v3-ActClass
type: CodeSystem
node role: treeRoot
resource.id:
  value: v3-ActClass
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Properties Code URL Type Description Specializes Coding The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric. Generalizes Coding Inverse of Specializes. Only included as a derived relationship. internalId http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id code The internal identifier for the concept in the HL7 Access database repository. status http://hl7.org/fhir/concept-properties#status code A property that indicates the status of the concept. One of active, experimental, deprecated, or retired. deprecationDate http://hl7.org/fhir/concept-properties#deprecationDate dateTime The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged. Name:Class http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class code The formal name for the class clone under this code Name:Participation:act:Act http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Participation-act string The formal name for relationship from Participation to Act HL7usageNotes http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes string HL7 Concept Usage Notes notSelectable http://hl7.org/fhir/concept-properties#notSelectable boolean Indicates that the code is abstract - only intended to be used as a selector for other concepts synonymCode http://hl7.org/fhir/concept-properties#synonym code An additional concept code that was also attributed to a concept subsumedBy http://hl7.org/fhir/concept-properties#parent code The concept code of a parent concept This code system http://terminology.hl7.org/CodeSystem/v3-ActClass defines the following codes: Lvl Code Display Definition Deprecated internalId status deprecationDate Name:Class Name:Participation:act:Act HL7 Concept Usage Notes Not S…
code system.url:
  value: http://terminology.hl7.org/CodeSystem/v3-ActClass
code system.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.5.6
code system.version:
  value: 3.1.1
code system.name:
  value: ActClass
code system.title:
  value: ActClass
code system.status:
  value: active
code system.experimental:
  value: false
code system.date:
  value: 2019-03-20
code system.publisher:
  value: Health Level 7
code system.contact:
  index: 0
  contact detail.name:
    value: Health Level Seven
code system.description:
  value: A code specifying the major type of Act that this Act-instance represents. *Constraints:* The classCode domain is a tightly controlled vocabulary, not an external or user-defined vocabulary. Every Act-instance must have a classCode. If the act class is not further specified, the most general Act.classCode (ACT) is used. The Act.classCode must be a generalization of the specific Act concept (e.g., as expressed in Act.code), in other words, the Act concepts conveyed in an Act must be specializations of the Act.classCode. Especially, Act.code is not a "modifier" that can alter the meaning of a class code. (See Act.code for contrast.)
code system.case sensitive:
  value: true
code system.hierarchy meaning:
  value: is-a
code system.content:
  value: complete
code system.property:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
    extension.value code:
      value: antisymmetric
  element.extension:
    index: 1
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
    extension.value code:
      value: transitive
  element.extension:
    index: 2
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
    extension.value code:
      value: irreflexive
  element.extension:
    index: 3
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
    extension.value boolean:
      value: true
  element.extension:
    index: 4
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
    extension.value code:
      value: Specializes
  element.extension:
    index: 5
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
    extension.value string:
      value: Generalizes
  code system.property.code:
    value: Specializes
  code system.property.description:
    value: The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.
  code system.property.type:
    value: Coding
code system.property:
  index: 1
  element.extension:
    index: 0
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
    extension.value code:
      value: antisymmetric
  element.extension:
    index: 1
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
    extension.value code:
      value: transitive
  element.extension:
    index: 2
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
    extension.value code:
      value: irreflexive
  element.extension:
    index: 3
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
    extension.value boolean:
      value: true
  element.extension:
    index: 4
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
    extension.value code:
      value: Generalizes
  element.extension:
    index: 5
    extension.url:
      value: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
    extension.value string:
      value: Specializes
  code system.property.code:
    value: Generalizes
  code system.property.description:
    value: Inverse of Specializes. Only included as a derived relationship.
  code system.property.type:
    value: Coding
code system.property:
  index: 2
  code system.property.code:
    value: internalId
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id
  code system.property.description:
    value: The internal identifier for the concept in the HL7 Access database repository.
  code system.property.type:
    value: code
code system.property:
  index: 3
  code system.property.code:
    value: status
  code system.property.uri:
    value: http://hl7.org/fhir/concept-properties#status
  code system.property.description:
    value: A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.
  code system.property.type:
    value: code
code system.property:
  index: 4
  code system.property.code:
    value: deprecationDate
  code system.property.uri:
    value: http://hl7.org/fhir/concept-properties#deprecationDate
  code system.property.description:
    value: The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.
