terminology.hl7.org/CodeSystem/v3-ActCode only if public welfare risk Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies. INFREG http://terminology.hl7.org/CodeSystem/v3-ActCode regulatory information transfer Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions. INFOACCESS http://terminology.hl7.org/CodeSystem/v3-ActCode access information Authorization to obtain information with no further permission to collect and store it. INFOCOLLECT http://terminology.hl7.org/CodeSystem/v3-ActCode collect information Authorization to gather and store information. INFODEIDENTIFIY http://terminology.hl7.org/CodeSystem/v3-ActCode deidentify information Authorization to alter or remove identifying characteristics of an entity or individual that is a subject of the information. INFODISCLOSE http://terminology.hl7.org/CodeSystem/v3-ActCode disclose information Authorization to make information known to another party. INFOMASK http://terminology.hl7.org/CodeSystem/v3-ActCode mask information Authorization to alter information in order to conceal it from unauthorized recipients. INFOREADONLY http://terminology.hl7.org/CodeSystem/v3-ActCode read only information Authorization to access information within a specific context for communication purposes only. Storing, manipulating, and further disclosure are prohibited and may be technically disabled. INFOREDACT http://terminology.hl7.org/CodeSystem/v3-ActCode redact information Authorization to remove information that a recipient is not authorized to access. INFOREDISCLOSE http://terminology.hl7.org/CodeSystem/v3-ActCode redisclose information Authorization to make disclosed information known to another party. INFOREIDENTIFY http://terminology.hl7.org/CodeSystem/v3-ActCode reidentify information Authorization to alter or relink deidentified information so that an entity or individual that is the subject of that information identifiable. INFOUSE http://terminology.hl7.org/CodeSystem/v3-ActCode use information Authorization to employ or alter information. ALLCAT http://terminology.hl7.org/CodeSystem/v3-ActCode all categories Description: All patient information. ALLGCAT http://terminology.hl7.org/CodeSystem/v3-ActCode allergy category **Definition:**All information pertaining to a patient's allergy and intolerance records. ARCAT http://terminology.hl7.org/CodeSystem/v3-ActCode adverse drug reaction category Description: All information pertaining to a patient's adverse drug reactions. COBSCAT http://terminology.hl7.org/CodeSystem/v3-ActCode common observation category **Definition:**All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.). DEMOCAT http://terminology.hl7.org/CodeSystem/v3-ActCode demographics category **Definition:**All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc). DICAT http://terminology.hl7.org/CodeSystem/v3-ActCode diagnostic image category **Definition:**All information pertaining to a patient's diagnostic image records (orders & results). IMMUCAT http://terminology.hl7.org/CodeSystem/v3-ActCode immunization category **Definition:**All information pertaining to a patient's vaccination records. LABCAT http://terminology.hl7.org/CodeSystem/v3-ActCode lab test category Description: All information pertaining to a patient's lab test records (orders & results) MEDCCAT http://terminology.hl7.org/CodeSystem/v3-ActCode medical condition category **Definition:**All information pertaining to a patient's medical condition records. MENCAT http://terminology.hl7.org/CodeSystem/v3-ActCode mental health category Description: All information pertaining to a patient's mental health records. PSVCCAT http://terminology.hl7.org/CodeSystem/v3-ActCode professional service category **Definition:**All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health). RXCAT http://terminology.hl7.org/CodeSystem/v3-ActCode medication category **Definition:**All information pertaining to a patient's medication records (orders, dispenses and other active medications). JurisIP http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional information policy Jurisdictional policy on collection, access, use, or disclosure of information as defined by applicable jurisdictional law. OrgIP http://terminology.hl7.org/CodeSystem/v3-ActCode organizational information policy Organizational policy on collection, access, use, or disclosure of information, which does not conflict with jurisdictional law. PersIP http://terminology.hl7.org/CodeSystem/v3-ActCode personal information policy Personal policy on collection, access, use, or disclosure of information. ETH http://terminology.hl7.org/CodeSystem/v3-ActCode substance abuse information sensitivity Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. GDIS http://terminology.hl7.org/CodeSystem/v3-ActCode genetic disease information sensitivity Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. HIV http://terminology.hl7.org/CodeSystem/v3-ActCode HIV/AIDS information sensitivity Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. MST http://terminology.hl7.org/CodeSystem/v3-ActCode military sexual trauma information sensitivity Policy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality. Access control concerns for military sexual trauma is based on the patient being subject to control by a higher ranking military perpetrator and/or censure by others within the military unit. Due to the relatively unfettered access to healthcare information by higher ranking military personnel and those who have command over the patient, there is a need to sequester this information outside of the typical controls on access to military health records. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. PREGNANT http://terminology.hl7.org/CodeSystem/v3-ActCode pregnancy information sensitivity Policy for handling information about an individual's current or past pregnancy status, deemed sensitive by the individual or by policy, which may be afforded heightened confidentiality. Usage Note: Information about a patient's current or past pregnancy status may be considered sensitive in circumstances in which that status could result in discrimination or stigmatization. SCA http://terminology.hl7.org/CodeSystem/v3-ActCode sickle cell anemia information sensitivity Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system. SDV http://terminology.hl7.org/CodeSystem/v3-ActCode sexual assault, abuse, or domestic violence information sensitivity Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. SDV code covers violence perpetrated by related and non-related persons. This code should be specific to physical and mental trauma caused by a related person only. The access control concerns are keeping the patient safe from the perpetrator who may have an abusive psychological control over the patient, may be stalking the patient, or may try to manipulate care givers into allowing the perpetrator to make contact with the patient. The definition needs to be clarified. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. SEX http://terminology.hl7.org/CodeSystem/v3-ActCode sexuality and reproductive health information sensitivity Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. SPI http://terminology.hl7.org/CodeSystem/v3-ActCode specially protected information sensitivity Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. STD http://terminology.hl7.org/CodeSystem/v3-ActCode sexually transmitted disease information sensitivity Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. TBOO http://terminology.hl7.org/CodeSystem/v3-ActCode taboo Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes. VIO http://terminology.hl7.org/CodeSystem/v3-ActCode violence information sensitivity Policy for handling information related to harm by violence, which is afforded heightened confidentiality. Harm by violence is perpetrated by an unrelated person. Access control concerns for information about mental or physical harm resulting from violence caused by an unrelated person may include manipulation of care givers or access to records that enable the perpetrator contact or locate the patient, but the perpetrator will likely not have established abusive psychological control over the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. IDS http://terminology.hl7.org/CodeSystem/v3-ActCode Identifier Sensitivity Policy for handling information related to an identifier of an information subject, which will be afforded heightened confidentiality. Usage Note: Such policies may govern the sensitivity of information related to an identifier of an act, such as the identifier of a contract; a role, such as a citizen, a patient, a practitioner, or an organization; or an entity such as a medical device due to potential impact on the privacy, well-being, safety or integrity of an information subject. For example, protection against identity fraud or counterfeit. SICKLE http://terminology.hl7.org/CodeSystem/v3-ActCode sickle cell Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values. AUTOPOL http://terminology.hl7.org/CodeSystem/v3-ActCode automobile Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers. PUBLICPOL http://terminology.hl7.org/CodeSystem/v3-ActCode public healthcare Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service). WCBPOL http://terminology.hl7.org/CodeSystem/v3-ActCode worker's compensation Insurance policy for injuries sustained in the work place or in the course of employment. DIS http://terminology.hl7.org/CodeSystem/v3-ActCode disability insurance policy Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury. EWB http://terminology.hl7.org/CodeSystem/v3-ActCode employee welfare benefit plan policy Definition: An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance. FLEXP http://terminology.hl7.org/CodeSystem/v3-ActCode flexible benefit plan policy Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan. Discussion: See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978. LIFE http://terminology.hl7.org/CodeSystem/v3-ActCode life insurance policy Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion. *Discussion:*A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years). PNC http://terminology.hl7.org/CodeSystem/v3-ActCode property and casualty insurance policy Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms "casualty" and "liability" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property. REI http://terminology.hl7.org/CodeSystem/v3-ActCode reinsurance policy Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company. Discussion: Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies. For example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called risk control insurance or stop-loss insurance. SURPL http://terminology.hl7.org/CodeSystem/v3-ActCode surplus line insurance policy Definition: A risk or part of a risk for which there is no normal insurance market available. Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers. UMBRL http://terminology.hl7.org/CodeSystem/v3-ActCode umbrella liability insurance policy Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies. ALEC http://terminology.hl7.org/CodeSystem/v3-ActCode alternate electronic Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission). BONUS http://terminology.hl7.org/CodeSystem/v3-ActCode bonus Bonus payments based on performance, volume, etc. as agreed to by the payor. CFWD http://terminology.hl7.org/CodeSystem/v3-ActCode carry forward adjusment An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made. EDU http://terminology.hl7.org/CodeSystem/v3-ActCode education fees Fees deducted on behalf of a payee for tuition and continuing education. EPYMT http://terminology.hl7.org/CodeSystem/v3-ActCode early payment fee Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments. GARN http://terminology.hl7.org/CodeSystem/v3-ActCode garnishee Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. INVOICE http://terminology.hl7.org/CodeSystem/v3-ActCode submitted invoice Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results.. PINV http://terminology.hl7.org/CodeSystem/v3-ActCode paper invoice Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice. PPRD http://terminology.hl7.org/CodeSystem/v3-ActCode prior period adjustment An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice PROA http://terminology.hl7.org/CodeSystem/v3-ActCode professional association deduction Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association RECOV http://terminology.hl7.org/CodeSystem/v3-ActCode recovery Retroactive adjustment such as fee rate adjustment due to contract negotiations. RETRO http://terminology.hl7.org/CodeSystem/v3-ActCode retro adjustment Bonus payments based on performance, volume, etc. as agreed to by the payor. TRAN http://terminology.hl7.org/CodeSystem/v3-ActCode transaction fee Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. INVTYPE http://terminology.hl7.org/CodeSystem/v3-ActCode invoice type Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense) PAYEE http://terminology.hl7.org/CodeSystem/v3-ActCode payee Transaction counts and value totals by each instance of an invoice payee. PAYOR http://terminology.hl7.org/CodeSystem/v3-ActCode payor Transaction counts and value totals by each instance of an invoice payor. SENDAPP http://terminology.hl7.org/CodeSystem/v3-ActCode sending application Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers. UNSPSC http://terminology.hl7.org/CodeSystem/v3-ActCode United Nations Standard Products and Services Classification **Description:**United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org CPNDDRGING http://terminology.hl7.org/CodeSystem/v3-ActCode compound drug invoice group A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup. CPNDINDING http://terminology.hl7.org/CodeSystem/v3-ActCode compound ingredient invoice group A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup. CPNDSUPING http://terminology.hl7.org/CodeSystem/v3-ActCode compound supply invoice group A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup. DRUGING http://terminology.hl7.org/CodeSystem/v3-ActCode drug invoice group A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup. FRAMEING http://terminology.hl7.org/CodeSystem/v3-ActCode frame invoice group A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced. LENSING http://terminology.hl7.org/CodeSystem/v3-ActCode lens invoice group A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced. PRDING http://terminology.hl7.org/CodeSystem/v3-ActCode product invoice group A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount. COVGE http://terminology.hl7.org/CodeSystem/v3-ActCode coverage problem Insurance coverage problems have been encountered. Additional explanation information to be supplied. EFORM http://terminology.hl7.org/CodeSystem/v3-ActCode electronic form to follow Electronic form with supporting or additional information to follow. FAX http://terminology.hl7.org/CodeSystem/v3-ActCode fax to follow Fax with supporting or additional information to follow. GFTH http://terminology.hl7.org/CodeSystem/v3-ActCode good faith indicator The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered. LATE http://terminology.hl7.org/CodeSystem/v3-ActCode late invoice Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied. MANUAL http://terminology.hl7.org/CodeSystem/v3-ActCode manual review Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal. OOJ http://terminology.hl7.org/CodeSystem/v3-ActCode out of jurisdiction The medical service and/or product was provided to a patient that has coverage in another jurisdiction. ORTHO http://terminology.hl7.org/CodeSystem/v3-ActCode orthodontic service The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid. PAPER http://terminology.hl7.org/CodeSystem/v3-ActCode paper documentation to follow Paper documentation (or other physical format) with supporting or additional information to follow. PIE http://terminology.hl7.org/CodeSystem/v3-ActCode public insurance exhausted Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission. PYRDELAY http://terminology.hl7.org/CodeSystem/v3-ActCode delayed by a previous payor Allows provider to explain lateness of invoice to a subsequent payor. REFNR http://terminology.hl7.org/CodeSystem/v3-ActCode referral not required Rules of practice do not require a physician's referral for the provider to perform a billable service. REPSERV http://terminology.hl7.org/CodeSystem/v3-ActCode repeated service The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate. UNRELAT http://terminology.hl7.org/CodeSystem/v3-ActCode unrelated service The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items. VERBAUTH http://terminology.hl7.org/CodeSystem/v3-ActCode verbal authorization The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced. CPINV http://terminology.hl7.org/CodeSystem/v3-ActCode clinical product invoice Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair. CP http://terminology.hl7.org/CodeSystem/v3-ActCode clinical product invoice Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair. CSINV http://terminology.hl7.org/CodeSystem/v3-ActCode clinical service invoice Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month). CS http://terminology.hl7.org/CodeSystem/v3-ActCode clinical service invoice Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month). CSPINV http://terminology.hl7.org/CodeSystem/v3-ActCode clinical service and product A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service). FININV http://terminology.hl7.org/CodeSystem/v3-ActCode financial invoice Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage. OHSINV http://terminology.hl7.org/CodeSystem/v3-ActCode oral health service A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. PAINV http://terminology.hl7.org/CodeSystem/v3-ActCode preferred accommodation invoice HealthCare facility preferred accommodation invoice. PA http://terminology.hl7.org/CodeSystem/v3-ActCode preferred accommodation invoice HealthCare facility preferred accommodation invoice. RXCINV http://terminology.hl7.org/CodeSystem/v3-ActCode Rx compound invoice Pharmacy dispense invoice for a compound. RXC http://terminology.hl7.org/CodeSystem/v3-ActCode Rx compound invoice Pharmacy dispense invoice for a compound. RXDINV http://terminology.hl7.org/CodeSystem/v3-ActCode Rx dispense invoice Pharmacy dispense invoice not involving a compound RXD http://terminology.hl7.org/CodeSystem/v3-ActCode Rx dispense invoice Pharmacy dispense invoice not involving a compound SBFINV http://terminology.hl7.org/CodeSystem/v3-ActCode sessional or block fee invoice Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions. VRXINV http://terminology.hl7.org/CodeSystem/v3-ActCode vision dispense invoice Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice. MEDLIST http://terminology.hl7.org/CodeSystem/v3-ActCode medication list List of medications. ALC http://terminology.hl7.org/CodeSystem/v3-ActCode Alternative Level of Care Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home. CARD http://terminology.hl7.org/CodeSystem/v3-ActCode Cardiology Provision of diagnosis and treatment of diseases and disorders affecting the heart CHR http://terminology.hl7.org/CodeSystem/v3-ActCode Chronic Provision of recurring care for chronic illness. DNTL http://terminology.hl7.org/CodeSystem/v3-ActCode Dental Provision of treatment for oral health and/or dental surgery. DRGRHB http://terminology.hl7.org/CodeSystem/v3-ActCode Drug Rehab Provision of treatment for drug abuse. GENRL http://terminology.hl7.org/CodeSystem/v3-ActCode General General care performed by a general practitioner or family doctor as a responsible provider for a patient. MED http://terminology.hl7.org/CodeSystem/v3-ActCode Medical Provision of diagnostic and/or therapeutic treatment. OBS http://terminology.hl7.org/CodeSystem/v3-ActCode Obstetrics Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity. ONC http://terminology.hl7.org/CodeSystem/v3-ActCode Oncology Provision of treatment and/or diagnosis related to tumors and/or cancer. PALL http://terminology.hl7.org/CodeSystem/v3-ActCode Palliative Provision of care for patients who are living or dying from an advanced illness. PED http://terminology.hl7.org/CodeSystem/v3-ActCode Pediatrics Provision of diagnosis and treatment of diseases and disorders affecting children. PHAR http://terminology.hl7.org/CodeSystem/v3-ActCode Pharmaceutical Pharmaceutical care performed by a pharmacist. PHYRHB http://terminology.hl7.org/CodeSystem/v3-ActCode Physical Rehab Provision of treatment for physical injury. PSYCH http://terminology.hl7.org/CodeSystem/v3-ActCode Psychiatric Provision of treatment of psychiatric disorder relating to mental illness. SURG http://terminology.hl7.org/CodeSystem/v3-ActCode Surgical Provision