HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: hl7VS-moodCodes

Official URL: http://terminology.hl7.org/ValueSet/v2-0725 Version: 2.1.0
Active as of 2019-12-01 Responsible: HL7, Inc Computable Name: Hl7VSMoodCodes
Other Identifiers: id: urn:oid:2.16.840.1.113883.21.407

Copyright/Legal: Copyright HL7. Licensed under creative commons public domain

Value Set of codes that specify the functional state of an order.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActMood version 2.1.0
    CodeDisplayDefinition
    INTintent**Definition:** An intention or plan for an act.

    **>UsageNotes:** The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.
    APTappointment**Definition:** An act that has been scheduled to be performed at a specific place and time.
    ARQappointment request**Definition:** A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.
    PRMSpromise**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.

    **UsageNotes:** Commitments may be retracted or cancelled.
    PRPproposal**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.
    RQOrequest**Definition:** A request act that is specialized for an event request/fulfillment cycle.

    **UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.

    **UsageNotes:** The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request."

    Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.

    The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.
    EVNevent (occurrence)**Definition:** An act that actually happens (may be an ongoing act or a documentation of a past act).
    EVN.CRTevent criterion***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion.

    **Definition:** A criterion (CRT) that has\_match = an event (EVN).
    EXPECexpectation**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\_match = event).

    **Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.

    **UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.

 

Expansion

This value set contains 9 concepts

Expansion based on ActMood v2.1.1 (CodeSystem)

CodeSystemDisplayDefinition
  INThttp://terminology.hl7.org/CodeSystem/v3-ActMoodintent

Definition: An intention or plan for an act.

>UsageNotes: The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.

  APThttp://terminology.hl7.org/CodeSystem/v3-ActMoodappointment

Definition: An act that has been scheduled to be performed at a specific place and time.

  ARQhttp://terminology.hl7.org/CodeSystem/v3-ActMoodappointment request

Definition: A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment (the actual act may well not happen if that is the professional decision during the appointment).

  PRMShttp://terminology.hl7.org/CodeSystem/v3-ActMoodpromise

Definition: A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.

UsageNotes: Commitments may be retracted or cancelled.

  PRPhttp://terminology.hl7.org/CodeSystem/v3-ActMoodproposal

Definition: A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.

  RQOhttp://terminology.hl7.org/CodeSystem/v3-ActMoodrequest

Definition: A request act that is specialized for an event request/fulfillment cycle.

UsageNotes: The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.

UsageNotes: The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request."

Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.

The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.

  EVNhttp://terminology.hl7.org/CodeSystem/v3-ActMoodevent (occurrence)

Definition: An act that actually happens (may be an ongoing act or a documentation of a past act).

  EVN.CRThttp://terminology.hl7.org/CodeSystem/v3-ActMoodevent criterion

Deprecation Comment: This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion.

Definition: A criterion (CRT) that has_match = an event (EVN).

  EXPEChttp://terminology.hl7.org/CodeSystem/v3-ActMoodexpectation

Definition: An act that is considered to have some noteworthy likelihood of occurring in the future (has_match = event).

**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.

**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.