  code system.property.type:
    value: dateTime
code system.property:
  index: 5
  code system.property.code:
    value: Name:Class
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class
  code system.property.description:
    value: The formal name for the class clone under this code
  code system.property.type:
    value: code
code system.property:
  index: 6
  code system.property.code:
    value: Name:Participation:act:Act
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Participation-act
  code system.property.description:
    value: The formal name for relationship from Participation to Act
  code system.property.type:
    value: string
code system.property:
  index: 7
  code system.property.code:
    value: HL7usageNotes
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes
  code system.property.description:
    value: HL7 Concept Usage Notes
  code system.property.type:
    value: string
code system.property:
  index: 8
  code system.property.code:
    value: notSelectable
  code system.property.uri:
    value: http://hl7.org/fhir/concept-properties#notSelectable
  code system.property.description:
    value: Indicates that the code is abstract - only intended to be used as a selector for other concepts
  code system.property.type:
    value: boolean

index: 9
code system.property.code:
  value: synonymCode
code system.property.uri:
  value: http://hl7.org/fhir/concept-properties#synonym
code system.property.description:
  value: An additional concept code that was also attributed to a concept
code system.property.type:
  value: code

index: 10
code system.property.code:
  value: subsumedBy
code system.property.uri:
  value: http://hl7.org/fhir/concept-properties#parent
code system.property.description:
  value: The concept code of a parent concept
code system.property.type:
  value: code

index: 0
code system.concept.code:
  value: ACT
code system.concept.display:
  value: act
code system.concept.definition:
  value: A record of something that is being done, has been done, can be done, or is intended or requested to be done. *Examples:*The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others. *Discussion and Rationale:* Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action. Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear. One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described …
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 13856
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Act
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 1
code system.concept.code:
  value: DOCCNTNT
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14785
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 2
code system.concept.code:
  value: DOCLIST
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14787
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 3
code system.concept.code:
  value: DOCLSTITM
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14789
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 4
code system.concept.code:
  value: DOCPARA
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14786
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 5
code system.concept.code:
  value: DOCTBL
code system.concept.property:
  index: 0
  code system.concept.property.code:
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    value: retired
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  code system.concept.property.value code:
    value: 14784
code system.concept.property:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 6
code system.concept.code:
  value: LINKHTML
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    value: status
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    value: retired
code system.concept.property:
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    value: internalId
  code system.concept.property.value code:
    value: 16902
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 7
code system.concept.code:
  value: LOCALATTR
code system.concept.property:
  index: 0
  code system.concept.property.code:
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    value: retired
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    value: 16903
code system.concept.property:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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    value: &

index: 8
code system.concept.code:
  value: LOCALMRKP
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
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    value: retired
code system.concept.property:
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    value: internalId
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    value: 16904
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 9
code system.concept.code:
  value: ordered
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
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    value: internalId
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    value: 10979
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 10
code system.concept.code:
  value: REFR
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
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    value: internalId
  code system.concept.property.value code:
    value: 11538
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 11
code system.concept.code:
  value: TBLCOL
code system.concept.property:
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code system.concept.property:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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code system.concept.code:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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    value: &

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code system.concept.code:
  value: TBLDATA
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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    value: &

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code system.concept.code:
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    value: Name:Participation:act:Act
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    value: &

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code system.concept.code:
  value: TBLROW
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code system.concept.code:
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: thead
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    value: Name:Participation:act:Act
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index: 19
code system.concept.code:
  value: unordered
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
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code system.concept.property:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 20
code system.concept.code:
  value: ENTRY
code system.concept.display:
  value: entry
code system.concept.definition:
  value: This context represents the information acquired and recorded for an observation, a clinical statement such as a portion of the patient's history or an inference or assertion, or an action that might be intended or has actually been performed. This class may represent both the actual data describing the observation, inference, or action, and optionally the details supporting the clinical reasoning process such as a reference to an electronic guideline, decision support system, or other knowledge reference.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20087
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassContainer
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActContainer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 21
code system.concept.code:
  value: ORGANIZER
code system.concept.display:
  value: organizer
code system.concept.definition:
  value: Organizer of entries. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "organizer tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20084
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassContainer
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActContainer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 22
code system.concept.code:
  value: COMPOSITION
code system.concept.display:
  value: composition
code system.concept.definition:
  value: A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians. A composition represents part of a patient record originating from a single interaction between an authenticator and the record. Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application. A composition contains organizers and entries.
code system.concept.designation:
  index: 0
  code system.concept.designation.language:
    value: en
  code system.concept.designation.use: http://snomed.info/id/900000000000013009
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 900000000000013009
  code system.concept.designation.value:
    value: Attestable unit
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20083
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Composition
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassRecordOrganizer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 23
code system.concept.code:
  value: CONTAINER
code system.concept.display:
  value: record container
code system.concept.definition:
  value: **Description:** Container of clinical statements. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "container tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22712
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Container
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassRecordOrganizer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 24
code system.concept.code:
  value: EXTRACT
code system.concept.display:
  value: extract
code system.concept.definition:
  value: This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system. An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date). An extract contains folders or compositions. An extract cannot contain another extract.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20080