of surgical treatment. ACU http://terminology.hl7.org/CodeSystem/v3-ActCode short term/acute **Definition:**A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed. CHRON http://terminology.hl7.org/CodeSystem/v3-ActCode continuous/chronic **Definition:**A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped. ONET http://terminology.hl7.org/CodeSystem/v3-ActCode one time **Definition:**A list of medications which the patient is intended to be administered only once. PRN http://terminology.hl7.org/CodeSystem/v3-ActCode as needed **Definition:**A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated. CTLSUB http://terminology.hl7.org/CodeSystem/v3-ActCode Controlled Substance A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction. INV http://terminology.hl7.org/CodeSystem/v3-ActCode investigational **Definition:**A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated LU http://terminology.hl7.org/CodeSystem/v3-ActCode limited use **Description:**A drug that can be prescribed (and reimbursed) only if it meets certain criteria. OTC http://terminology.hl7.org/CodeSystem/v3-ActCode non prescription medicine Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms. RX http://terminology.hl7.org/CodeSystem/v3-ActCode prescription only medicine Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms. SA http://terminology.hl7.org/CodeSystem/v3-ActCode special authorization **Definition:**A drug that requires prior approval (to be reimbursed) before being dispensed SAC http://terminology.hl7.org/CodeSystem/v3-ActCode special access **Description:**A drug that requires special access permission to be prescribed and dispensed. IND01 http://terminology.hl7.org/CodeSystem/v3-ActCode imaging study requiring contrast **Description:**Contrast agent required for imaging study. IND02 http://terminology.hl7.org/CodeSystem/v3-ActCode colonoscopy prep **Description:**Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy. IND03 http://terminology.hl7.org/CodeSystem/v3-ActCode prophylaxis **Description:**Provision of medication as a preventative measure during a treatment or other period of increased risk. IND04 http://terminology.hl7.org/CodeSystem/v3-ActCode surgical prophylaxis **Description:**Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery. IND05 http://terminology.hl7.org/CodeSystem/v3-ActCode pregnancy prophylaxis **Description:**Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc. CARELIST http://terminology.hl7.org/CodeSystem/v3-ActCode care plan List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan. CONDLIST http://terminology.hl7.org/CodeSystem/v3-ActCode condition list List of condition observations. GOALLIST http://terminology.hl7.org/CodeSystem/v3-ActCode goal list List of observations in goal mood. VFPAPER http://terminology.hl7.org/CodeSystem/v3-ActCode verify paper **Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version. VRFPAPER http://terminology.hl7.org/CodeSystem/v3-ActCode verify paper **Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version. ANNDI http://terminology.hl7.org/CodeSystem/v3-ActCode diagnostic image note **Description:**A note that is specific to a patient's diagnostic images, either historical, current or planned. ANNGEN http://terminology.hl7.org/CodeSystem/v3-ActCode general note **Description:**A general or uncategorized note. ANNIMM http://terminology.hl7.org/CodeSystem/v3-ActCode immunization note A note that is specific to a patient's immunizations, either historical, current or planned. ANNLAB http://terminology.hl7.org/CodeSystem/v3-ActCode laboratory note **Description:**A note that is specific to a patient's laboratory results, either historical, current or planned. ANNMED http://terminology.hl7.org/CodeSystem/v3-ActCode medication note **Description:**A note that is specific to a patient's medications, either historical, current or planned. AFOOT http://terminology.hl7.org/CodeSystem/v3-ActCode pedestrian transport OnFoot http://terminology.hl7.org/CodeSystem/v3-ActCode pedestrian transport AMBT http://terminology.hl7.org/CodeSystem/v3-ActCode ambulance transport Ambulance http://terminology.hl7.org/CodeSystem/v3-ActCode ambulance transport LAWENF http://terminology.hl7.org/CodeSystem/v3-ActCode law enforcement transport LawEnforcementVehicle http://terminology.hl7.org/CodeSystem/v3-ActCode law enforcement transport PRVTRN http://terminology.hl7.org/CodeSystem/v3-ActCode private transport PrivateTransport http://terminology.hl7.org/CodeSystem/v3-ActCode private transport PUBTRN http://terminology.hl7.org/CodeSystem/v3-ActCode public transport PublicTransport http://terminology.hl7.org/CodeSystem/v3-ActCode public transport ACH http://terminology.hl7.org/CodeSystem/v3-ActCode Automated Clearing House Automated Clearing House (ACH). CHK http://terminology.hl7.org/CodeSystem/v3-ActCode Cheque A written order to a bank to pay the amount specified from funds on deposit. DDP http://terminology.hl7.org/CodeSystem/v3-ActCode Direct Deposit Electronic Funds Transfer (EFT) deposit into the payee's bank account NON http://terminology.hl7.org/CodeSystem/v3-ActCode Non-Payment Data Non-Payment Data. DF http://terminology.hl7.org/CodeSystem/v3-ActCode Daily Fill A fill providing sufficient supply for one day EM http://terminology.hl7.org/CodeSystem/v3-ActCode Emergency Supply A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription) FF http://terminology.hl7.org/CodeSystem/v3-ActCode First Fill The initial fill against an order. (This includes initial fills against refill orders.) FS http://terminology.hl7.org/CodeSystem/v3-ActCode Floor stock A supply action to restock a smaller more local dispensary. MS http://terminology.hl7.org/CodeSystem/v3-ActCode Manufacturer Sample A supply of a manufacturer sample RF http://terminology.hl7.org/CodeSystem/v3-ActCode Refill A fill against an order that has already been filled (or partially filled) at least once. UD http://terminology.hl7.org/CodeSystem/v3-ActCode Unit Dose A supply action that provides sufficient material for a single dose. UDE http://terminology.hl7.org/CodeSystem/v3-ActCode unit dose equivalent A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose. _ActConsent http://terminology.hl7.org/CodeSystem/v3-ActCode _ActConsent Specifies the type or actual definition of a contractually binding agreement or a non-binding representation of that agreement between a grantor and a grantee as to the exchange of the grantee's considerations in return for the grantor's control of certain assets. The type of assets exchanged include rights, license, terms of service, valued items, information and real property assets and control over such assets such as physical and locatable property; intellectual property; biospecimen; genomic and genetic information related to an individual including that disclosed by genetically related individuals with or without the individual's consent; personal identifiable, pseudonymized, anonymized, de-identified per some rubric, and relinkable variants. Usage Note: Types or actual definitions of a contractually binding agreement or a non-binding representation of that agreement include: _ActDecision (formally ActConsentDirective), which specifies the type of decision made by the grantor. The decision types are mapped to ISO/TS 17975 Health informatics - Principles and data requirements for consent in the Collection, Use or Disclosure of personal health information; _ActPrivacyConsentDirective, which is the parent of types of registry participation consent directives, and of realm specific privacy consent directive policies such as _USPrivacyConsentDirective and _GDPRPrivacyConsentDirective. COVPOL http://terminology.hl7.org/CodeSystem/v3-ActCode benefit policy **Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed **Examples:**A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay. SecurityPolicy http://terminology.hl7.org/CodeSystem/v3-ActCode security policy Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent _ActUSPrivacyLaw http://terminology.hl7.org/CodeSystem/v3-ActCode _ActUSPrivacyLaw Definition: A jurisdictional mandate in the U.S. relating to privacy. Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1. COMPT http://terminology.hl7.org/CodeSystem/v3-ActCode compartment This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk." LOAN http://terminology.hl7.org/CodeSystem/v3-ActCode Loan Temporary supply of a product without transfer of ownership for the product. TRANSFER http://terminology.hl7.org/CodeSystem/v3-ActCode Transfer Transfer of ownership for a product. CHAR http://terminology.hl7.org/CodeSystem/v3-ActCode charity program Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge. CRIME http://terminology.hl7.org/CodeSystem/v3-ActCode crime victim program Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime. EAP http://terminology.hl7.org/CodeSystem/v3-ActCode employee assistance program Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential. GOVEMP http://terminology.hl7.org/CodeSystem/v3-ActCode government employee health program Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S. HIRISK http://terminology.hl7.org/CodeSystem/v3-ActCode high risk pool program Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable. IND http://terminology.hl7.org/CodeSystem/v3-ActCode indigenous peoples health program Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S. MILITARY http://terminology.hl7.org/CodeSystem/v3-ActCode military health program Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS. RETIRE http://terminology.hl7.org/CodeSystem/v3-ActCode retiree health program Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care. SOCIAL http://terminology.hl7.org/CodeSystem/v3-ActCode social service program Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria. VET http://terminology.hl7.org/CodeSystem/v3-ActCode veteran health program Definition: Services provided directly and through contracted and operated veteran health programs. SREC http://terminology.hl7.org/CodeSystem/v3-ActCode specimen received **Description:**Specimen has been received by the participating organization/department. SSTOR http://terminology.hl7.org/CodeSystem/v3-ActCode specimen in storage **Description:**Specimen has been placed into storage at a participating location. STRAN http://terminology.hl7.org/CodeSystem/v3-ActCode specimen in transit **Description:**Specimen has been put in transit to a participating receiver. ACID http://terminology.hl7.org/CodeSystem/v3-ActCode Acidification The lowering of specimen pH through the addition of an acid ALK http://terminology.hl7.org/CodeSystem/v3-ActCode Alkalization The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities. DEFB http://terminology.hl7.org/CodeSystem/v3-ActCode Defibrination The removal of fibrin from whole blood or plasma through physical or chemical means FILT http://terminology.hl7.org/CodeSystem/v3-ActCode Filtration The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction). LDLP http://terminology.hl7.org/CodeSystem/v3-ActCode LDL Precipitation NEUT http://terminology.hl7.org/CodeSystem/v3-ActCode Neutralization The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral. RECA http://terminology.hl7.org/CodeSystem/v3-ActCode Recalcification The addition of calcium back to a specimen after it was removed by chelating agents UFIL http://terminology.hl7.org/CodeSystem/v3-ActCode Ultrafiltration The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules. ARTBLD http://terminology.hl7.org/CodeSystem/v3-ActCode ActSpecObsArtBldCode Describes the artificial blood identifier that is associated with the specimen. DILUTION http://terminology.hl7.org/CodeSystem/v3-ActCode ActSpecObsDilutionCode An observation that reports the dilution of a sample. EVNFCTS http://terminology.hl7.org/CodeSystem/v3-ActCode ActSpecObsEvntfctsCode Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors) INTFR http://terminology.hl7.org/CodeSystem/v3-ActCode ActSpecObsInterferenceCode An observation that relates to factors that may potentially cause interference with the observation VOLUME http://terminology.hl7.org/CodeSystem/v3-ActCode ActSpecObsVolumeCode An observation that reports the volume of a sample. DRUG http://terminology.hl7.org/CodeSystem/v3-ActCode Drug therapy The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status. FD http://terminology.hl7.org/CodeSystem/v3-ActCode food Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins). IMMUNIZ http://terminology.hl7.org/CodeSystem/v3-ActCode Immunization The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents. HISTORIC http://terminology.hl7.org/CodeSystem/v3-ActCode record recorded as historical Description: While the record was accepted in the repository, there is a more recent version of a record of this type. PATPREF http://terminology.hl7.org/CodeSystem/v3-ActCode violates stated preferences **Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. OE http://terminology.hl7.org/CodeSystem/v3-ActCode order entry task A clinician creates a request for a service to be performed for a given patient. PATDOC http://terminology.hl7.org/CodeSystem/v3-ActCode patient documentation task A person enters documentation about a given patient. PATINFO http://terminology.hl7.org/CodeSystem/v3-ActCode patient information review task A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record. 42CFRPart2CD http://terminology.hl7.org/CodeSystem/v3-ActCode 42 CFR Part 2 consent directive A code representing an individual's privacy consent directive that complies with 42 CFR Part 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements of a written consent to a disclosure under the regulations in Part 2. (1) The name of the patient. (2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. (3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. (4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or (ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or (iii)Entities without a treating provider relationship with the patient. (A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or (B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and (1) The name(s) of an individual participant(s); or (2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or (3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. (i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). (ii) [Reserved] (5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. (6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer (7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. (8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. (9) The date on which the consent is signed. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's 42 CFR Part 2.31 consent directive, "42CFRPart2CD" as the security label policy code. Since information governed by an individual's 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR § 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted). CompoundResearchCD http://terminology.hl7.org/CodeSystem/v3-ActCode Compound HIPAA Research Authorization and Informed Consent for Research A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization. Usage Note: The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf. Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.508 use "CompoundResearchCD" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate). See ActCode._ActPolicyType._ActPrivacyPolicy._ActPrivacyLaw._ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp HIPAAAuthCD http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Authorization Consent Directive A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section. An "authorization" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual. An authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html A HIPAA Authorization must comply with 45 CFR Section164.508(c) Implementation specifications: Core elements and requirements - (1) Core elements. A valid authorization under this Section must contain at least the following elements: (i) A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. (ii) The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure. (iii) The name or other specific identification of the person(s), or class of persons, to whom the covered entity may make the requested use or disclosure. (iv) A description of each purpose of the requested use or disclosure. The statement "at the request of the individual" is a sufficient description of the purpose when an individual initiates the authorization and does not, or elects not to, provide a statement of the purpose. (v) An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure. The statement "end of the research study," "none," or similar language is sufficient if the authorization is for a use or disclosure of protected health information for research, including for the creation and maintenance of a research database or research repository. (vi) Signature of the individual and date. If the authorization is signed by a personal representative of the individual, a description of such representative's authority to act for the individual must also be provided. (2)Required statements. In addition to the core elements, the authorization must contain statements adequate to place the individual on notice of all of the following: (i) The individual's right to revoke the authorization in writing, and either: (A) The exceptions to the right to revoke and a description of how the individual may revoke the authorization; or (B) To the extent that the information in paragraph (c)(2)(i)(A) of this section is included in the notice required by Section 164.520, a reference to the covered entity's notice. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf Usage Note: Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a an individual's HIPAA Authorization for Disclosure, use "HIPAAAuthCD" as the security label policy code. Information governed under a HIPAA Authorization for Disclosure has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, which is considered the "norm", assign the HL7 Confidentiality code "N" (normal). HIPAAConsentCD http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Consent Directive A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf, which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent." Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's consent directive under 45 CFR Section 164.522 use "HIPAAConsentCD" as the security label policy code. Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted). HIPAAResearchAuthCD http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Authorization for Disclosure for Research Consent Directive A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's HIPAA Authorization for Disclosure for Research under 45 CFR Section 164.508 use "HIPAAResearchAuthCD" as the security label policy code. Information disclosed under an individual's HIPAA Authorization for Disclosure for Research are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate). See ActCode._ActPolicyType._ActPrivacyPolicy._ActPrivacyLaw._ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp HIPAAROAD http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Right of Access Directive A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf, stipulating the policy elements of an individual's written and signed right of access directive requesting that a covered entity send the individual's protected health information (PHI) to a third party. See 45 CFR 164.524(c)(3)(ii) If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf This right applies to PHI in a designated record set, which is defined as "Designated record set means: (1) A group of records maintained by or for a covered entity that is: (i) The medical records and billing records about individuals maintained by or for a covered health care provider; (ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. [https://www.law.cornell.edu/cfr/text/45/164.501]. Also see HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 [https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html#maximumflatfee]. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.524 use "HIPAAROAD" as the security label policy code. Information disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the "norm", assign the HL7 Confidentiality code "M" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations. MDHHS-5515 http://terminology.hl7.org/CodeSystem/v3-ActCode Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it. Usage Note: For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_58005-343686--,00.html 42CFRPart2 http://terminology.hl7.org/CodeSystem/v3-ActCode 42 CFR Part2 A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent. https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, the collection, access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use "42CFRPart2" as the security label policy code. Since information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code "R" (restricted). CommonRule http://terminology.hl7.org/CodeSystem/v3-ActCode Common Rule A code representing U.S. Federal laws governing research-related privacy policies known as the "Common Rule". The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use "COMMONRULE" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate). HIPAAAuth http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Authorization for Disclosure A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed "authorizations". An "authorization" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual. An authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html Usage Note: Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where use or disclosure of healthcare information is governed by a covered entity's HIPAA Authorization for Disclosure, use "HIPAAAuth" as the security label policy code. Information disclosed under a HIPAA Authorization for Disclosure no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the "norm", assign the HL7 Confidentiality code "M" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations. HIPAAConsent http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Consent A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent". The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use 'HIPAAConsent' as the security label policy code. Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code 'R' (restricted). HIPAANOPP http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA notice of privacy practices A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.520), which stipulates an individual's right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Relevant HIPAA Privacy Rule provisions are at Section 164.520 (a) Standard: Notice of privacy practices. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-520.pdf Usage Note: Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, if collection, access, use, or disclosure of healthcare information is governed by a covered entity's HIPAA Notice of Privacy Practices, use "HIPAANOPP" as the security label policy code. Information governed under a HIPAA Notice of Privacy Practices has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , which is considered the "norm", assign the HL7 Confidentiality code "N" (normal). HIPAAPsyNotes http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA psychotherapy notes A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508), which stipulates the privacy rights of an individual who is the subject of psychotherapy notes, and requires authorization for certain uses and disclosure of that information. Definition of Psychotherapy notes 45 CFR Section 164.501 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-501.pdf: Psychotherapy notes means notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date. See Section 164.508 Uses and disclosures for which an authorization is required. (2)Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf: Notwithstanding any provision of this subpart, other than the transition provisions in Section 164.532, a covered entity must obtain an authorization for any use or disclosure of psychotherapy notes, except: (i) To carry out the following treatment, payment, or health care operations: (A) Use by the originator of the psychotherapy notes for treatment; (B) Use or disclosure by the covered entity for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or (C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual; and (ii) A use or disclosure that is required by Section 164.502(a)(2)(ii) or permitted by Section 164.512(a); Section 164.512(d) with respect to the oversight of the originator of the psychotherapy notes; Section 164.512(g)(1); Section 164.512(j)(1)(i). Usage Note: Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.508 (2) Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , use "HIPAAPsyNotes" as the security label policy code. Since information governed by a HIPAA 45 CFR 164.508 (2) has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted). HIPAAROA http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Right of Access A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.govinfo.gov/app/details/CFR-2017-title45-vol1/CFR-2017-title45-vol1-sec164-524, which stipulates that an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected health information is maintained in the designated record set with exceptions stipulated in HIPAA Privacy Rule Section 164.524. Exceptions include psychotherapy notes and information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding. If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information. For discussion on extent of right, grounds for denial, and documentation requirements see: HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html and HHS FAQ on Right of Access vs. HIPAA Authorization https://www.hhs.gov/hipaa/for-professionals/faq/2041/why-depend-on-the-individuals-right/index.html Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed under 45 CFR Section 164.5224 use "HIPAAROA" as the security label policy code. Information disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the "norm", assign the HL7 Confidentiality code "M" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations. HIPAASelfPay http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA self-pay A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer. See 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full. Usage Note: Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use "HIPAASelfPay" as the security label policy code. Since information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted). Title38Section7332 http://terminology.hl7.org/CodeSystem/v3-ActCode Title 38 Section 7332 A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights of veterans diagnosed and treated for substance use disorders, infection with the human immunodeficiency virus, or sickle cell anemia. https://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html . (1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b). (2) Paragraph (1) prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed. (b) (1) The content of any record referred to in subsection (a) may be disclosed by the Secretary in accordance with the prior written consent of the patient or subject with respect to whom such record is maintained, but only to such extent, under such circumstances, and for such purposes as may be allowed in regulations prescribed by the Secretary. (2) Whether or not any patient or subject, with respect to whom any given record referred to in subsection (a) is maintained, gives written consent, the content of such record may be disclosed by the Secretary as follows: (A) To medical personnel to the extent necessary to meet a bona fide medical emergency. (B) To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient or subject in any report of such research, audit, or evaluation, or otherwise disclose patient or subject identities in any manner. (C) (i) In the case of any record which is maintained in connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law. (ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made. (D) If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient or subject, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure. (E) To an entity described in paragraph (1)(B) of section 5701(k) of this title, but only to the extent authorized by such section. (F) (i) To a representative of a patient who lacks decision-making capacity, when a practitioner deems the content of the given record necessary for that representative to make an informed decision regarding the patient's treatment. (ii) In this subparagraph, the term "representative" means an individual, organization, or other body authorized under section 7331 of this title and its implementing regulations to give informed consent on behalf of a patient who lacks decision-making capacity. (G) To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g-3), to the extent necessary to prevent misuse and diversion of prescription medicines. (H) (i) To a non-Department entity (including private entities and other Federal agencies) for purposes of providing health care, including hospital care, medical services, and extended care services, to Veterans or performing other health care-related activities or functions. (ii) An entity to which a record is disclosed under this subparagraph may not disclose or use such record for a purpose other than that for which the disclosure was made or as permitted by law. (I) To a third party in order to recover or collect reasonable charges for care furnished to, or paid on behalf of, a Veteran in connection with a non-service connected disability as permitted by section 1729 of this title or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under the Act entitled 'An Act to provide for the recovery from tortiously liable third persons of the cost of hospital and medical care and treatment furnished by the United States' (Public Law 87-693; 42 U.S.C. 2651 et seq.; commonly known as the 'Federal Medical Care Recovery Act'). Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 38 U.S. Code Section 7332 - Confidentiality of certain medical records https://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html use "Title38Section7332" as the security label policy code. Since information governed by a Title 38 Section 7332 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted). a) HIPAAConsent http://terminology.hl7.org/CodeSystem/v3-ActCode HIPAA Consent Code retired in December 2019 and replaced by code HIPAAConsent. Originally entered with copy/paste error in code value. A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent." The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use "HIPAAConsent" as the security label policy code. Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted). USResearchInformedAssent http://terminology.hl7.org/CodeSystem/v3-ActCode Informed Assent for Research An informed assertion by a minor who is a candidate research subject, of the individual's willingness to participate in research. Assent means a child's affirmative agreement to participate in a clinical investigation. Mere failure to object should not, absent affirmative agreement, be construed as assent. The minor's assent must be accompanied by parental or guardian consent that the minor participate in a specified research. The assent is not legally binding, however, the accompanying consent is legally binding. Background: In the US, informed assent is governed under 21 CFR Part 50, Subpart D - Additional Safeguards for Children in Clinical Investigations. Available at https://www.law.cornell.edu/cfr/text/21/part-50/subpart-D USResearchInformedConsent http://terminology.hl7.org/CodeSystem/v3-ActCode Informed Consent for Research An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in a specified research study. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116 USBroadResearchConsent http://terminology.hl7.org/CodeSystem/v3-ActCode Broad Consent for Research An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in unspecified research studies, including storage, maintenance, and secondary research use of identifiable biospecimens and data. If broad consent is obtained, any subsequent storage, maintenance, and secondary research uses of the individual’s identifiable biospecimens and data consistent with the broad consent would not require additional consent, so long as additional conditions are met, including limited review by an IRB. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116 COMPLY http://terminology.hl7.org/CodeSystem/v3-ActCode Compliance Alert There may be an issue with the patient complying with the intentions of the proposed therapy DACT http://terminology.hl7.org/CodeSystem/v3-ActCode drug action detected issue **Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy. DOSE http://terminology.hl7.org/CodeSystem/v3-ActCode Dosage problem Proposed dosage instructions for therapy differ from standard practice. DUPTHPY http://terminology.hl7.org/CodeSystem/v3-ActCode Duplicate Therapy Alert The proposed therapy appears to duplicate an existing therapy TIME http://terminology.hl7.org/CodeSystem/v3-ActCode timing detected issue **Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time. _ActPatientAnnotationType http://terminology.hl7.org/CodeSystem/v3-ActCode ActPatientAnnotationType **Description:**Provides a categorization for annotations recorded directly against the patient . OBSA http://terminology.hl7.org/CodeSystem/v3-ActCode Observation Alert Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient PREVINEF http://terminology.hl7.org/CodeSystem/v3-ActCode previously ineffective **Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect. EMAUTH http://terminology.hl7.org/CodeSystem/v3-ActCode emergency authorization override Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used. AIRTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode airborne transmission Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation. ANANTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode animal to animal transmission Communication of an agent from one animal to another proximate animal. ANHUMTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode animal to human transmission Communication of an agent from an animal to a proximate person. BDYFLDTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode body fluid contact transmission Communication of an agent from one living subject to another living subject through direct contact with any body fluid. BLDTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode blood borne transmission Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not. DERMTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode transdermal transmission Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin. ENVTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode environmental exposure transmission Communication of an agent from an environmental surface or source to a living subject by direct contact. FECTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode fecal-oral transmission Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material. FOMTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode fomite transmission Communication of an agent from an non-living material to a living subject through direct contact. FOODTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode food-borne transmission Communication of an agent from a food source to a living subject via oral consumption. HUMHUMTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode human to human transmission Communication of an agent from a person to a proximate person. INDTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode indeterminate disease transmission mode Communication of an agent to a living subject via an undetermined route. LACTTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode lactation transmission Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum. NOSTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode nosocomial transmission Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility. PARTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode parenteral transmission Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal. PLACTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode transplacental transmission Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero. SEXTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode sexual transmission Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act. TRNSFTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode transfusion transmission Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure. VECTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode vector-borne transmission Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact. WATTRNS http://terminology.hl7.org/CodeSystem/v3-ActCode water-borne transmission Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice. REPRESENTATIVE_BEAT http://terminology.hl7.org/CodeSystem/v3-ActCode ECG representative beat waveforms This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms. RHYTHM http://terminology.hl7.org/CodeSystem/v3-ActCode ECG rhythm waveforms This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied. DEMO http://terminology.hl7.org/CodeSystem/v3-ActCode all demographic information sensitivity Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. DOB http://terminology.hl7.org/CodeSystem/v3-ActCode date of birth information sensitivity Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. GENDER http://terminology.hl7.org/CodeSystem/v3-ActCode gender and sexual orientation information sensitivity Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. LIVARG http://terminology.hl7.org/CodeSystem/v3-ActCode living arrangement information sensitivity Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. MARST http://terminology.hl7.org/CodeSystem/v3-ActCode marital status information sensitivity Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. PATLOC http://terminology.hl7.org/CodeSystem/v3-ActCode patient location Policy for handling information related to an individual's location, which is deemed sensitive when the disclosure could impact the privacy, well-being, or safety of that subject, and requires additional protection. Usage Note: If there is a jurisdictional, organizational, or individual mandate, then use the applicable ActPrivacyLaw or ActConsentDirective code from the ActCode system to and specify the law in addition to this more generic code. RACE http://terminology.hl7.org/CodeSystem/v3-ActCode race information sensitivity Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. REL http://terminology.hl7.org/CodeSystem/v3-ActCode religion information sensitivity Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. FDACOATING http://terminology.hl7.org/CodeSystem/v3-ActCode coating FDA label coating FDACOLOR http://terminology.hl7.org/CodeSystem/v3-ActCode color FDA label color FDAIMPRINTCD http://terminology.hl7.org/CodeSystem/v3-ActCode imprint code FDA label imprint code FDALOGO http://terminology.hl7.org/CodeSystem/v3-ActCode logo FDA label logo FDASCORING http://terminology.hl7.org/CodeSystem/v3-ActCode scoring FDA label scoring FDASHAPE http://terminology.hl7.org/CodeSystem/v3-ActCode shape FDA label shape FDASIZE http://terminology.hl7.org/CodeSystem/v3-ActCode size FDA label size GENE http://terminology.hl7.org/CodeSystem/v3-ActCode gene Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology I http://terminology.hl7.org/CodeSystem/v3-ActCode Isolation Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission. P http://terminology.hl7.org/CodeSystem/v3-ActCode Private Accommodations in which there is only 1 bed. S http://terminology.hl7.org/CodeSystem/v3-ActCode Suite Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge. SP http://terminology.hl7.org/CodeSystem/v3-ActCode Semi-private Accommodations in which there are 2 beds. W http://terminology.hl7.org/CodeSystem/v3-ActCode Ward Accommodations in which there are 3 or more beds. OBSANTC http://terminology.hl7.org/CodeSystem/v3-ActCode antigen count Description: Indicates the valid antigen count. OBSANTV http://terminology.hl7.org/CodeSystem/v3-ActCode antigen validity Description: Indicates whether an antigen is valid or invalid. PAT_ADV_EVNT http://terminology.hl7.org/CodeSystem/v3-ActCode patient adverse event Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product. VAC_PROBLEM http://terminology.hl7.org/CodeSystem/v3-ActCode vaccine product problem Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity. ADOL http://terminology.hl7.org/CodeSystem/v3-ActCode adolescent information sensitivity Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. CEL http://terminology.hl7.org/CodeSystem/v3-ActCode celebrity information sensitivity Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. VIP http://terminology.hl7.org/CodeSystem/v3-ActCode celebrity information sensitivity Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. DIA http://terminology.hl7.org/CodeSystem/v3-ActCode diagnosis information sensitivity Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. DRGIS http://terminology.hl7.org/CodeSystem/v3-ActCode drug information sensitivity Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. EMP http://terminology.hl7.org/CodeSystem/v3-ActCode employee information sensitivity Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. PDS http://terminology.hl7.org/CodeSystem/v3-ActCode patient default information sensitivity Policy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default. Organizational policy may allow the sensitivity tag to be cleared on patient's request. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. For example, VA deems employee information sensitive by default. Information about a patient who is being stalked or a victim of abuse or violence may be deemed sensitive by default per a provider organization's policies. PHY http://terminology.hl7.org/CodeSystem/v3-ActCode physician requested information sensitivity Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive. Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Use cases in which this code could be used are, e.g., in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence. PRS http://terminology.hl7.org/CodeSystem/v3-ActCode patient requested information sensitivity Policy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted. For example, a minor patient may request that information about reproductive health not be disclosed to the patient's family or to particular providers and payers. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. FOOD http://terminology.hl7.org/CodeSystem/v3-ActCode Food Interaction Alert Proposed therapy may interact with certain foods TPROD http://terminology.hl7.org/CodeSystem/v3-ActCode Therapeutic Product Alert Proposed therapy may interact with an existing or recent therapeutic product ADNFPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically. ADCNPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically. ADNFPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically. ADCNPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically. ADNFPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADCNPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADNFPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADCNPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified prior-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADNFSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically. ADCNSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically. ADNFSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically. ADCNSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically. ADNFSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADCNSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADNFSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADCNSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. nullified same-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ADNPPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ADNPPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable prior-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ADNPPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable prior-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ADNPPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable prior-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ADNPSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable same-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ADNPSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable same-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ADNPSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable same-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ADNPSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. non-payee payable same-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ADPPPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ADPPPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable prior-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ADPPPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable prior-period manual amout Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ADPPPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable prior-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ADPPSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable same-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ADPPSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable same-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ADPPSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable same-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ADPPSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. payee payable same-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ADRFPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically. ADRFPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused prior-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically. ADRFPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused prior-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually. ADRFPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused prior-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually. ADRFSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused same-period electronic amount Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically. ADRFSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused same-period electronic count Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically. ADRFSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused same-period manual amount Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually. ADRFSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode adjud. refused same-period manual count Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually. PDNFPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically. PDCNPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically. PDNFPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period electronic count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically. PDCNPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period electronic count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically. PDNFPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period manual amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDCNPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period manual amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDNFPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period manual count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDCNPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified prior-period manual count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDNFSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically. PDCNSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically. PDNFSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period electronic count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically. PDCNSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period electronic count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically. PDNFSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period manual amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDCNSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period manual amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDNFSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period manual count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDCNSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid nullified same-period manual count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually. PDNPPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically. PDNPPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable prior-period electronic count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically. PDNPPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable prior-period manual amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually. PDNPPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable prior-period manual count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually. PDNPSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable same-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically. PDNPSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable same-period electronic count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically. PDNPSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable same-period manual amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually. PDNPSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid non-payee payable same-period manual count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually. PDPPPPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable prior-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically. PDPPPPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable prior-period electronic count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically. PDPPPPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable prior-period manual amount Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually. PDPPPPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable prior-period manual count Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually. PDPPSPELAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable same-period electronic amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically. PDPPSPELCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable same-period electronic count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically. PDPPSPMNAT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable same-period manual amount Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually. PDPPSPMNCT http://terminology.hl7.org/CodeSystem/v3-ActCode paid payee payable same-period manual count Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually. SBBLELAT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted billed electronic amount Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included. SBBLAT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted billed electronic amount Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included. SBBLELCT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted billed electronic count Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included. SBBLCT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted billed electronic count Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included. SBNFELAT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted nullified electronic amount Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included. SBCNAT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted nullified electronic amount Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included. SBNFELCT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted cancelled electronic count Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included. SBCNCT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted cancelled electronic count Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included. SBPDELAT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted pending electronic amount Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included. SBPDAT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted pending electronic amount Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included. SBPDELCT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted pending electronic count Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included. SBPDCT http://terminology.hl7.org/CodeSystem/v3-ActCode submitted pending electronic count Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included. 21611-9 http://terminology.hl7.org/CodeSystem/v3-ActCode age patient qn est **Definition:**Estimated age. 21612-7 http://terminology.hl7.org/CodeSystem/v3-ActCode age patient qn reported **Definition:**Reported age. 29553-5 http://terminology.hl7.org/CodeSystem/v3-ActCode age patient qn calc **Definition:**Calculated age. 30525-0 http://terminology.hl7.org/CodeSystem/v3-ActCode age patient qn definition **Definition:**General specification of age with no implied method of determination. 30972-4 http://terminology.hl7.org/CodeSystem/v3-ActCode age at onset of adverse event **Definition:**Age at onset of associated adverse event; no implied method of determination. REP_HALF_LIFE http://terminology.hl7.org/CodeSystem/v3-ActCode representative half-life **Description:**This observation represents an 'average' or 'expected' half-life typical of the product. SPLCOATING http://terminology.hl7.org/CodeSystem/v3-ActCode coating Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form. SPLCOLOR http://terminology.hl7.org/CodeSystem/v3-ActCode color Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise. SPLIMAGE http://terminology.hl7.org/CodeSystem/v3-ActCode image Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file. SPLIMPRINT http://terminology.hl7.org/CodeSystem/v3-ActCode imprint Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions. SPLSCORING http://terminology.hl7.org/CodeSystem/v3-ActCode scoring Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH). SPLSHAPE http://terminology.hl7.org/CodeSystem/v3-ActCode shape Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform. SPLSIZE http://terminology.hl7.org/CodeSystem/v3-ActCode size Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter. SPLSYMBOL http://terminology.hl7.org/CodeSystem/v3-ActCode symbol Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with true indicating the presence and false for the absence of marks or symbols. Example: ADMDX http://terminology.hl7.org/CodeSystem/v3-ActCode admitting diagnosis Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission. DISDX http://terminology.hl7.org/CodeSystem/v3-ActCode discharge diagnosis Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge. INTDX http://terminology.hl7.org/CodeSystem/v3-ActCode intermediate diagnosis Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay. NOI http://terminology.hl7.org/CodeSystem/v3-ActCode nature of injury The type of injury that the injury coding specifies. AGGREGATE http://terminology.hl7.org/CodeSystem/v3-ActCode aggregate measure observation Indicates that the observation is carrying out an aggregation calculation, contained in the value element. CMPMSRMTH http://terminology.hl7.org/CodeSystem/v3-ActCode composite measure method Indicates what method is used in a quality measure to combine the component measure results included in an composite measure. CMPMSRSCRWGHT http://terminology.hl7.org/CodeSystem/v3-ActCode component measure scoring weight An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only. COPY http://terminology.hl7.org/CodeSystem/v3-ActCode copyright Identifies the organization(s) who own the intellectual property represented by the eMeasure. CRS http://terminology.hl7.org/CodeSystem/v3-ActCode clinical recommendation statement Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure. DEF http://terminology.hl7.org/CodeSystem/v3-ActCode definition Description of individual terms, provided as needed. DISC http://terminology.hl7.org/CodeSystem/v3-ActCode disclaimer Disclaimer information for the eMeasure. FINALDT http://terminology.hl7.org/CodeSystem/v3-ActCode finalized date/time The timestamp when the eMeasure was last packaged in the Measure Authoring Tool. GUIDE http://terminology.hl7.org/CodeSystem/v3-ActCode guidance Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria. IDUR http://terminology.hl7.org/CodeSystem/v3-ActCode improvement notation Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range). ITMCNT http://terminology.hl7.org/CodeSystem/v3-ActCode items counted Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.) KEY http://terminology.hl7.org/CodeSystem/v3-ActCode keyword A significant word that aids in discoverability. MEDT http://terminology.hl7.org/CodeSystem/v3-ActCode measurement end date The end date of the measurement period. MSD http://terminology.hl7.org/CodeSystem/v3-ActCode measurement start date The start date of the measurement period. MSRADJ http://terminology.hl7.org/CodeSystem/v3-ActCode risk adjustment The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons. MSRAGG http://terminology.hl7.org/CodeSystem/v3-ActCode rate aggregation Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE. MSRIMPROV http://terminology.hl7.org/CodeSystem/v3-ActCode health quality measure improvement notation Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score. MSRJUR http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdiction The list of jurisdiction(s) for which the measure applies. MSRRPTR http://terminology.hl7.org/CodeSystem/v3-ActCode reporter type Type of person or organization that is expected to report the issue. MSRRPTTIME http://terminology.hl7.org/CodeSystem/v3-ActCode timeframe for reporting The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver. MSRSCORE http://terminology.hl7.org/CodeSystem/v3-ActCode measure scoring Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio) MSRSET http://terminology.hl7.org/CodeSystem/v3-ActCode health quality measure care setting Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself). MSRTOPIC http://terminology.hl7.org/CodeSystem/v3-ActCode health quality measure topic type MSRTP http://terminology.hl7.org/CodeSystem/v3-ActCode measurement period The time period for which the eMeasure applies. MSRTYPE http://terminology.hl7.org/CodeSystem/v3-ActCode measure type Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome). RAT http://terminology.hl7.org/CodeSystem/v3-ActCode rationale Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence. REF http://terminology.hl7.org/CodeSystem/v3-ActCode reference Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure. SDE http://terminology.hl7.org/CodeSystem/v3-ActCode supplemental data elements Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section. STRAT http://terminology.hl7.org/CodeSystem/v3-ActCode stratification Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]). TRANF http://terminology.hl7.org/CodeSystem/v3-ActCode transmission format Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program. USE http://terminology.hl7.org/CodeSystem/v3-ActCode notice of use Usage notes. TIME_ABSOLUTE http://terminology.hl7.org/CodeSystem/v3-ActCode absolute time sequence A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar TIME_RELATIVE http://terminology.hl7.org/CodeSystem/v3-ActCode relative time sequence A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence. _ImmunizationObservationType http://terminology.hl7.org/CodeSystem/v3-ActCode ImmunizationObservationType Description: Observation codes which describe characteristics of the immunization material. _ObservationQualityMeasureAttribute http://terminology.hl7.org/CodeSystem/v3-ActCode ObservationQualityMeasureAttribute Codes used to define various metadata aspects of a health quality measure. _PatientImmunizationRelatedObservationType http://terminology.hl7.org/CodeSystem/v3-ActCode PatientImmunizationRelatedObservationType Description: Reporting codes that are related to an immunization event. ADVERSE_REACTION http://terminology.hl7.org/CodeSystem/v3-ActCode Adverse Reaction Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction. ASSERTION http://terminology.hl7.org/CodeSystem/v3-ActCode Assertion **Description:**Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture. CASESER http://terminology.hl7.org/CodeSystem/v3-ActCode case seriousness criteria **Definition:**An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event. CDIO http://terminology.hl7.org/CodeSystem/v3-ActCode case disease imported observation An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it. CRIT http://terminology.hl7.org/CodeSystem/v3-ActCode criticality A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. CTMO http://terminology.hl7.org/CodeSystem/v3-ActCode case transmission mode observation An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it. DX http://terminology.hl7.org/CodeSystem/v3-ActCode ObservationDiagnosisTypes Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests. _ObservationDiagnosisTypes http://terminology.hl7.org/CodeSystem/v3-ActCode ObservationDiagnosisTypes Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests. GISTIER http://terminology.hl7.org/CodeSystem/v3-ActCode GIS tier Description: Accuracy determined as per the GIS tier code system. HHOBS http://terminology.hl7.org/CodeSystem/v3-ActCode household situation observation Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances. ISSUE http://terminology.hl7.org/CodeSystem/v3-ActCode detected issue There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children) KSUBJ http://terminology.hl7.org/CodeSystem/v3-ActCode knowledge