v3-ActRelationshipType
type: CodeSystem
node role: treeRoot
resource.id:
  value: v3-ActRelationshipType
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: ActRelationshipType The source is an excerpt from the target. Properties Code URL Description Type Specializes 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. Coding Generalizes Inverse of Specializes. Only included as a derived relationship. Coding internalId http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id The internal identifier for the concept in the HL7 Access database repository. code status http://hl7.org/fhir/concept-properties#status Designation of a concept's state. Normally is not populated unless the state is retired.. code conductible http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-conductible If true, indicates that ActRelationships or Participations of the specified type (and any specializations thereof) will normally conduct. For more usage information, refer to the Core Principles specification. boolean isDocumentCharacteristic http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-document-characteristic If true, indicates that the Act attribute or association (as represented by a typeCode for eaither ActRelationship or Pareticipation is a descriptor of the document (record) represented by the act object. If false, indicates the property is a descriptor of the action itself, actual, intended, or potential. Applies to interpretation of attributes and associations with respect to changes in the value of Act.actionNegationInd and Act.moodCode. (See descriptions of these attributes for further discussion.) For example, in an order, the id attribute [isDocumentCharacteristic = true] is an identifier of the record of the order, not an identifier of the intended event. On the other hand, the code attribute [isDocumentCharacteristic = false] describes a characteristic of the intended event. boolean Name:Act:inboundRela…
code system.url:
  value: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
code system.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.5.1002
code system.version:
  value: 2.0.0
code system.name:
  value: ActRelationshipType
code system.title:
  value: ActRelationshipType
code system.status:
  value: active
code system.date:
  value: 2019-03-20T00:00:00-04:00
code system.publisher:
  value: Health Level 7
code system.contact:
  index: 0
  contact detail.name:
    value: Health Level Seven
code system.description:
  value: The source is an excerpt from the target.
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: Designation of a concept's state. Normally is not populated unless the state is retired..
  code system.property.type:
    value: code
code system.property:
  index: 4
  code system.property.code:
    value: conductible
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-conductible
  code system.property.description:
    value: If true, indicates that ActRelationships or Participations of the specified type (and any specializations thereof) will normally conduct. For more usage information, refer to the Core Principles specification.
  code system.property.type:
    value: boolean
code system.property:
  index: 5
  code system.property.code:
    value: isDocumentCharacteristic
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-document-characteristic
  code system.property.description:
    value: If true, indicates that the Act attribute or association (as represented by a typeCode for eaither ActRelationship or Pareticipation is a descriptor of the document (record) represented by the act object. If false, indicates the property is a descriptor of the action itself, actual, intended, or potential. Applies to interpretation of attributes and associations with respect to changes in the value of Act.actionNegationInd and Act.moodCode. (See descriptions of these attributes for further discussion.) For example, in an order, the id attribute [isDocumentCharacteristic = true] is an identifier of the record of the order, not an identifier of the intended event. On the other hand, the code attribute [isDocumentCharacteristic = false] describes a characteristic of the intended event.
  code system.property.type:
    value: boolean
code system.property:
  index: 6
  code system.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-inbound-relationship
  code system.property.description:
    value: Name of inboundRelationship from Act to ActReln
  code system.property.type:
    value: code
code system.property:
  index: 7
  code system.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-outbound-relationship
  code system.property.description:
    value: Formal name of outboundRelationship from Act to ActReln
  code system.property.type:
    value: code
code system.property:
  index: 8
  code system.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.property.uri:
    value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Act-inbound-sort
  code system.property.description:
    value: Sort key for the inboundRelationship from Act to ActReln
  code system.property.type:
    value: code
code system.property:
  index: 9
  code system.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship

value: Sort key for the outboundRelationship from Act to ActReln

value: code

index: 10
code system.property.code:
  value: appliesTo
code system.property.uri:
  value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-applies-to
code system.property.description:
  value: Haven't a clue!
code system.property.type:
  value: string

index: 11
code system.property.code:
  value: howApplies
code system.property.uri:
  value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-how-applies
code system.property.description:
  value: Haven't a clue!
code system.property.type:
  value: string

index: 12
code system.property.code:
  value: Name:ActRelationship:source:Act
code system.property.uri:
  value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ActRelationship-source
code system.property.description:
  value: The name of the assciation from ActRelationship to the source Act
code system.property.type:
  value: string

index: 13
code system.property.code:
  value: Name:ActRelationship:target:Act
code system.property.uri:
  value: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ActRelationship-target
code system.property.description:
  value: The name of the assciation from ActRelationship to the source Act
code system.property.type:
  value: string

index: 14
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: 15
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: 16
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

index: 17
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: ART
code system.concept.display:
  value: act relationship type
code system.concept.definition:
  value: **Description:** A directed association between a source Act and a target Act. **Usage Note:** This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)
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: 23252
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:ActRelationship:source:Act
  code system.concept.property.value string:
    value: &
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:ActRelationship:target:Act
  code system.concept.property.value string:
    value: &

index: 1
code system.concept.code:
  value: CURE
code system.concept.display:
  value: curative indication
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: 21642
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true

index: 2
code system.concept.code:
  value: CURE.ADJ
code system.concept.display:
  value: adjunct curative indication
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: 21643
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true

index: 3
code system.concept.code:
  value: MTGT.ADJ
code system.concept.display:
  value: adjunct mitigation
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: 21641
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true

index: 4
code system.concept.code:
  value: RACT
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: 14892

index: 5
code system.concept.code:
  value: SUGG
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: 10322