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Extract
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassRecordOrganizer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 25
code system.concept.code:
  value: FOLDER
code system.concept.display:
  value: folder
code system.concept.definition:
  value: A context representing the high-level organization of an extract e.g. to group parts of the record by episode, care team, clinical specialty, clinical condition, or source application. Internationally, this kind of organizing structure is used variably: in some centers and systems the folder is treated as an informal compartmentalization of the overall health record; in others it might represent a significant legal portion of the EHR relating to the originating enterprise or team. A folder contains compositions. Folders may be nested within folders.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20082
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Folder
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassRecordOrganizer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 26
code system.concept.code:
  value: GROUPER
code system.concept.display:
  value: grouper
code system.concept.definition:
  value: **Definition:** An ACT that organizes a set of component acts into a semantic grouping that share a particular context such as timeframe, patient, etc. **UsageNotes:** The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: HL7usageNotes
  code system.concept.property.value string:
    value: The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22713
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Grouper
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassRecordOrganizer
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 27
code system.concept.code:
  value: ROIBND
code system.concept.display:
  value: bounded ROI
code system.concept.definition:
  value: A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 17895
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: BoundedROI
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassROI
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 28
code system.concept.code:
  value: ROIOVL
code system.concept.display:
  value: overlay ROI
code system.concept.definition:
  value: A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 16392
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: OverlayROL
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassROI
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 29
code system.concept.code:
  value: LLD
code system.concept.display:
  value: left lateral decubitus
code system.concept.definition:
  value: Lying on the left side. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21939
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 30
code system.concept.code:
  value: PRN
code system.concept.display:
  value: prone
code system.concept.definition:
  value: Lying with the front or ventral surface downward; lying face down. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21932
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 31
code system.concept.code:
  value: RLD
code system.concept.display:
  value: right lateral decubitus
code system.concept.definition:
  value: Lying on the right side. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21938
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 32
code system.concept.code:
  value: SFWL
code system.concept.display:
  value: Semi-Fowler's
code system.concept.definition:
  value: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21940
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 33
code system.concept.code:
  value: SIT
code system.concept.display:
  value: sitting
code system.concept.definition:
  value: Resting the body on the buttocks, typically with upper torso erect or semi erect. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21933
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 34
code system.concept.code:
  value: STN
code system.concept.display:
  value: standing
code system.concept.definition:
  value: To be stationary, upright, vertical, on one's legs. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21934
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 35
code system.concept.code:
  value: SUP
code system.concept.display:
  value: supine
code system.concept.definition:
  value: ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21935
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectBodyPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 36
code system.concept.code:
  value: _SubjectBodyPosition
code system.concept.display:
  value: subject body position
code system.concept.definition:
  value: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: notSelectable
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21930
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SubjectBodyPosition
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectPhysicalPosition
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 37
code system.concept.code:
  value: _ImagingSubjectOrientation
code system.concept.display:
  value: imaging subject orientation
code system.concept.definition:
  value: A code specifying qualitatively the spatial relation between imaged object and imaging film or detector.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: notSelectable
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21931
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _SubjectPhysicalPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 38
code system.concept.code:
  value: _ActClassRecordOrganizer
code system.concept.display:
  value: record organizer
code system.concept.definition:
  value: Used to group a set of acts sharing a common context. Organizer structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: notSelectable
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22711
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: RecordOrganizer
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 39
code system.concept.code:
  value: ACCM
code system.concept.display:
  value: accommodation
code system.concept.definition:
  value: An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 16137
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Accommodation
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 40
code system.concept.code:
  value: ACCT
code system.concept.display:
  value: account
code system.concept.definition:
  value: A financial account established to track the net result of financial acts.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 13991
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Account
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 41
code system.concept.code:
  value: ACSN
code system.concept.display:
  value: accession
code system.concept.definition:
  value: A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 16740
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Accession
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 42
code system.concept.code:
  value: ADJUD
code system.concept.display:
  value: financial adjudication
code system.concept.definition:
  value: A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused. Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim
code system.concept.designation:
  index: 0
  code system.concept.designation.language:
    value: en
  code system.concept.designation.use: http://snomed.info/id/900000000000013009
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 900000000000013009
  code system.concept.designation.value:
    value: financial adjudication results
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 16747
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: InvoiceAdjudication
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 43
code system.concept.code:
  value: CACT
code system.concept.display:
  value: control act
code system.concept.definition:
  value: An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11534
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ControlAct
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 44
code system.concept.code:
  value: CNTRCT
code system.concept.display:
  value: contract
code system.concept.definition:
  value: An agreement of obligation between two or more parties that is subject to contractual law and enforcement.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14002
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Contract
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 45
code system.concept.code:
  value: CONC
code system.concept.display:
  value: concern
code system.concept.definition:
  value: **Definition:** A worry that tends to persist over time and has as its subject a state or process. The subject of the worry has the potential to require intervention or management. **Examples:** an observation result, procedure, substance administration, equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, allergy, and acute or chronic illness.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22933
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Concern
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 46
code system.concept.code:
  value: CONS
code system.concept.display:
  value: consent
code system.concept.definition:
  value: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public. Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed after the consent has been completed.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11537
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Consent
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 47
code system.concept.code:
  value: CONTREG
code system.concept.display:
  value: container registration
code system.concept.definition:
  value: An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14005
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ContainerRegistration
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 48
code system.concept.code:
  value: CTTEVENT
code system.concept.display:
  value: clinical trial timepoint event