subject Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease. KSUBT http://terminology.hl7.org/CodeSystem/v3-ActCode knowledge subtopic Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis. OINT http://terminology.hl7.org/CodeSystem/v3-ActCode intolerance Hypersensitivity resulting in an adverse reaction upon exposure to an agent. SEV http://terminology.hl7.org/CodeSystem/v3-ActCode Severity Observation A subjective evaluation of the seriousness or intensity associated with another observation. CLSSRM http://terminology.hl7.org/CodeSystem/v3-ActCode classroom Description: The class room associated with the patient during the immunization event. GRADE http://terminology.hl7.org/CodeSystem/v3-ActCode grade Description: The school grade or level the patient was in when immunized. SCHL http://terminology.hl7.org/CodeSystem/v3-ActCode school Description: The school the patient attended when immunized. SCHLDIV http://terminology.hl7.org/CodeSystem/v3-ActCode school division Description: The school division or district associated with the patient during the immunization event. TEACHER http://terminology.hl7.org/CodeSystem/v3-ActCode teacher Description: The patient's teacher when immunized. DENEX http://terminology.hl7.org/CodeSystem/v3-ActCode denominator exclusions Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator. DENEXCEP http://terminology.hl7.org/CodeSystem/v3-ActCode denominator exceptions Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient (or subject) reasons System reasons DENOM http://terminology.hl7.org/CodeSystem/v3-ActCode denominator Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population. IPOP http://terminology.hl7.org/CodeSystem/v3-ActCode initial population Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). MSROBS http://terminology.hl7.org/CodeSystem/v3-ActCode measure observation Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population. Examples: the median time from arrival in the Emergency Room to departure the median time from decision to admit to a hospital to the actual admission for Emergency Room patients MSRPOPL http://terminology.hl7.org/CodeSystem/v3-ActCode measure population Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures. MSRPOPLEX http://terminology.hl7.org/CodeSystem/v3-ActCode measure population exclusions Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s). NUMER http://terminology.hl7.org/CodeSystem/v3-ActCode numerator Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period). NUMEX http://terminology.hl7.org/CodeSystem/v3-ActCode numerator exclusions Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures. PREFSTRENGTH http://terminology.hl7.org/CodeSystem/v3-ActCode preference strength An observation about how important a preference is to the target of the preference. CIRCLE http://terminology.hl7.org/CodeSystem/v3-ActCode circle A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle. ELLIPSE http://terminology.hl7.org/CodeSystem/v3-ActCode ellipse An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis. POINT http://terminology.hl7.org/CodeSystem/v3-ActCode point A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair. POLY http://terminology.hl7.org/CodeSystem/v3-ActCode polyline A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon. B http://terminology.hl7.org/CodeSystem/v3-ActCode business information sensitivity Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. EMPL http://terminology.hl7.org/CodeSystem/v3-ActCode employer information sensitivity Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. LOCIS http://terminology.hl7.org/CodeSystem/v3-ActCode location information sensitivity Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. SSP http://terminology.hl7.org/CodeSystem/v3-ActCode sensitive service provider information sensitivity Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. ALLDONE http://terminology.hl7.org/CodeSystem/v3-ActCode already performed **Definition:**The requested action has already been performed and so this request has no effect FULFIL http://terminology.hl7.org/CodeSystem/v3-ActCode fulfillment alert **Definition:**The therapy being performed is in some way out of alignment with the requested therapy. HELD http://terminology.hl7.org/CodeSystem/v3-ActCode held/suspended alert **Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended. TOOLATE http://terminology.hl7.org/CodeSystem/v3-ActCode Refill Too Late Alert The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions TOOSOON http://terminology.hl7.org/CodeSystem/v3-ActCode Refill Too Soon Alert The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions ENDLATE http://terminology.hl7.org/CodeSystem/v3-ActCode End Too Late Alert Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy STRTLATE http://terminology.hl7.org/CodeSystem/v3-ActCode Start Too Late Alert Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition 19 http://terminology.hl7.org/CodeSystem/v3-ActCode Consulted Supplier Consulted other supplier/pharmacy, therapy confirmed 2 http://terminology.hl7.org/CodeSystem/v3-ActCode Assessed Patient Assessed patient, therapy is appropriate 22 http://terminology.hl7.org/CodeSystem/v3-ActCode appropriate indication or diagnosis Description: The patient has the appropriate indication or diagnosis for the action to be taken. 23 http://terminology.hl7.org/CodeSystem/v3-ActCode prior therapy documented Description: It has been confirmed that the appropriate pre-requisite therapy has been tried. 3 http://terminology.hl7.org/CodeSystem/v3-ActCode Patient Explanation Patient gave adequate explanation 4 http://terminology.hl7.org/CodeSystem/v3-ActCode Consulted Other Source Consulted other supply source, therapy still appropriate 5 http://terminology.hl7.org/CodeSystem/v3-ActCode Consulted Prescriber Consulted prescriber, therapy confirmed 7 http://terminology.hl7.org/CodeSystem/v3-ActCode Interacting Therapy No Longer Active/Planned Concurrent therapy triggering alert is no longer on-going or planned 15 http://terminology.hl7.org/CodeSystem/v3-ActCode Replacement Patient's existing supply was lost/wasted 16 http://terminology.hl7.org/CodeSystem/v3-ActCode Vacation Supply Supply date is due to patient vacation 17 http://terminology.hl7.org/CodeSystem/v3-ActCode Weekend Supply Supply date is intended to carry patient over weekend 18 http://terminology.hl7.org/CodeSystem/v3-ActCode Leave of Absence Supply is intended for use during a leave of absence from an institution. 20 http://terminology.hl7.org/CodeSystem/v3-ActCode additional quantity on separate dispense Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense. 6 http://terminology.hl7.org/CodeSystem/v3-ActCode Prescriber Declined Change Consulted prescriber and recommended change, prescriber declined 10 http://terminology.hl7.org/CodeSystem/v3-ActCode Provided Patient Education Provided education or training to the patient on appropriate therapy use 11 http://terminology.hl7.org/CodeSystem/v3-ActCode Added Concurrent Therapy Instituted an additional therapy to mitigate potential negative effects 12 http://terminology.hl7.org/CodeSystem/v3-ActCode Temporarily Suspended Concurrent Therapy Suspended existing therapy that triggered interaction for the duration of this therapy 13 http://terminology.hl7.org/CodeSystem/v3-ActCode Stopped Concurrent Therapy Aborted existing therapy that triggered interaction. 9 http://terminology.hl7.org/CodeSystem/v3-ActCode Instituted Ongoing Monitoring Program Arranged to monitor patient for adverse effects ANF http://terminology.hl7.org/CodeSystem/v3-ActCode adjudicated with adjustments and no financial impact The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). TRSTACCRD http://terminology.hl7.org/CodeSystem/v3-ActCode trust accreditation Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework. TRSTAGRE http://terminology.hl7.org/CodeSystem/v3-ActCode trust agreement Type of security metadata about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1] TRSTASSUR http://terminology.hl7.org/CodeSystem/v3-ActCode trust assurance Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol. TRSTCERT http://terminology.hl7.org/CodeSystem/v3-ActCode trust certificate Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] TRSTFWK http://terminology.hl7.org/CodeSystem/v3-ActCode trust framework Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative] TRSTMEC http://terminology.hl7.org/CodeSystem/v3-ActCode trust mechanism Type of security metadata about a security architecture system component that supports enforcement of security policies. ADALRT http://terminology.hl7.org/CodeSystem/v3-ActCode adult alert Proposed therapy is outside of the standard practice for an adult patient. DOSEHINDA http://terminology.hl7.org/CodeSystem/v3-ActCode High Dose for Age Alert Proposed dosage exceeds standard practice for the patient's age DOSELINDA http://terminology.hl7.org/CodeSystem/v3-ActCode Low Dose for Age Alert Proposed dosage is below suggested therapeutic levels for the patient's age GEALRT http://terminology.hl7.org/CodeSystem/v3-ActCode geriatric alert Proposed therapy is outside of standard practice for a geriatric patient. PEALRT http://terminology.hl7.org/CodeSystem/v3-ActCode pediatric alert Proposed therapy is outside of the standard practice for a pediatric patient. DALG http://terminology.hl7.org/CodeSystem/v3-ActCode Drug Allergy An allergy to a pharmaceutical product. EALG http://terminology.hl7.org/CodeSystem/v3-ActCode Environmental Allergy An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc. FALG http://terminology.hl7.org/CodeSystem/v3-ActCode Food Allergy An allergy to a substance generally consumed for nutritional purposes. AMBAIR http://terminology.hl7.org/CodeSystem/v3-ActCode fixed-wing ambulance transport Fixed-wingAmbulance http://terminology.hl7.org/CodeSystem/v3-ActCode fixed-wing ambulance transport AMBGRND http://terminology.hl7.org/CodeSystem/v3-ActCode ground ambulance transport GroundAmbulance http://terminology.hl7.org/CodeSystem/v3-ActCode ground ambulance transport AMBHELO http://terminology.hl7.org/CodeSystem/v3-ActCode helicopter ambulance transport HelicopterAmbulance http://terminology.hl7.org/CodeSystem/v3-ActCode helicopter ambulance transport ACCESSCONSCHEME http://terminology.hl7.org/CodeSystem/v3-ActCode access control scheme An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies. Usage Note: Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service. There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also. An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996) Examples: Attribute Based Access Control (ABAC) Discretionary Access Control (DAC) History Based Access Control (HBAC) Identity Based Access Control (IBAC) Mandatory Access Control (MAC) Organization Based Access Control (OrBAC) Relationship Based Access Control (RelBac) Responsibility Based Access Control (RespBAC) Risk Adaptable Access Control (RAdAC) COL http://terminology.hl7.org/CodeSystem/v3-ActCode collision coverage policy Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party. UNINSMOT http://terminology.hl7.org/CodeSystem/v3-ActCode uninsured motorist policy Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered. COGN http://terminology.hl7.org/CodeSystem/v3-ActCode cognitive disability information sensitivity Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Examples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used. DVD http://terminology.hl7.org/CodeSystem/v3-ActCode developmental disability information sensitivity Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. A diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used. EMOTDIS http://terminology.hl7.org/CodeSystem/v3-ActCode emotional disturbance information sensitivity Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Typical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term. AE http://terminology.hl7.org/CodeSystem/v3-ActCode American Express DN http://terminology.hl7.org/CodeSystem/v3-ActCode Diner's Club DV http://terminology.hl7.org/CodeSystem/v3-ActCode Discover Card MC http://terminology.hl7.org/CodeSystem/v3-ActCode Master Card V http://terminology.hl7.org/CodeSystem/v3-ActCode Visa DIAGLISTE http://terminology.hl7.org/CodeSystem/v3-ActCode diagnosis list entry task A clinician enters a diagnosis for a given patient. DISCHINSTE http://terminology.hl7.org/CodeSystem/v3-ActCode discharge instruction entry A person provides a discharge instruction to a patient. DISCHSUME http://terminology.hl7.org/CodeSystem/v3-ActCode discharge summary entry task A clinician enters a discharge summary for a given patient. PATEDUE http://terminology.hl7.org/CodeSystem/v3-ActCode patient education entry A person provides a patient-specific education handout to a patient. PATREPE http://terminology.hl7.org/CodeSystem/v3-ActCode pathology report entry task A pathologist enters a report for a given patient. PROBLISTE http://terminology.hl7.org/CodeSystem/v3-ActCode problem list entry task A clinician enters a problem for a given patient. RADREPE http://terminology.hl7.org/CodeSystem/v3-ActCode radiology report entry task A radiologist enters a report for a given patient. DISCHSUMREV http://terminology.hl7.org/CodeSystem/v3-ActCode discharge summary review task A person reviews a discharge summary of a given patient. CODE_DEPREC http://terminology.hl7.org/CodeSystem/v3-ActCode code has been deprecated **Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system. ABUSE http://terminology.hl7.org/CodeSystem/v3-ActCode commonly abused/misused alert **Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring. FRAUD http://terminology.hl7.org/CodeSystem/v3-ActCode potential fraud **Description:**The request is suspected to have a fraudulent basis. PLYDOC http://terminology.hl7.org/CodeSystem/v3-ActCode Poly-orderer Alert A similar or identical therapy was recently ordered by a different practitioner. PLYPHRM http://terminology.hl7.org/CodeSystem/v3-ActCode Poly-supplier Alert This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier. ACOCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode accountable care organization compartment A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group. Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information CDSSCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode CDS system compartment This compartment code may be used as a field value in an initiator's clearance to indicate permission for its Clinical Decision Support system (CDSS) to access and use an IT Resource with a security label having the same compartment value in the security category label field. This code permits a CDS system to algorithmically process information with this compartment tag for the purpose of alerting an unauthorized end user that masked information is needed to address an emergency or a patient safety issue, such as a contraindicated medication. The alert would advise the end user to "break the glass", to access the masked information in an accountable manner, or to ask the patient about possibly masked information. For example, releasing a list of sensitive medications with this compartment tag means that while the CDS system is permitted to use this list in its contraindication analysis, this sensitive information should not be shared directly with unauthorized end-users or end-user-facing Apps. Based on the results of the CDS system analysis (e.g., warnings about prescriptions) the end-user (e.g., a clinician) may still have the ability to access to the sensitive information by invoking "break-the-glass protocol". Usage Note: A security label with the CDS system compartment may be used in conjunction with other security labels, e.g., a label authorizing an end user with adequate clearance to access the same CDS system compartment tagged information. For example, a patient may restrict sharing sensitive information with most care team members except in an emergency or to prevent an adverse event, and may consent to sharing with their sensitive service care team providers, e.g., for mental health or substance abuse. CTCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode care team compartment Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information FMCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode financial management compartment Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information. HRCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode human resource compartment A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow. LRCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode legitimate relationship compartment Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information. PACOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode patient administration compartment Patient administration members who have access to healthcare consumer information as part of a patient administration workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information. RESCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode research project compartment A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project. RMGTCOMPT http://terminology.hl7.org/CodeSystem/v3-ActCode records management compartment A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow. HGHT http://terminology.hl7.org/CodeSystem/v3-ActCode LACT http://terminology.hl7.org/CodeSystem/v3-ActCode Lactation Alert Proposed therapy may be inappropriate or contraindicated when breast-feeding PREG http://terminology.hl7.org/CodeSystem/v3-ActCode Pregnancy Alert Proposed therapy may be inappropriate or contraindicated during pregnancy WGHT http://terminology.hl7.org/CodeSystem/v3-ActCode INTOLIST http://terminology.hl7.org/CodeSystem/v3-ActCode intolerance list List of intolerance observations. PROBLIST http://terminology.hl7.org/CodeSystem/v3-ActCode problem list List of problem observations. RISKLIST http://terminology.hl7.org/CodeSystem/v3-ActCode risk factors List of risk factor observations. CONTROLLED http://terminology.hl7.org/CodeSystem/v3-ActCode CONTROLLED A displayed mark, required to be rendered as "CONTROLLED", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. CUI http://terminology.hl7.org/CodeSystem/v3-ActCode CUI A displayed mark, required to be rendered as "CUI", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. CUIHLTH http://terminology.hl7.org/CodeSystem/v3-ActCode CUI//HLTH A displayed mark, required to be rendered as "CUI//HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf CUIHLTHP http://terminology.hl7.org/CodeSystem/v3-ActCode (CUI//HLTH) A displayed mark, required to be rendered as "(CUI//HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf CUIP http://terminology.hl7.org/CodeSystem/v3-ActCode (CUI) A displayed mark, required to be rendered as "(CUI)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf CUIPRVCY http://terminology.hl7.org/CodeSystem/v3-ActCode CUI//PRVCY A displayed mark, required to be rendered as "CUI//PRVCY", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf. CUIPRVCYP http://terminology.hl7.org/CodeSystem/v3-ActCode (CUI//PRVCY) A displayed mark, required to be rendered as "(CUI//PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf. CUISP-HLTH http://terminology.hl7.org/CodeSystem/v3-ActCode CUI//SP-HLTH A displayed mark, required to be rendered as "CUI//SP-HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf. CUISP-HLTHP http://terminology.hl7.org/CodeSystem/v3-ActCode (CUI//SP-HLTH) A displayed mark, required to be rendered as "(CUI//SP-HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf CUISP-PRVCY http://terminology.hl7.org/CodeSystem/v3-ActCode CUI//SP-PRVCY A displayed mark, required to be rendered as "CUI//SP-PRVCY", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Specified marking is OMB M-17-12ï‡? This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12_0.pdf. CUISP-PRVCYP http://terminology.hl7.org/CodeSystem/v3-ActCode (CUI//SP-PRVCY) A displayed mark, required to be rendered as "(CUI//SP-PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Specified marking is OMB M-17-12ï‡? This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12_0.pdf. UUI http://terminology.hl7.org/CodeSystem/v3-ActCode (U) A displayed mark, required to be rendered as "(U)", indicating that a portion of an electronic or hardcopy information is neither Executive Order 13556 nor classified information authorities cover as protected. Although this information is not controlled or classified, agencies must still handle it in accordance with Federal Information Security Modernization Act (FISMA) requirements. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html Usage Note: Regulatory Source: 32 CFR § 2002.20 Marking. Federal Register Page 63344 63344 (ii) Authorized holders permitted to designate CUI must portion mark both CUI and uncontrolled unclassified portions. CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf CUI Portion Marking: Portion marking of CUI is optional in a fully unclassified document, but is permitted and encouraged to facilitate information sharing and proper handling of the information. Agency heads may approve the required use of CUI Portion marking on all CUI generated within their agency. As such, users should consult their agency CUI policy when creating CUI documents. When CUI Portion Markings are used and a portion does not contain CUI a "U" is placed in parentheses to indicate that the portion contains Uncontrolled Unclassified Information. (Page 14) CUI Portion Markings are placed at the beginning of the portion to which they apply and must be used throughout the entire document. They are presented in all capital letters and separated as indicated in this handbook and the CUI Registry. The presence of EVEN ONE item of CUI in a document requires CUI marking of that document. Because of this, CUI Portion Markings can be of great assistance in determining if a document contains CUI and therefore must be marked as such. Remember: When portion markings are used and any portion does not contain CUI, a "(U)" is placed in front of that portion to indicate that it contains Uncontrolled - or non-CUI - Unclassified Information. (Page 15) CPLYCC http://terminology.hl7.org/CodeSystem/v3-ActCode comply with confidentiality code Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target. Usage Note: CPLYCC may be used as a security label code to inform senders and receivers of information tagged with a Confidentiality Code to comply with applicable level of protection required by the assigned confidentiality code. CPLYCD http://terminology.hl7.org/CodeSystem/v3-ActCode comply with consent directive Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives. Usage Note: CPLYCD may be used as a security label code to inform senders and receivers of information tagged with an ActCode_ActPolicyType_ActConsent code or an ActCode_ActPolicyType_ActPrivacyPolicy_ActConsentDirective code to comply with applicable consent directives. CPLYCUI http://terminology.hl7.org/CodeSystem/v3-ActCode comply with controlled unclassified information policy Custodian security system must retrieve, evaluate, and comply with applicable Controlled Unclassified Information (CUI) policies associated with the target information. Usage Note: In the US, CPLYCUI may be used as a security label code to inform recipients of information designated by a US Federal Agency as Controlled Unclassified Information (CUI) to comply with the applicable laws, regulations, executive orders, and other guidances, such as included in DURSAs, to persist, mark, and enforce required CUI controls Background: In accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI). The following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html CUI is defined as "information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls." Designating CUI occurs when an authorized holder, consistent with 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI. The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information. • Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency. Once designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook. CUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems. When HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings. Impact of CUI markings: CUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings. For most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf Federal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies. Applicable CUI policies include the following and any future applicable updates to policies or laws related to CUI: Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance CPLYJPP http://terminology.hl7.org/CodeSystem/v3-ActCode comply with jurisdictional privacy policy Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information. Usage Note: CPLYJPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode_ActPolicyType_ActPrivacyPolicy_ActPrivacyLaw code or an ActCode_ActPolicyType_ActInformationPolicy.JurisIP code to comply with applicable jurisdictional privacy policy. CPLYJSP http://terminology.hl7.org/CodeSystem/v3-ActCode comply with jurisdictional security policy Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional security policies associated with the target information. Usage Note: CPLYJSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode_ActPolicyType.SecurityPolicy code to comply with applicable jurisdictional security policy. CPLYOPP http://terminology.hl7.org/CodeSystem/v3-ActCode comply with organizational privacy policy Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information. Usage Note: CPLYOPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode_ActPolicyType_ActInformationPolicy.OrgIP code to comply with applicable organizational privacy policy. CPLYOSP http://terminology.hl7.org/CodeSystem/v3-ActCode comply with organizational security policy Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information. Usage Note: CPLYOSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode_ActPolicyType.SecurityPolicy code to comply with applicable organizational security policy. BR http://terminology.hl7.org/CodeSystem/v3-ActCode breikost (GE) A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest. DM http://terminology.hl7.org/CodeSystem/v3-ActCode diabetes mellitus diet A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal). FAST http://terminology.hl7.org/CodeSystem/v3-ActCode fasting No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia. FORMULA http://terminology.hl7.org/CodeSystem/v3-ActCode formula diet A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma. GF http://terminology.hl7.org/CodeSystem/v3-ActCode gluten free Gluten free diet for celiac disease. LF http://terminology.hl7.org/CodeSystem/v3-ActCode low fat A diet low in fat, particularly to patients with hepatic diseases. LP http://terminology.hl7.org/CodeSystem/v3-ActCode low protein A low protein diet for patients with renal failure. LQ http://terminology.hl7.org/CodeSystem/v3-ActCode liquid A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries. LS http://terminology.hl7.org/CodeSystem/v3-ActCode low sodium A diet low in sodium for patients with congestive heart failure and/or renal failure. N http://terminology.hl7.org/CodeSystem/v3-ActCode normal diet A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc. NF http://terminology.hl7.org/CodeSystem/v3-ActCode no fat A no fat diet for acute hepatic diseases. PAF http://terminology.hl7.org/CodeSystem/v3-ActCode phenylalanine free Phenylketonuria diet. PAR http://terminology.hl7.org/CodeSystem/v3-ActCode parenteral Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications. RD http://terminology.hl7.org/CodeSystem/v3-ActCode reduction diet A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal). SCH http://terminology.hl7.org/CodeSystem/v3-ActCode schonkost (GE) A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans). SUPPLEMENT http://terminology.hl7.org/CodeSystem/v3-ActCode nutritional supplement A diet that is not intended to be complete but is added to other diets. T http://terminology.hl7.org/CodeSystem/v3-ActCode tea only This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations. VLI http://terminology.hl7.org/CodeSystem/v3-ActCode low valin, leucin, isoleucin Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease." AUTO-HIGH http://terminology.hl7.org/CodeSystem/v3-ActCode Auto-High Dilution The dilution of a sample performed by automated equipment. The value is specified by the equipment AUTO-LOW http://terminology.hl7.org/CodeSystem/v3-ActCode Auto-Low Dilution The dilution of a sample performed by automated equipment. The value is specified by the equipment PRE http://terminology.hl7.org/CodeSystem/v3-ActCode Pre-Dilution The dilution of the specimen made prior to being loaded onto analytical equipment RERUN http://terminology.hl7.org/CodeSystem/v3-ActCode Rerun Dilution The value of the dilution of a sample after it had been analyzed at a prior dilution value DNAINT http://terminology.hl7.org/CodeSystem/v3-ActCode Drug Non-Allergy Intolerance Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure CANPRG http://terminology.hl7.org/CodeSystem/v3-ActCode women's cancer detection program Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages. Example: To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening. ENDRENAL http://terminology.hl7.org/CodeSystem/v3-ActCode end renal program Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services. Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund. HIVAIDS http://terminology.hl7.org/CodeSystem/v3-ActCode HIV-AIDS program Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration. DOSECOND http://terminology.hl7.org/CodeSystem/v3-ActCode dosage-condition alert **Description:**Proposed dosage is inappropriate due to patient's medical condition. DOSEDUR http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Duration Alert Proposed length of therapy differs from standard practice. DOSEH http://terminology.hl7.org/CodeSystem/v3-ActCode High Dose Alert Proposed dosage exceeds standard practice DOSEIVL http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Interval Alert Proposed dosage interval/timing differs from standard practice DOSEL http://terminology.hl7.org/CodeSystem/v3-ActCode Low Dose Alert Proposed dosage is below suggested therapeutic levels MDOSE http://terminology.hl7.org/CodeSystem/v3-ActCode maximum dosage reached **Description:**The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded. DOSEDURH http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Duration High Alert Proposed length of therapy is longer than standard practice DOSEDURL http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Duration Low Alert Proposed length of therapy is shorter than that necessary for therapeutic effect DOSEDURHIND http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Duration High for Indication Alert Proposed length of therapy is longer than standard practice for the identified indication or diagnosis DOSEDURLIND http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Duration Low for Indication Alert Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis DOSEHIND http://terminology.hl7.org/CodeSystem/v3-ActCode High Dose for Indication Alert DOSEHINDSA http://terminology.hl7.org/CodeSystem/v3-ActCode High Dose for Height/Surface Area Alert Proposed dosage exceeds standard practice for the patient's height or body surface area DOSEHINDW http://terminology.hl7.org/CodeSystem/v3-ActCode High Dose for Weight Alert Proposed dosage exceeds standard practice for the patient's weight DOSEIVLIND http://terminology.hl7.org/CodeSystem/v3-ActCode Dose-Interval for Indication Alert Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis DOSELIND http://terminology.hl7.org/CodeSystem/v3-ActCode Low Dose for Indication Alert DOSELINDSA http://terminology.hl7.org/CodeSystem/v3-ActCode Low Dose for Height/Surface Area Alert Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area DOSELINDW http://terminology.hl7.org/CodeSystem/v3-ActCode Low Dose for Weight Alert Proposed dosage is below suggested therapeutic levels for the patient's weight DUPTHPCLS http://terminology.hl7.org/CodeSystem/v3-ActCode duplicate therapeutic alass alert **Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary. DUPTHPGEN http://terminology.hl7.org/CodeSystem/v3-ActCode duplicate generic alert **Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy. ENAINT http://terminology.hl7.org/CodeSystem/v3-ActCode Environmental Non-Allergy Intolerance Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure SO http://terminology.hl7.org/CodeSystem/v3-ActCode Script Owing An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date. 21 http://terminology.hl7.org/CodeSystem/v3-ActCode authorization confirmed Description: Indicates that the permissions have been externally verified and the request should be processed. ENCRYPTR http://terminology.hl7.org/CodeSystem/v3-ActCode encrypt at rest Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage. ENCRYPTT http://terminology.hl7.org/CodeSystem/v3-ActCode encrypt in transit Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means. ENCRYPTU http://terminology.hl7.org/CodeSystem/v3-ActCode encrypt in use Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user. FFC http://terminology.hl7.org/CodeSystem/v3-ActCode First Fill - Complete A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets). FFP http://terminology.hl7.org/CodeSystem/v3-ActCode First Fill - Part Fill A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) FFPS http://terminology.hl7.org/CodeSystem/v3-ActCode first fill, part fill, partial strength A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets) FFSS http://terminology.hl7.org/CodeSystem/v3-ActCode first fill, partial strength A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). TF http://terminology.hl7.org/CodeSystem/v3-ActCode Trial Fill A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance. FFCS http://terminology.hl7.org/CodeSystem/v3-ActCode first fill complete, partial strength A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). TFS http://terminology.hl7.org/CodeSystem/v3-ActCode trial fill partial strength A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). FNAINT http://terminology.hl7.org/CodeSystem/v3-ActCode Food Non-Allergy Intolerance Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure NOTACTN http://terminology.hl7.org/CodeSystem/v3-ActCode no longer actionable **Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.) NOTEQUIV http://terminology.hl7.org/CodeSystem/v3-ActCode not equivalent alert **Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested. TIMING http://terminology.hl7.org/CodeSystem/v3-ActCode event timing incorrect alert **Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested BOOSTER http://terminology.hl7.org/CodeSystem/v3-ActCode Booster Immunization An additional immunization administration within a series intended to bolster or enhance immunity. INITIMMUNIZ http://terminology.hl7.org/CodeSystem/v3-ActCode Initial Immunization The first immunization administration in a series intended to produce immunity ACUTE http://terminology.hl7.org/CodeSystem/v3-ActCode inpatient acute An acute inpatient encounter. NONAC http://terminology.hl7.org/CodeSystem/v3-ActCode inpatient non-acute Any category of inpatient encounter except 'acute' INFAO http://terminology.hl7.org/CodeSystem/v3-ActCode access only Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be. Example: Opened and then emailed or screen printed for use outside of the consent directive purpose. INFASO http://terminology.hl7.org/CodeSystem/v3-ActCode access and save only Definition: Consent to access and save only, which entails that access to the saved copy will remain locked. INFCON http://terminology.hl7.org/CodeSystem/v3-ActCode after explicit consent Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative. FIBRIN http://terminology.hl7.org/CodeSystem/v3-ActCode Fibrin The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1 HEMOLYSIS http://terminology.hl7.org/CodeSystem/v3-ActCode Hemolysis An observation of the hemolysis index of the specimen in g/L ICTERUS http://terminology.hl7.org/CodeSystem/v3-ActCode Icterus An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin LIPEMIA http://terminology.hl7.org/CodeSystem/v3-ActCode Lipemia An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units). IPPOP http://terminology.hl7.org/CodeSystem/v3-ActCode initial patient population Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods. CAREGAP http://terminology.hl7.org/CodeSystem/v3-ActCode Caregap Identifies the type of detected issue is a care gap CODINGGAP http://terminology.hl7.org/CodeSystem/v3-ActCode Codinggap Identifies the type of detected issue is a risk adjustment coding gap JurisCUI http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional controlled unclassified information policy Jurisdictional policy on collection, access, use, or disclosure of controlled unclassified information as defined by applicable jurisdictional law. JurisDEID http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional de-identified information policy Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defined by applicable jurisdictional law. JurisLDS http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional limited data set Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set as defined by applicable jurisdictional law. JurisNSI http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional non-sensitive information policy Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive by applicable jurisdiction law. JurisPI http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional public information policy Jurisdictional policy on collection, access, use, or disclosure of information deemed public by applicable jurisdiction law. JurisSP-CUI http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional specified controlled unclassified information policy Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by applicable jurisdictional policy. JurisUUI http://terminology.hl7.org/CodeSystem/v3-ActCode jurisdictional uncontrolled unclassified information policy Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by applicable jurisdictional policy. LEN_LONG http://terminology.hl7.org/CodeSystem/v3-ActCode length is too long **Description:**The length of the data specified is greater than the maximum length defined for the element. LEN_SHORT http://terminology.hl7.org/CodeSystem/v3-ActCode length is too short **Description:**The length of the data specified is less than the minimum length defined for the element. ANNU http://terminology.hl7.org/CodeSystem/v3-ActCode annuity policy Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals. For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed. TLIFE http://terminology.hl7.org/CodeSystem/v3-ActCode term life insurance policy Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing. ULIFE http://terminology.hl7.org/CodeSystem/v3-ActCode universal life insurance policy Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing RENT http://terminology.hl7.org/CodeSystem/v3-ActCode Rent Temporary supply of a product with financial compensation, without transfer of ownership for the product. HMO http://terminology.hl7.org/CodeSystem/v3-ActCode health maintenance organization policy Definition: A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works. PPO http://terminology.hl7.org/CodeSystem/v3-ActCode preferred provider organization policy Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles. MDHHS-5515MMHC http://terminology.hl7.org/CodeSystem/v3-ActCode Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-Michigan Mental Health Code The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health governed by the Michigan Mental Health Code Act 258 of 1974, which require patient authorization for purposes other than treatment, payment, and coordination of care, in accordance with Public Act 129 of 2014. Usage Note: For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_58005-343686--,00.html MDHHS-5515Part2 http://terminology.hl7.org/CodeSystem/v3-ActCode Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-US 42 CFR Part 2 The State of Michigan standard privacy consent form for sharing of health information specific to substance use information governed under US 42 CFR Part 2 in accordance with Public Act 129 of 2014. Usage Note: For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_58005-343686--,00.html CURMEDLIST http://terminology.hl7.org/CodeSystem/v3-ActCode current medication list List of current medications. DISCMEDLIST http://terminology.hl7.org/CodeSystem/v3-ActCode discharge medication list List of discharge medications. HISTMEDLIST http://terminology.hl7.org/CodeSystem/v3-ActCode medication history Historical list of medications. MICROORGRREV http://terminology.hl7.org/CodeSystem/v3-ActCode microbiology organisms results review task A person reviews organisms of microbiology results of a given patient. MICROSENSRREV http://terminology.hl7.org/CodeSystem/v3-ActCode microbiology sensitivity test results review task A person reviews the sensitivity test of microbiology results of a given patient. MARWLREV http://terminology.hl7.org/CodeSystem/v3-ActCode medication administration record work list review task A clinician reviews a work list of