code system.concept.definition:
  value: An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18973
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: TimePointEvent
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 49
code system.concept.code:
  value: DISPACT
code system.concept.display:
  value: disciplinary action
code system.concept.definition:
  value: An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21428
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: DisciplinaryAction
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 50
code system.concept.code:
  value: EXPOS
code system.concept.display:
  value: exposure
code system.concept.definition:
  value: An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity. *Examples:* The following examples are provided to indicate what interactions are considered exposures rather than other types of Acts: * A patient accidentally receives three times the recommended dose of their medication due to a dosing error. * This is a substance administration. Public health and/or safety authorities may also be interested in documenting this with an associated exposure. * A patient accidentally is dispensed an incorrect medicine (e.g., clomiphene instead of clomipramine). They have taken several doses before the mistake is detected. They are therefore "exposed" to a medicine that there was no therapeutic indication for them to receive. * There are several substance administrations in this example. Public health and/or safety authorities may also be interested in documenting this with associated exposures. * In a busy medical ward, a patient is receiving chemotherapy for a lymphoma. Unfortunately, the IV infusion bag containing the medicine splits, spraying cytotoxic medication over the patient being treated and the patient in the adjacent bed. * There are three substance administrations in this example. The first is the intended one (IV infusion) with its associated (implicit) exposure. There is an incident with an associated substance administration to the same patient involving the medication sprayed over the patient as well as an associated exposure. Additionally, the incident includes a substance administration involving the spraying of medication on the adjacent patient, also with an associated exposure. * A patient who is a refugee from a war-torn African nation arrives in a busy inner city A&E department suffering from a cough with bloody sputum. Not understanding the registration and triage process, they sit in the waiting room for several hours before it is…
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: HL7usageNotes
  code system.concept.property.value string:
    value: This class deals only with opportunity and not the outcome of the exposure; i.e. not all exposed parties will necessarily experience actual harm or benefit. Exposure differs from Substance Administration by the absence of the participation of a performer in the act. The following participations SHOULD be used with the following participations to distinguish the specific entities: The exposed entity participates via the "exposure target" (EXPTRGT) participation. An entity that has carried the agent transmitted in the exposure participates via the "exposure source" (EXSRC) participation. For example: a person or animal who carried an infectious disease and interacts (EXSRC) with another person or animal (EXPTRGT) transmitting the disease agent; a place or other environment (EXSRC) and a person or animal (EXPTRGT) who is exposed in the presence of this environment. When it is unknown whether a participating entity is the source of the agent (EXSRC) or the target of the transmission (EXPTRGT), the "exposure participant" (EXPART) is used. The physical (including energy), chemical or biological substance which is participating in the exposure uses the "exposure agent" (EXPAGNT) participation. There are at least three scenarios: the player of the Role that participates as EXPAGNT is the chemical or biological substance mixed or carried by the scoper-entity of the Role (e.g., ingredient role); or the player of the Role that participates as EXPAGNT is a mixture known to contain the chemical, radiological or biological substance of interest; or the player of the Role that participates as a EXPAGNT is known to carry the agent (i.e., the player is a fomite, vector, etc.). The Exposure.statusCode attribute should be interpreted as the state of the Exposure business object (e.g., active, aborted, completed) and not the clinical status of the exposure (e.g., probable, confirmed). The clinical status of the exposure should be associated with the exposure via a subject observation.
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21980
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Exposure
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 51
code system.concept.code:
  value: INC
code system.concept.display:
  value: incident
code system.concept.definition:
  value: An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 13989
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Incident
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 52
code system.concept.code:
  value: INFRM
code system.concept.display:
  value: inform
code system.concept.definition:
  value: The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ. **Discussion:** This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18908
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Inform
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 53
code system.concept.code:
  value: INVE
code system.concept.display:
  value: invoice element
code system.concept.definition:
  value: Represents concepts related to invoice processing in health care
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 13992
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: InvoiceElement
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 54
code system.concept.code:
  value: LIST
code system.concept.display:
  value: working list
code system.concept.definition:
  value: Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11541
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: WorkingList
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 55
code system.concept.code:
  value: MPROT
code system.concept.display:
  value: monitoring program
code system.concept.definition:
  value: An officially or unofficially instituted program to track acts of a particular type or categorization.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 16230
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: MonitoringProgram
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 56
code system.concept.code:
  value: OBS
code system.concept.display:
  value: observation
code system.concept.definition:
  value: **Description:**An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The **code** attribute of Observation and the **value** attribute of Observation must be considered in combination to determine the semantics of the observation. **Discussion:** Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the…
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11529
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Observation
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 57
code system.concept.code:
  value: PCPR
code system.concept.display:
  value: care provision
code system.concept.definition:
  value: An **Act** that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care. *Discussion:* A **care provision** event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional. In **request** (RQO) mood **care provision** communicates a referral, which is a request: * from one party (linked as a **participant** of type **author** (AUT)), * to another party (linked as a **participant** of type **performer** (PRF), * to take responsibility for a scope specified by the code attribute, * for an entity (linked as a **participant** of type **subject** (SBJ)). The scope of the care for which responsibility is taken is identified by *code* attribute. In **event** (EVN) mood **care provision** indicates the effective time interval of a specified scope of responsibility by a **performer** (PRF) or set of **performers** (PRF) for a **subject** (SBJ). *Examples:* 1. Referral from GP to a specialist. 2. Assignment of a patient or group of patients to the case list of a health professional. 3. Assignment of inpatients to the care of particular nurses for a working shift.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18964
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: CareProvision
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 58
code system.concept.code:
  value: POLICY
code system.concept.display:
  value: policy
code system.concept.definition:
  value: **Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: * The activity of another party * The behavior of another party * The manner in which an act is executed
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21981
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Policy
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 59
code system.concept.code:
  value: PROC
code system.concept.display:
  value: procedure
code system.concept.definition:
  value: An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. *Examples:* : Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11532
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Procedure
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 60
code system.concept.code:
  value: REG
code system.concept.display:
  value: registration
code system.concept.definition:
  value: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment. The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 15932
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Registration
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 61
code system.concept.code:
  value: REV
code system.concept.display:
  value: review
code system.concept.definition:
  value: The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21380
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Review