medications to be administered to a given patient. NOTEQUIVGEN http://terminology.hl7.org/CodeSystem/v3-ActCode not generically equivalent alert **Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested. NOTEQUIVTHER http://terminology.hl7.org/CodeSystem/v3-ActCode not therapeutically equivalent alert **Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested. ANONY http://terminology.hl7.org/CodeSystem/v3-ActCode anonymize Custodian system must remove any information that could result in identifying the information subject. AOD http://terminology.hl7.org/CodeSystem/v3-ActCode accounting of disclosure Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual's protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested. AUDIT http://terminology.hl7.org/CodeSystem/v3-ActCode audit Custodian system must monitor systems to ensure that all users are authorized to operate on information objects. AUDTR http://terminology.hl7.org/CodeSystem/v3-ActCode audit trail Custodian system must monitor and maintain retrievable log for each user and operation on information. CPLYPOL http://terminology.hl7.org/CodeSystem/v3-ActCode comply with policy Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information. Usage Note: CPLYPOL may be used as a security label code to inform senders and receivers of the tagged information to comply with applicable policy without specifying the specific policy type(s). DECLASSIFYLABEL http://terminology.hl7.org/CodeSystem/v3-ActCode declassify security label Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. DEID http://terminology.hl7.org/CodeSystem/v3-ActCode deidentify Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. DELAU http://terminology.hl7.org/CodeSystem/v3-ActCode delete after use Custodian system must remove target information from access after use. DOWNGRDLABEL http://terminology.hl7.org/CodeSystem/v3-ActCode downgrade security label Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. DRIVLABEL http://terminology.hl7.org/CodeSystem/v3-ActCode derive security label Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. ENCRYPT http://terminology.hl7.org/CodeSystem/v3-ActCode encrypt Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.) HUAPRV http://terminology.hl7.org/CodeSystem/v3-ActCode human approval Custodian system must require human review and approval for permission requested. LABEL http://terminology.hl7.org/CodeSystem/v3-ActCode assign security label Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes. MASK http://terminology.hl7.org/CodeSystem/v3-ActCode mask Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret". MINEC http://terminology.hl7.org/CodeSystem/v3-ActCode minimum necessary Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use. PERSISTLABEL http://terminology.hl7.org/CodeSystem/v3-ActCode persist security label Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. PRIVMARK http://terminology.hl7.org/CodeSystem/v3-ActCode privacy mark Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label." PSEUD http://terminology.hl7.org/CodeSystem/v3-ActCode pseudonymize Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. REDACT http://terminology.hl7.org/CodeSystem/v3-ActCode redact Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users. UPGRDLABEL http://terminology.hl7.org/CodeSystem/v3-ActCode upgrade security label Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. PROCESSINLINELABEL http://terminology.hl7.org/CodeSystem/v3-ActCode process inline security label Custodian security system must take note that the data object contains inline security labels and process them. AGE http://terminology.hl7.org/CodeSystem/v3-ActCode Age Alert Proposed therapy may be inappropriate or contraindicated due to patient age COND http://terminology.hl7.org/CodeSystem/v3-ActCode Condition Alert Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis CREACT http://terminology.hl7.org/CodeSystem/v3-ActCode common reaction alert **Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. **Example:**There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted. GEN http://terminology.hl7.org/CodeSystem/v3-ActCode Genetic Alert Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators. GEND http://terminology.hl7.org/CodeSystem/v3-ActCode Gender Alert Proposed therapy may be inappropriate or contraindicated due to patient gender. LAB http://terminology.hl7.org/CodeSystem/v3-ActCode Lab Alert Proposed therapy may be inappropriate or contraindicated due to recent lab test results REACT http://terminology.hl7.org/CodeSystem/v3-ActCode Reaction Alert Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product RREACT http://terminology.hl7.org/CodeSystem/v3-ActCode Related Reaction Alert Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product. LABOE http://terminology.hl7.org/CodeSystem/v3-ActCode laboratory test order entry task A clinician creates a request for a laboratory test to be done for a given patient. MEDOE http://terminology.hl7.org/CodeSystem/v3-ActCode medication order entry task A clinician creates a request for the administration of one or more medications to a given patient. ALG http://terminology.hl7.org/CodeSystem/v3-ActCode Allergy Hypersensitivity to an agent caused by an immunologic response to an initial exposure DINT http://terminology.hl7.org/CodeSystem/v3-ActCode Drug Intolerance Hypersensitivity resulting in an adverse reaction upon exposure to a drug. EINT http://terminology.hl7.org/CodeSystem/v3-ActCode Environmental Intolerance Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions. FINT http://terminology.hl7.org/CodeSystem/v3-ActCode Food Intolerance Hypersensitivity resulting in an adverse reaction upon exposure to food. NAINT http://terminology.hl7.org/CodeSystem/v3-ActCode Non-Allergy Intolerance Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure OrgCUI http://terminology.hl7.org/CodeSystem/v3-ActCode organizational basic controlled unclassified information policy Organizational policy on collection, access, use, or disclosure of basic controlled unclassified information as defined by the organization or by applicable jurisdictional law. OrgDEID http://terminology.hl7.org/CodeSystem/v3-ActCode organizational de-identified informati)on policy Organizational policy on collection, access, use, or disclosure of de-identified information as defined by the organization or by applicable jurisdictional law. OrgLDS http://terminology.hl7.org/CodeSystem/v3-ActCode organizational limited data set information policy Organizational policy on collection, access, use, or disclosure of information in a limited data set as defined by the organization or by applicable jurisdictional law. OrgNSI http://terminology.hl7.org/CodeSystem/v3-ActCode organizational non-sensitive information policy Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive by the organization or by applicable jurisdictional law. OrgPI http://terminology.hl7.org/CodeSystem/v3-ActCode organizational public information policy Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or by applicable jurisdictional law. OrgSP-CUI http://terminology.hl7.org/CodeSystem/v3-ActCode organizational specified controlled unclassified information policy Organizational policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by the organization or by applicable jurisdictional law. OrgUUI http://terminology.hl7.org/CodeSystem/v3-ActCode organizational uncontrolled unclassified information policy Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by the organization or governing jurisdiction. ALLERLREV http://terminology.hl7.org/CodeSystem/v3-ActCode allergy list review Description: A person reviews a list of known allergies of a given patient. CLINNOTEE http://terminology.hl7.org/CodeSystem/v3-ActCode clinical note entry task A clinician enters a clinical note about a given patient IMMLREV http://terminology.hl7.org/CodeSystem/v3-ActCode immunization list review Description: A person reviews a list of immunizations due or received for a given patient. REMLREV http://terminology.hl7.org/CodeSystem/v3-ActCode reminder list review Description: A person reviews a list of health care reminders for a given patient. ALLERLE http://terminology.hl7.org/CodeSystem/v3-ActCode allergy list entry Description: A person enters a known allergy for a given patient. CDSREV http://terminology.hl7.org/CodeSystem/v3-ActCode clinical decision support intervention review A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient. CLINNOTEREV http://terminology.hl7.org/CodeSystem/v3-ActCode clinical note review task A person reviews a clinical note of a given patient. DIAGLISTREV http://terminology.hl7.org/CodeSystem/v3-ActCode diagnosis list review task A person reviews a list of diagnoses of a given patient. IMMLE http://terminology.hl7.org/CodeSystem/v3-ActCode immunization list entry Description: A person enters an immunization due or received for a given patient. LABRREV http://terminology.hl7.org/CodeSystem/v3-ActCode laboratory results review task A person reviews a list of laboratory results of a given patient. MICRORREV http://terminology.hl7.org/CodeSystem/v3-ActCode microbiology results review task A person reviews a list of microbiology results of a given patient. MLREV http://terminology.hl7.org/CodeSystem/v3-ActCode medication list review task A person reviews a list of medication orders submitted to a given patient OREV http://terminology.hl7.org/CodeSystem/v3-ActCode orders review task A person reviews a list of orders submitted to a given patient. PATREPREV http://terminology.hl7.org/CodeSystem/v3-ActCode pathology report review task A person reviews a pathology report of a given patient. PROBLISTREV http://terminology.hl7.org/CodeSystem/v3-ActCode problem list review task A person reviews a list of problems of a given patient. RADREPREV http://terminology.hl7.org/CodeSystem/v3-ActCode radiology report review task A person reviews a radiology report of a given patient. REMLE http://terminology.hl7.org/CodeSystem/v3-ActCode reminder list entry Description: A person enters a health care reminder for a given patient. RISKASSESS http://terminology.hl7.org/CodeSystem/v3-ActCode risk assessment instrument task A person reviews a Risk Assessment Instrument report of a given patient. PATPREFALT http://terminology.hl7.org/CodeSystem/v3-ActCode violates stated preferences, alternate available **Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available. PersDEID http://terminology.hl7.org/CodeSystem/v3-ActCode personal de-identified information policy Personal policy on collection, access, use, or disclosure of de-identified information as defined by the information subject or by applicable jurisdictional law. PersLDS http://terminology.hl7.org/CodeSystem/v3-ActCode personal limited data set information policy Personal policy personal policy on collection, access, use, or disclosure of information in a limited data set by the information subject. PersNSI http://terminology.hl7.org/CodeSystem/v3-ActCode personal non-sensitive information policy Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the information subject. PersPI http://terminology.hl7.org/CodeSystem/v3-ActCode personal public information policy Personal policy on collection, access, use, or disclosure of information deemed public by the information subject. CUIMark http://terminology.hl7.org/CodeSystem/v3-ActCode CUI Mark An originator must mark, persist, display, and convey computable and renderable Controlled Unclassified Information (CUI) marks as required by policy. A recipient must consume, persist, display, and reconvey CUI marks on information received based on agreements with the originator.. Examples: As CUI custodians, Federal Agencies and their contractors must mark, persist, display, and convey these marks. All CUI receivers must consume, persist, display, and reconvey CUI markings on information further disclosed Usage Note: In accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI). The following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html CUI is defined as "information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls" Designating CUI occurs when an authorized holder, consistent with US 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI. The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information. Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency. Once designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook. CUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems. When HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings. Impact of CUI markings: CUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings. For most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf Federal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies. Applicable CUI policies include the following and any future applicable updates to policies or laws related to CUI: Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance DENTPRG http://terminology.hl7.org/CodeSystem/v3-ActCode dental program Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria. DISEASEPRG http://terminology.hl7.org/CodeSystem/v3-ActCode public health program Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. Example: Reproductive health, sexually transmitted disease, and end renal disease programs. MANDPOL http://terminology.hl7.org/CodeSystem/v3-ActCode mandatory health program MENTPRG http://terminology.hl7.org/CodeSystem/v3-ActCode mental health program Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA). SAFNET http://terminology.hl7.org/CodeSystem/v3-ActCode safety net clinic program Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration. SUBPRG http://terminology.hl7.org/CodeSystem/v3-ActCode substance use program Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA). SUBSIDIZ http://terminology.hl7.org/CodeSystem/v3-ActCode subsidized health program Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. ALGY http://terminology.hl7.org/CodeSystem/v3-ActCode Allergy Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.) INT http://terminology.hl7.org/CodeSystem/v3-ActCode Intolerance Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.) NOAUTH http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without subject authorization Prohibition on disclosure without information subject's authorization. NOCOLLECT http://terminology.hl7.org/CodeSystem/v3-ActCode no collection Prohibition on collection or storage of the information. NODSCLCD http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without consent directive Prohibition on disclosure without organizational approved patient restriction. NODSCLCDS http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without information subject's consent directive Prohibition on disclosure without a consent directive from the information subject. NOINTEGRATE http://terminology.hl7.org/CodeSystem/v3-ActCode no integration Prohibition on Integration into other records. NOLIST http://terminology.hl7.org/CodeSystem/v3-ActCode no unlisted entity disclosure Prohibition on disclosure except to entities on specific access list. NOMOU http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without MOU Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU). NOORGPOL http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without organizational authorization Prohibition on disclosure without organizational authorization. NOPAT http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure to patient, family or caregivers without attending provider's authorization Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone). NOPERSISTP http://terminology.hl7.org/CodeSystem/v3-ActCode no collection beyond purpose of use Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited. NORDSCLCD http://terminology.hl7.org/CodeSystem/v3-ActCode no redisclosure without consent directive Prohibition on redisclosure without patient consent directive. NORDSLCD http://terminology.hl7.org/CodeSystem/v3-ActCode no redisclosure without consent directive Prohibition on redisclosure without patient consent directive. NORDSCLCDS http://terminology.hl7.org/CodeSystem/v3-ActCode no redisclosure without information subject's consent directive Prohibition on redisclosure without a consent directive from the information subject. NORDSCLW http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without jurisdictional authorization Prohibition on disclosure without authorization under jurisdictional law. NORELINK http://terminology.hl7.org/CodeSystem/v3-ActCode no relinking Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked. NOREUSE http://terminology.hl7.org/CodeSystem/v3-ActCode no reuse beyond purpose of use Prohibition on use of the information beyond the purpose of use initially authorized. NOVIP http://terminology.hl7.org/CodeSystem/v3-ActCode no unauthorized VIP disclosure Prohibition on disclosure except to principals with access permission to specific VIP information. ORCON http://terminology.hl7.org/CodeSystem/v3-ActCode no disclosure without originator authorization Prohibition on disclosure except as permitted by the information originator. WELLREMLE http://terminology.hl7.org/CodeSystem/v3-ActCode wellness reminder list entry Description: A person enters a wellness or preventive care reminder for a given patient. WELLREMLREV http://terminology.hl7.org/CodeSystem/v3-ActCode wellness reminder list review Description: A person reviews a list of wellness or preventive care reminders for a given patient. MAXOCCURS http://terminology.hl7.org/CodeSystem/v3-ActCode repetitions above maximum **Description:**The number of repeating elements is above the maximum number of repetitions allowed. MINOCCURS http://terminology.hl7.org/CodeSystem/v3-ActCode repetitions below minimum **Description:**The number of repeating elements is below the minimum number of repetitions allowed. RSDID http://terminology.hl7.org/CodeSystem/v3-ActCode de-identified information access Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance. RSREID http://terminology.hl7.org/CodeSystem/v3-ActCode re-identifiable information access Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. Example:: Where there is a need to inform the subject of potential health issues. RFC http://terminology.hl7.org/CodeSystem/v3-ActCode Refill - Complete A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) RFF http://terminology.hl7.org/CodeSystem/v3-ActCode Refill (First fill this facility) The first fill against an order that has already been filled at least once at another facility. RFP http://terminology.hl7.org/CodeSystem/v3-ActCode Refill - Part Fill A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) RFS http://terminology.hl7.org/CodeSystem/v3-ActCode refill partial strength A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). TB http://terminology.hl7.org/CodeSystem/v3-ActCode Trial Balance A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided. RFCS http://terminology.hl7.org/CodeSystem/v3-ActCode refill complete partial strength A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). RFFS http://terminology.hl7.org/CodeSystem/v3-ActCode refill partial strength (first fill this facility) The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). RFPS http://terminology.hl7.org/CodeSystem/v3-ActCode refill part fill partial strength A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). FALLRISK http://terminology.hl7.org/CodeSystem/v3-ActCode falls risk assessment instrument task A person reviews a Falls Risk Assessment Instrument report of a given patient. RALG http://terminology.hl7.org/CodeSystem/v3-ActCode Related Allergy Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.) RAR http://terminology.hl7.org/CodeSystem/v3-ActCode Related Prior Reaction Alert Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product. RINT http://terminology.hl7.org/CodeSystem/v3-ActCode Related Intolerance Alert Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.) SECALTINTOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security alteration integrity observation Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource. Examples: Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including: translation syntactic transformation semantic mapping redaction masking pseudonymization anonymization SECDATINTOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security data integrity observation Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made." Examples: Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature. SECINTCONOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security integrity confidence observation Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Examples: Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable. Usage