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 62
code system.concept.code:
  value: SPCTRT
code system.concept.display:
  value: specimen treatment
code system.concept.definition:
  value: A procedure or treatment performed on a specimen to prepare it for analysis
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14023
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SpecimenTreatment
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 63
code system.concept.code:
  value: SPLY
code system.concept.display:
  value: supply
code system.concept.definition:
  value: Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11535
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Supply
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 64
code system.concept.code:
  value: STORE
code system.concept.display:
  value: storage
code system.concept.definition:
  value: 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.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22826
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Storage
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 65
code system.concept.code:
  value: SUBST
code system.concept.display:
  value: Substitution
code system.concept.definition:
  value: Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code. Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20094
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Substitution
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 66
code system.concept.code:
  value: TRFR
code system.concept.display:
  value: transfer
code system.concept.definition:
  value: **Definition:** The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22186
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Transfer
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 67
code system.concept.code:
  value: TRNS
code system.concept.display:
  value: transportation
code system.concept.definition:
  value: Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11539
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Transportation
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 68
code system.concept.code:
  value: XACT
code system.concept.display:
  value: financial transaction
code system.concept.definition:
  value: A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms. In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts. In the "event" mood, communicates the posting of a transaction to an account.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11545
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: FinancialTransaction
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 69
code system.concept.code:
  value: _ActClassContainer
code system.concept.display:
  value: ActClassContainer
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: notSelectable
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: synonymCode
  code system.concept.property.value code:
    value: _ActContainer
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20848
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 70
code system.concept.code:
  value: _ActContainer
code system.concept.display:
  value: ActClassContainer
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: notSelectable
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: retired
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: synonymCode
  code system.concept.property.value code:
    value: _ActClassContainer
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20848
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ACT
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 71
code system.concept.code:
  value: ACTN
code system.concept.display:
  value: action
code system.concept.definition:
  value: Sender asks addressee to do something depending on the focal Act of the payload. An example is "fulfill this order". Addressee has responsibilities to either reject the message or to act on it in an appropriate way (specified by the specific receiver responsibilities for the interaction).
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18952
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ActionControlAct
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: CACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 72
code system.concept.code:
  value: INFO
code system.concept.display:
  value: information
code system.concept.definition:
  value: Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18953
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: InformationControlAct
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: CACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 73
code system.concept.code:
  value: STC
code system.concept.display:
  value: state transition control
code system.concept.definition:
  value: **Description:** Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or an event, according to the mood of the control act.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18954
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: StateTransitionControlAct
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: CACT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 74
code system.concept.code:
  value: OUTB
code system.concept.display:
  value: outbreak
code system.concept.definition:
  value: An outbreak represents a series of public health cases. The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak, and its ending date is the last date of onset among the cases assigned to the outbreak.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2012-11-09
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11531
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Outbreak
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: CASE
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 75
code system.concept.code:
  value: FCNTRCT
code system.concept.display:
  value: financial contract
code system.concept.definition:
  value: A contract whose value is measured in monetary terms.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 14003
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: FinancialContract
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: CNTRCT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 76
code system.concept.code:
  value: DOC
code system.concept.display:
  value: document
code system.concept.definition:
  value: The notion of a document comes particularly from the paper world, where it corresponds to the contents recorded on discrete pieces of paper. In the electronic world, a document is a kind of composition that bears resemblance to their paper world counter-parts. Documents typically are meant to be human-readable. HL7's notion of document differs from that described in the W3C XML Recommendation, in which a document refers specifically to the contents that fall between the root element's start-tag and end-tag. Not all XML documents are HL7 documents.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 18938
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Document
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: COMPOSITION
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 77
code system.concept.code:
  value: HCASE
code system.concept.display:
  value: public health case
code system.concept.definition:
  value: A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation. **UsageNotes:** Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: HL7usageNotes
  code system.concept.property.value string:
    value: Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 23464
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Class
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    value: PublicHealthCase
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    value: CONC
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index: 78
code system.concept.code:
  value: OUTBR
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  value: outbreak
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  value: An Outbreak is a concern resulting from a series of public health cases. **UsageNotes:** The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.
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index: 79
code system.concept.code:
  value: CASE
code system.concept.display:
  value: public health case
code system.concept.definition:
  value: A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
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    value: deprecationDate
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    value: 2012-11-09
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code system.concept.code:
  value: CATEGORY
code system.concept.display:
  value: category
code system.concept.definition:
  value: A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan. The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter. A CATEGORY MAY CONTAIN ENTRIES.
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code system.concept.code:
  value: DOCBODY
code system.concept.display:
  value: document body
code system.concept.definition:
  value: A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete and elements.
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code system.concept.code:
  value: DOCSECT
code system.concept.display:
  value: document section
code system.concept.definition:
  value: A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.
code system.concept.designation:
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  code system.concept.designation.language:
    value: en
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    coding.system:
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    coding.code:
      value: 900000000000013009
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    value: Section
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index: 83
code system.concept.code:
  value: TOPIC
code system.concept.display:
  value: topic
code system.concept.definition:
  value: A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services. A topic may contain categories and entries.