Note: A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty. SECINTSTOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security integrity status observation Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource. Examples: Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete. SECINTPRVABOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security integrity provenance asserted by observation Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource. Examples: Types of security integrity provenance asserted by observation metadata, which may value the observation, including: assertions about an IT resource by a patient assertions about an IT resource by a clinician assertions about an IT resource by a device SECINTPRVRBOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security integrity provenance reported by observation Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource. Examples: Types of security integrity provenance reported by observation metadata, which may value the observation, include: reports about an IT resource by a patient reports about an IT resource by a clinician reports about an IT resource by a device SECCATOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security category observation Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone." Rationale: A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. [FIPS 199] Examples: Types of security categories include: Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System) SECCLASSOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security classification observation Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure. Rationale: A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality. Examples: Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential. Usage Note: Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag". SECCONOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security control observation Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource. Rationale: A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. [FIPS 199] Examples: Types of security control metadata include: handling caveats dissemination controls obligations refrain policies purpose of use constraints SECINTOBS http://terminology.hl7.org/CodeSystem/v3-ActCode security integrity observation Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Rationale: A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542) Examples: Types of security integrity metadata include: Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability) Integrity confidence, which indicates the reliability and trustworthiness of an IT resource Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8) Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource Integrity provenance, which indicates the entity responsible for a report or assertion relayed "second-hand" about an IT resource TRSTACCRDOBS http://terminology.hl7.org/CodeSystem/v3-ActCode trust accreditation observation Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework. TRSTAGREOBS http://terminology.hl7.org/CodeSystem/v3-ActCode trust agreement observation Type of security metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1] TRSTCERTOBS http://terminology.hl7.org/CodeSystem/v3-ActCode trust certificate observation Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants. A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.] TRSTFWKOBS http://terminology.hl7.org/CodeSystem/v3-ActCode trust framework observation Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative] TRSTLOAOBS http://terminology.hl7.org/CodeSystem/v3-ActCode trust assurance observation Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol. TRSTMECOBS http://terminology.hl7.org/CodeSystem/v3-ActCode trust mechanism observation Type of security metadata observation made about a security architecture system component that supports enforcement of security policies. ConfidentialMark http://terminology.hl7.org/CodeSystem/v3-ActCode confidential mark A displayed mark rendered as "Confidential", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy. May be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy. Usage Note: The ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. Usage Note: Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. COPYMark http://terminology.hl7.org/CodeSystem/v3-ActCode copy of original mark A displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content. Usage Note: Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or "banner" of electronic or hardcopy pages, or as watermarks set diagonally across each page. DeliverToAddresseeOnlyMark http://terminology.hl7.org/CodeSystem/v3-ActCode deliver only to addressee mark A displayed mark on an electronic transmission or physical container such as an electronic transmittal wrapper, batch file, message header, or a physical envelop or package indicating that the contents, whether electronic or hardcopy information, must only be delivered to the authorized recipient(s) named in the address. Usage Note: Required by US 32 CRF Part 2002 for container storing or transmitting CUI. RedisclosureProhibitionMark http://terminology.hl7.org/CodeSystem/v3-ActCode prohibition against redisclosure mark A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR § 2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see § 2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at § § 2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32 Usage Note: Example of marking requirement from SAMHSA FAQ Response to question 13: Would a logon or splash page notification on an HIO's portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2's requirement that disclosures made with patient consent be accompanied by such a statement? No. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR § 2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by § 2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs RestrictedConfidentialityMark http://terminology.hl7.org/CodeSystem/v3-ActCode restricted confidentiality mark A displayed mark rendered to end users as "Restricted Confidentiality", which indicates that the electronic or hardcopy information they are viewing, must be protected at a restricted level of confidentiality protection as defined by HL7 Confidentiality code "R" (restricted). Examples: Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. Use cases include a display to alert authorized EHR users that they are viewing additionally protected health information deemed sensitive by an applicable jurisdictional, organizational, or personal privacy policy. Usage Note: The definition is based on HL7 Confidentiality code "R" (restricted), which is described as: Privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Foundational definitions of Confidentiality: From HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. Usage Note from HL7 Confidentiality code "R": Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations. DRAFTMark http://terminology.hl7.org/CodeSystem/v3-ActCode Draft Mark A displayed mark indicating that the electronic or hard-copy information is still under development and is not yet considered to be ready for normal use. AUTHPOL http://terminology.hl7.org/CodeSystem/v3-ActCode authorization policy Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system. A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS) DELEPOL http://terminology.hl7.org/CodeSystem/v3-ActCode delegation policy Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated. Delegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden. A Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS) ObligationPolicy http://terminology.hl7.org/CodeSystem/v3-ActCode obligation policy Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision. RefrainPolicy http://terminology.hl7.org/CodeSystem/v3-ActCode refrain policy Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc. BH http://terminology.hl7.org/CodeSystem/v3-ActCode behavioral health information sensitivity Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. MH http://terminology.hl7.org/CodeSystem/v3-ActCode mental health information sensitivity Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. PSY http://terminology.hl7.org/CodeSystem/v3-ActCode psychiatry disorder information sensitivity Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. PSYTHPN http://terminology.hl7.org/CodeSystem/v3-ActCode psychotherapy note information sensitivity Policy for handling psychotherapy note information, which is afforded heightened confidentiality. Usage Note: In some jurisdiction, disclosure of psychotherapy notes requires patient consent. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. SUD http://terminology.hl7.org/CodeSystem/v3-ActCode substance use disorder information sensitivity Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. SUBSIDMC http://terminology.hl7.org/CodeSystem/v3-ActCode subsidized managed care program Definition: A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code. SUBSUPP http://terminology.hl7.org/CodeSystem/v3-ActCode subsidized supplemental health program Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Example: Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy. Discussion: The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code. ETHUD http://terminology.hl7.org/CodeSystem/v3-ActCode alcohol use disorder information sensitivity Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. OPIOIDUD http://terminology.hl7.org/CodeSystem/v3-ActCode opioid use disorder information sensitivity Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. TBS http://terminology.hl7.org/CodeSystem/v3-ActCode trial balance partial strength A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets). ALRTENDLATE http://terminology.hl7.org/CodeSystem/v3-ActCode end too late alert **Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy. ALRTSTRTLATE http://terminology.hl7.org/CodeSystem/v3-ActCode start too late alert **Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition. INTERVAL http://terminology.hl7.org/CodeSystem/v3-ActCode outside requested time **Definition:**The therapy action is being performed outside the bounds of the time period requested MINFREQ http://terminology.hl7.org/CodeSystem/v3-ActCode too soon within frequency based on the usage **Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency DRG http://terminology.hl7.org/CodeSystem/v3-ActCode Drug Interaction Alert Proposed therapy may interact with an existing or recent drug therapy NHP http://terminology.hl7.org/CodeSystem/v3-ActCode Natural Health Product Alert Proposed therapy may interact with existing or recent natural health product therapy NONRX http://terminology.hl7.org/CodeSystem/v3-ActCode Non-Prescription Interaction Alert Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin) SALE http://terminology.hl7.org/CodeSystem/v3-ActCode Sale Transfer of ownership for a product for financial compensation. BUS http://terminology.hl7.org/CodeSystem/v3-ActCode business constraint violation **Description:**A local business rule relating multiple elements has been violated. CODE_INVAL http://terminology.hl7.org/CodeSystem/v3-ActCode code is not valid **Description:**The specified code is not valid against the list of codes allowed for the element. FORMAT http://terminology.hl7.org/CodeSystem/v3-ActCode invalid format **Description:**The element does not follow the formatting or type rules defined for the field. ILLEGAL http://terminology.hl7.org/CodeSystem/v3-ActCode illegal **Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning. LEN_RANGE http://terminology.hl7.org/CodeSystem/v3-ActCode length out of range **Description:**The length of the data specified falls out of the range defined for the element. MISSCOND http://terminology.hl7.org/CodeSystem/v3-ActCode conditional element missing **Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null. MISSMAND http://terminology.hl7.org/CodeSystem/v3-ActCode mandatory element missing **Description:**The specified element is mandatory and was not included in the instance. NODUPS http://terminology.hl7.org/CodeSystem/v3-ActCode duplicate values are not permitted **Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set. NOPERSIST http://terminology.hl7.org/CodeSystem/v3-ActCode element will not be persisted Description: Element in submitted message will not persist in data storage based on detected issue. REP_RANGE http://terminology.hl7.org/CodeSystem/v3-ActCode repetitions out of range **Description:**The number of repeating elements falls outside the range of the allowed number of repetitions. AVAILABLE http://terminology.hl7.org/CodeSystem/v3-ActCode Available Volume The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned) CONSUMPTION http://terminology.hl7.org/CodeSystem/v3-ActCode Consumption Volume The quantity of specimen that is used each time the equipment uses this substance CURRENT http://terminology.hl7.org/CodeSystem/v3-ActCode Current Volume The current quantity of the specimen, i.e., initial quantity minus what has been actually used. INITIAL http://terminology.hl7.org/CodeSystem/v3-ActCode Initial Volume The initial quantity of the specimen in inventory
Cross-version VS for R5.XActInvoiceDetailPharmacyCode for use in FHIR R4
This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-xActInvoiceDetailPharmacyCode|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.
implied consent with opportunity to dissent
certified anatomic pathology and clinical pathology care
certified clinical biochemical genetics care
certified clinical molecular genetics care
certified neurology with special qualifications in child neurology care
certified obstetrics and gynecology care
certified public health and general preventive medicine care
certified physical medicine and rehabilitation care
accredited critical access hospital care
certified acute myocardial infarction care
certified digestive/gastrointestinal disorders care
certified orthopedic joint replacement care
certified chronic obstructive pulmonary disease care
certified stroke disease management care
Health Care Interaction - Not Patient Care
opt-in to personal information or effect collection in a registry or repository
opt-in to personal information or effect sharing via a registry or repository
opt-out of personal information or effect collection in a registry or repository
opt-out of personal information or effect sharing via a registry or repository
military sexual trauma information sensitivity
sickle cell anemia information sensitivity
sexual assault, abuse, or domestic violence information sensitivity
sexuality and reproductive health information sensitivity
specially protected information sensitivity
sexually transmitted disease information sensitivity
United Nations Standard Products and Services Classification
Compound HIPAA Research Authorization and Informed Consent for Research
HIPAA Authorization for Disclosure for Research Consent Directive
Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes
gender and sexual orientation information sensitivity
living arrangement information sensitivity
physician requested information sensitivity
patient requested information sensitivity
adjud. nullified prior-period electronic amount
adjud. nullified prior-period electronic count
adjud. nullified prior-period manual amount
adjud. nullified prior-period manual count
adjud. nullified same-period electronic amount
adjud. nullified same-period electronic count
adjud. nullified same-period manual amount
adjud. nullified same-period manual count
adjud. non-payee payable prior-period electronic amount
adjud. non-payee payable prior-period electronic count
adjud. non-payee payable prior-period manual amount
adjud. non-payee payable prior-period manual count
adjud. non-payee payable same-period electronic amount
adjud. non-payee payable same-period electronic count
adjud. non-payee payable same-period manual amount
adjud. non-payee payable same-period manual count
adjud. payee payable prior-period electronic amount
adjud. payee payable prior-period electronic count
adjud. payee payable prior-period manual amout
adjud. payee payable prior-period manual count
adjud. payee payable same-period electronic amount
adjud. payee payable same-period electronic count
adjud. payee payable same-period manual amount
adjud. payee payable same-period manual count
adjud. refused prior-period electronic amount
adjud. refused prior-period electronic count
adjud. refused prior-period manual amount
adjud. refused prior-period manual count
adjud. refused same-period electronic amount
adjud. refused same-period electronic count
adjud. refused same-period manual amount
paid nullified prior-period electronic amount
paid nullified prior-period electronic count
paid nullified prior-period manual amount
paid nullified prior-period manual count
paid nullified same-period electronic amount
paid nullified same-period electronic count
paid nullified same-period manual amount
paid non-payee payable prior-period electronic amount
paid non-payee payable prior-period electronic count
paid non-payee payable prior-period manual amount
paid non-payee payable prior-period manual count
paid non-payee payable same-period electronic amount
paid non-payee payable same-period electronic count
paid non-payee payable same-period manual amount
paid non-payee payable same-period manual count
paid payee payable prior-period electronic amount
paid payee payable prior-period electronic count
paid payee payable prior-period manual amount
paid payee payable prior-period manual count
paid payee payable same-period electronic amount
paid payee payable same-period electronic count
paid payee payable same-period manual amount
paid payee payable same-period manual count
health quality measure improvement notation
sensitive service provider information sensitivity
Interacting Therapy No Longer Active/Planned
additional quantity on separate dispense
Temporarily Suspended Concurrent Therapy
adjudicated with adjustments and no financial impact
cognitive disability information sensitivity
developmental disability information sensitivity
emotional disturbance information sensitivity
accountable care organization compartment
comply with controlled unclassified information policy
comply with jurisdictional privacy policy
comply with jurisdictional security policy
comply with organizational privacy policy
comply with organizational security policy
jurisdictional controlled unclassified information policy
jurisdictional de-identified information policy
jurisdictional non-sensitive information policy
jurisdictional public information policy
jurisdictional specified controlled unclassified information policy
jurisdictional uncontrolled unclassified information policy
Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-Michigan Mental Health Code
Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-US 42 CFR Part 2
microbiology organisms results review task
microbiology sensitivity test results review task
medication administration record work list review task
organizational basic controlled unclassified information policy
organizational de-identified informati)on policy
organizational limited data set information policy
organizational non-sensitive information policy
organizational public information policy
organizational specified controlled unclassified information policy
organizational uncontrolled unclassified information policy
clinical decision support intervention review
violates stated preferences, alternate available
personal de-identified information policy
personal limited data set information policy
personal non-sensitive information policy
no disclosure without subject authorization
no disclosure without information subject's consent directive
no disclosure without organizational authorization
no disclosure to patient, family or caregivers without attending provider's authorization
no redisclosure without consent directive
no redisclosure without information subject's consent directive
no disclosure without jurisdictional authorization
no disclosure without originator authorization
refill partial strength (first fill this facility)
security alteration integrity observation
security integrity confidence observation
security integrity provenance asserted by observation
security integrity provenance reported by observation
behavioral health information sensitivity
psychiatry disorder information sensitivity
psychotherapy note information sensitivity
substance use disorder information sensitivity
alcohol use disorder information sensitivity
opioid use disorder information sensitivity
too soon within frequency based on the usage