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    value: Topic
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code system.concept.code:
  value: DOCCLIN
code system.concept.display:
  value: clinical document
code system.concept.definition:
  value: A clinical document is a documentation of clinical observations and services, with the following characteristics: 1. Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; 2. Stewardship - A clinical document is maintained by a person or organization entrusted with its care; 3. Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; 4. Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; 5. Human readability - A clinical document is human readable.
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    value: ClinicalDocument
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    value: DOC
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code system.concept.code:
  value: CDALVLONE
code system.concept.display:
  value: CDA Level One clinical document
code system.concept.definition:
  value: A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)
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    value: subsumedBy
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    value: DOCCLIN
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: AEXPOS
code system.concept.display:
  value: acquisition exposure
code system.concept.definition:
  value: **Description:** An acquisition exposure act describes the proximity (location and time) through which the participating entity was potentially exposed to a physical (including energy), chemical or biological agent from another entity. The acquisition exposure act is used in conjunction with transmission exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. **Constraints:** The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.
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    value: AcquisitionExposure
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  code system.concept.property.code:
    value: subsumedBy
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    value: EXPOS
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: TEXPOS
code system.concept.display:
  value: transmission exposure
code system.concept.definition:
  value: **Description:** A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. **Constraints:** The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.
code system.concept.property:
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    value: internalId
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    value: 22348
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    value: TransmissionExposure
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  code system.concept.property.code:
    value: subsumedBy
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: EHR
code system.concept.display:
  value: electronic health record
code system.concept.definition:
  value: A context that comprises all compositions. The EHR is an extract that includes the entire chart. **NOTE:** In an exchange scenario, an EHR is a specialization of an extract.
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    value: 20081
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    value: Name:Class
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    value: ElectronicHealthRecord
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  code system.concept.property.code:
    value: subsumedBy
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    value: EXTRACT
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 89
code system.concept.code:
  value: COV
code system.concept.display:
  value: coverage
code system.concept.definition:
  value: When used in the EVN mood, this concept means with respect to a covered party: 1. A health care insurance policy or plan that is contractually binding between two or more parties; or 2. A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program. * When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. * The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.
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    value: 14004
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    value: Name:Class
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    value: Coverage
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  code system.concept.property.code:
    value: subsumedBy
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    value: FCNTRCT
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: DETPOL
code system.concept.display:
  value: determinant peptide
code system.concept.definition:
  value: **Description:**A determinant peptide in a polypeptide as described by polypeptide.
code system.concept.property:
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    value: status
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    value: active
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    value: 22002
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    value: Name:Class
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    value: DeterminantPeptide
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  code system.concept.property.code:
    value: subsumedBy
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    value: GEN
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code system.concept.code:
  value: EXP
code system.concept.display:
  value: expression level
code system.concept.definition:
  value: **Description:**An expression level of genes/proteins or other expressed genomic entities.
code system.concept.property:
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    value: status
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    value: active
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    value: 22000
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    value: Name:Class
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    value: ExpressionLevel
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    value: subsumedBy
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    value: GEN
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: LOC
code system.concept.display:
  value: locus
code system.concept.definition:
  value: **Description:**The position of a gene (or other significant sequence) on the genome.
code system.concept.property:
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    value: status
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    value: active
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    value: 22003
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    value: Name:Class
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    value: Locus
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  code system.concept.property.code:
    value: subsumedBy
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    value: GEN
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: PHN
code system.concept.display:
  value: phenotype
code system.concept.definition:
  value: **Description:**A genomic phenomenon that is expressed externally in the organism.
code system.concept.property:
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    value: status
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    value: active
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    value: 22004
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    value: Name:Class
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    value: Phenotype
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  code system.concept.property.code:
    value: subsumedBy
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    value: GEN
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: POL
code system.concept.display:
  value: polypeptide
code system.concept.definition:
  value: **Description:**A polypeptide resulting from the translation of a gene.
code system.concept.property:
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    value: status
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    value: active
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    value: internalId
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    value: 22001
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    value: Name:Class
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    value: Polypeptide
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  code system.concept.property.code:
    value: subsumedBy
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    value: GEN
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    value: Name:Participation:act:Act
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code system.concept.code:
  value: SEQ
code system.concept.display:
  value: bio sequence
code system.concept.definition:
  value: **Description:**A sequence of biomolecule like the DNA, RNA, protein and the like.
code system.concept.property:
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    value: status
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    value: active
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    value: Name:Class
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    value: BioSequence
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code system.concept.code:
  value: SEQVAR
code system.concept.display:
  value: bio sequence variation
code system.concept.definition:
  value: **Description:**A variation in a sequence as described by BioSequence.
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    value: status
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    value: active
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    value: Name:Class
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    value: BioSequenceVariation
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code system.concept.code:
  value: CLUSTER
code system.concept.display:
  value: Cluster
code system.concept.definition:
  value: **Description:**An ACT that organizes a set of component acts into a semantic grouping that have a shared subject. The subject may be either a subject participation (SBJ), subject act relationship (SUBJ), or child participation/act relationship types. **Discussion:** The focus in a CLUSTER act is the grouping of the contained acts. For example "a request to cluster" (RQO), "a type of cluster that is allowed to occur" (DEF), etc. **Examples:** * Radiologic investigations that might include administration of a dye, followed by radiographic observations; * "Isolate cluster" which includes all testing and specimen processing performed on a specific isolate; * a set of actions to perform at a particular stage in a clinical trial.
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    value: active
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    value: internalId
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    value: 20088
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Cluster
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: GROUPER
code system.concept.property:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 98
code system.concept.code:
  value: _ActClassROI
code system.concept.display:
  value: ActClassROI
code system.concept.definition:
  value: Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
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    value: notSelectable
  code system.concept.property.value boolean:
    value: true
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    value: internalId
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    value: 20847
code system.concept.property:
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: RegionOfInterest
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
code system.concept.property:
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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    value: &

index: 99
code system.concept.code:
  value: _SubjectPhysicalPosition
code system.concept.display:
  value: subject physical position
code system.concept.definition:
  value: The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.
code system.concept.property:
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    value: notSelectable
  code system.concept.property.value boolean:
    value: true
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  index: 2
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    value: internalId
  code system.concept.property.value code:
    value: 21929
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  index: 3
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SubjectPhysicalPosition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 100
code system.concept.code:
  value: ALRT
code system.concept.display:
  value: detected issue
code system.concept.definition:
  value: An observation identifying a potential adverse outcome as a result of an Act or combination of Acts. *Examples:* Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria. *Discussion:* This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation. *Constraints:* the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).
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    value: 16123
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  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: DetectedIssue
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 101
code system.concept.code:
  value: BATTERY
code system.concept.display:
  value: battery
code system.concept.definition:
  value: **Definition:** An observation that is composed of a set of observations. These observations typically have a logical or practical grouping for generally accepted clinical or functional purposes, such as observations that are run together because of automation. A battery can define required and optional component observations and, in some cases, will define complex rules that determine whether or not a particular observation is made. BATTERY is a constraint on the Observation class in that it is understood to always be composed of component observations. **UsageNotes:** The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations. **Examples:** Vital signs, Full blood count, Chemistry panel.
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  code system.concept.property.code:
    value: HL7usageNotes
  code system.concept.property.value string:
    value: The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations.
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    value: internalId
  code system.concept.property.value code:
    value: 20089
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Battery
code system.concept.property:
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 102
code system.concept.code:
  value: CLNTRL
code system.concept.display:
  value: clinical trial
code system.concept.definition:
  value: The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.
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    value: 18972
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ClinicalTrial
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    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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    value: &

index: 103
code system.concept.code:
  value: CNOD
code system.concept.display:
  value: Condition Node
code system.concept.definition:
  value: An instance of Observation of a Condition at a point in time that includes any Observations or Procedures associated with that Condition as well as links to previous instances of Condition Node for the same Condition ***Deprecation Comment:*** This concept has been deprecated because an alternative structure for tracking the evolution of a problem has been presented and adopted by the Care Provision Work Group.
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  code system.concept.property.value code:
    value: deprecated
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  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
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    value: internalId
  code system.concept.property.value code:
    value: 18863
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ConditionNode
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 104
code system.concept.code:
  value: COND
code system.concept.display:
  value: Condition
code system.concept.definition:
  value: An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness
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    value: deprecated
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    value: deprecationDate
  code system.concept.property.value date time:
    value: 2012-11-09
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    value: internalId
  code system.concept.property.value code:
    value: 18862
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Condition
code system.concept.property:
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    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 105
code system.concept.code:
  value: DGIMG
code system.concept.display:
  value: diagnostic image
code system.concept.definition:
  value: Class for holding attributes unique to diagnostic images.
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    value: active
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    value: 13921
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: DiagnosticImage
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 106
code system.concept.code:
  value: GEN
code system.concept.display:
  value: genomic observation
code system.concept.definition:
  value: **Description:**An observation of genomic phenomena.
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  code system.concept.property.value code:
    value: 21997
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    value: Name:Class
  code system.concept.property.value code:
    value: GenomicObservation
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  code system.concept.property.code:
    value: subsumedBy
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    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 107
code system.concept.code:
  value: INVSTG
code system.concept.display:
  value: investigation
code system.concept.definition:
  value: An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.
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    value: 21323
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Investigation
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 108
code system.concept.code:
  value: OBSSER
code system.concept.display:
  value: observation series
code system.concept.definition:
  value: Container for Correlated Observation Sequences sharing a common frame of reference. All Observations of the same cd must be comparable and relative to the common frame of reference. For example, a 3-channel ECG device records a 12-lead ECG in 4 steps (3 leads at a time). Each of the separate 3-channel recordings would be in their own "OBSCOR". And, all 4 OBSCOR would be contained in one OBSSER because all the times are relative to the same origin (beginning of the recording) and all the ECG signals were from a fixed set of electrodes.
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  code system.concept.property.value code:
    value: 18875
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ObservationSeries
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 109
code system.concept.code:
  value: POS
code system.concept.display:
  value: position
code system.concept.definition:
  value: An observation denoting the physical location of a person or thing based on a reference coordinate system.
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    value: 21646
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Position
code system.concept.property:
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 110
code system.concept.code:
  value: SPCOBS
code system.concept.display:
  value: specimen observation
code system.concept.definition:
  value: An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation
code system.concept.designation:
  index: 0
  code system.concept.designation.language:
    value: en
  code system.concept.designation.use: http://snomed.info/id/900000000000013009
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 900000000000013009
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    value: ActClassSpecObs
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    value: 13949
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SpecimenObservation
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 111
code system.concept.code:
  value: VERIF
code system.concept.display:
  value: Verification
code system.concept.definition:
  value: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.
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  code system.concept.property.value code:
    value: 21304
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Verfication
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBS
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 112
code system.concept.code:
  value: OBSCOR
code system.concept.display:
  value: correlated observation sequences
code system.concept.definition:
  value: Container for Observation Sequences (Observations whose values are contained in LIST<>'s) having values correlated with each other. Each contained Observation Sequence LIST<> must be the same length. Values in the LIST<>'s are correlated based on index. E.g. the values in position 2 in all the LIST<>'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST<> of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.
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    value: 18876
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: CorrelatedObservation
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OBSSER
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 113
code system.concept.code:
  value: ENC
code system.concept.display:
  value: encounter
code system.concept.definition:
  value: An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.
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  code system.concept.property.value code:
    value: 11542
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Encounter
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: PCPR
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 114
code system.concept.code:
  value: JURISPOL
code system.concept.display:
  value: jurisdictional policy
code system.concept.definition:
  value: **Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.
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  code system.concept.property.value code:
    value: 21982
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: JurisdictionalPolicy
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  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: POLICY
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  code system.concept.property.code:
    value: Name:Participation:act:Act
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index: 115
code system.concept.code:
  value: ORGPOL
code system.concept.display:
  value: organizational policy
code system.concept.definition:
  value: **Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed by an organization on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.
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    value: internalId
  code system.concept.property.value code:
    value: 21983
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  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: OrganizationalPolicy
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  code system.concept.property.code:
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  code system.concept.property.value code:
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index: 116
code system.concept.code:
  value: SCOPOL
code system.concept.display:
  value: scope of practice policy
code system.concept.definition:
  value: **Description:**An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21984
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: ScopeOfPracticePolicy
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: POLICY
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 117
code system.concept.code:
  value: STDPOL
code system.concept.display:
  value: standard of practice policy
code system.concept.definition:
  value: **Description:**A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21985
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: StandardOfPracticePolicy
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: POLICY
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 118
code system.concept.code:
  value: POSACC
code system.concept.display:
  value: position accuracy
code system.concept.definition:
  value: **Description:**An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21648
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: PositionAccuracy
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: POS
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 119
code system.concept.code:
  value: POSCOORD
code system.concept.display:
  value: position coordinate
code system.concept.definition:
  value: **Description:**An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21647
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: PositionCoordinate
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: POS
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 120
code system.concept.code:
  value: SBADM
code system.concept.display:
  value: substance administration
code system.concept.definition:
  value: The act of introducing or otherwise applying a substance to the subject. *Discussion:* The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area. *Examples:* Chemotherapy protocol; Drug prescription; Vaccination record
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 11528
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SubstanceAdministration
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: PROC
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 121
code system.concept.code:
  value: SBEXT
code system.concept.display:
  value: Substance Extraction
code system.concept.definition:
  value: **Description:** The act of removing a substance from the subject.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 22832
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SubstanceExtraction
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: PROC
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 122
code system.concept.code:
  value: SPECCOLLECT
code system.concept.display:
  value: Specimen Collection
code system.concept.definition:
  value: A procedure for obtaining a specimen from a source entity.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: active
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21457
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: SpecimenCollection
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBEXT
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 123
code system.concept.code:
  value: DIET
code system.concept.display:
  value: diet
code system.concept.definition:
  value: Diet services are supply services, with some aspects resembling Medication services: the detail of the diet is given as a description of the Material associated via Participation.typeCode="product". Medically relevant diet types may be communicated in the Diet.code attribute using domain ActDietCode, however, the detail of the food supplied and the various combinations of dishes should be communicated as Material instances. **Deprecation Note** **Class:** Use either the Supply class (if dealing with what should be given to the patient) or SubstanceAdministration class (if dealing with what the patient should consume) **energyQuantity:** This quantity can be conveyed by using a Content relationship with a quantity attribute expressing the calories **carbohydrateQuantity:**This quantity can be conveyed using a Content relationship to an Entity with a code of carbohydrate and a quantity attribute on the content relationship.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-08-20
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 16109
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Class
  code system.concept.property.value code:
    value: Diet
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SPLY
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 124
code system.concept.code:
  value: RTRD
code system.concept.display:
  value: reverse trendelenburg
code system.concept.definition:
  value: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21937
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SUP
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &

index: 125
code system.concept.code:
  value: TRD
code system.concept.display:
  value: trendelenburg
code system.concept.definition:
  value: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: status
  code system.concept.property.value code:
    value: deprecated
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: deprecationDate
  code system.concept.property.value date time:
    value: 2009-07-12
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21936
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SUP
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Participation:act:Act
  code system.concept.property.value string:
    value: &