index: 6
code system.concept.code:
  value: _ActRelationshipTemporallyPertainsEnd
code system.concept.display:
  value: ActRelationshipTemporallyPertainsEnd
code system.concept.definition:
  value: A relationship that defines the relative time of the end source act based on the time of the target act.
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: 23077
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endTemporallyRelatedTo
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: temporallyRelatedEndInformation
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassTemporallyPertains
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: TemporallyPertains

index: 7
code system.concept.code:
  value: _ActRelationshipTemporallyPertainsStart
code system.concept.display:
  value: ActRelationshipTemporallyPertainsStart
code system.concept.definition:
  value: A relationship that defines the relative time of the start source act based on the time of the target act.
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: 23075
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startTemporallyRelatedTo
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: temporallyRelatedStartInformation
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DNA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DNA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActClassTemporallyPertains
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: TemporallyPertains

index: 8
code system.concept.code:
  value: _ActRelationshipCostTracking
code system.concept.display:
  value: ActRelationshipCostTracking
code system.concept.definition:
  value: Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.
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: 21360
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: costTrackingOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: costTracking
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOB______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOB______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipAccounting
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipPosts

index: 9
code system.concept.code:
  value: _ActRelationshipPosting
code system.concept.display:
  value: ActRelationshipPosting
code system.concept.definition:
  value: Expresses values for describing the relationship between a FinancialTransaction and an Account.
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: 21359
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: postingTo
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: posting
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOA______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipAccounting
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipPosts

index: 10
code system.concept.code:
  value: CIND
code system.concept.display:
  value: has contra-indication
code system.concept.definition:
  value: A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.
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: 10323
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: action
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: contra-indication
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: contraindicationFor
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: contraindication
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CC_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CC_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipConditional

index: 11
code system.concept.code:
  value: PRCN
code system.concept.display:
  value: has pre-condition
code system.concept.definition:
  value: A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.
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: 10319
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: action
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: pre-condition
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: preconditionFor
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: precondition
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CD_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CD_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipConditional

index: 12
code system.concept.code:
  value: RSON
code system.concept.display:
  value: has reason
code system.concept.definition:
  value: **Description:** The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication. *Discussion:* In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.
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: 10321
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: action
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: reason
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: reasonOf
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: reason
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CA_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CA_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipConditional

index: 13
code system.concept.code:
  value: TRIG
code system.concept.display:
  value: has trigger
code system.concept.definition:
  value: A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified. *Discussion:* This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.
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: 10320
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: action
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: trigger
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: triggerFor
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: trigger
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CB_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CB_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipConditional

index: 14
code system.concept.code:
  value: CHRG
code system.concept.display:
  value: has charge
code system.concept.definition:
  value: A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service. The financial transaction will define the charge (bill) for delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.
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: 14904
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: chargeFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: charge
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOBA_____
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOBA_____
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipCostTracking

index: 15
code system.concept.code:
  value: COST
code system.concept.display:
  value: has cost
code system.concept.definition:
  value: A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service. The financial transaction will define the cost of delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.
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: 14903
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: costOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: cost
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOBB_____
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOBB_____
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipCostTracking

index: 16
code system.concept.code:
  value: CREDIT
code system.concept.display:
  value: has credit
code system.concept.definition:
  value: A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance.
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: 14902
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: creditTo
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: credit
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOAA_____
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOAA_____
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipPosting

index: 17
code system.concept.code:
  value: DEBIT
code system.concept.display:
  value: has debit
code system.concept.definition:
  value: A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance.
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: 14901
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: debitTo
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: debit
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOAB_____
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DOAB_____
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipPosting

index: 18
code system.concept.code:
  value: _ActRelationshipTemporallyPertainsApproximates
code system.concept.display:
  value: ActRelationshipTemporallyPertainsApproximates
code system.concept.definition:
  value: Abstract collector for ActRelationship types that relate two acts by their approximate timing.
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: 23637
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains

index: 19
code system.concept.code:
  value: EAS
code system.concept.display:
  value: ends after start of
code system.concept.definition:
  value: A relationship in which the source act ends after the target act starts. *UsageNote:* Inverse code is **SBE**
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: 23079
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EASORECWS

index: 20
code system.concept.code:
  value: EASORECWS
code system.concept.display:
  value: ends after or concurrent with start of
code system.concept.definition:
  value: A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time. *Usage Note:* Inverse code is EBSORECWS
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: 23645
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeOrConcurrentWithStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterOrConcurrentWithStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains

index: 21
code system.concept.code:
  value: INDEPENDENT
code system.concept.display:
  value: independent of time of
code system.concept.definition:
  value: The source Act is independent of the time of the target Act. *UsageNote:* This code is reflexive. Therefore its inverse code is itself.
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: 23582
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: independentOfTimeOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: independentOfTimeOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains

index: 22
code system.concept.code:
  value: SAEORSCWE
code system.concept.display:
  value: starts after or concurrent with end of
code system.concept.definition:
  value: A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time. *Usage Note:* Inverse code is SBEORSCWE
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: 23644
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeOrConcurrentWithEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterOrConcurrentWithEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains

index: 23
code system.concept.code:
  value: SASORSCW
code system.concept.display:
  value: starts after or concurrent with start of
code system.concept.definition:
  value: A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time. *Usage Note:* Inverse code is SBSORSCW
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: 23642
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeOrConcurrentWithStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterOrConcurrentWithStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains

index: 24
code system.concept.code:
  value: SBEORSCWE
code system.concept.display:
  value: starts before or concurrent with end of
code system.concept.definition:
  value: A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time. *Usage Note:* Inverse code is SAEORSCWE
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: 23643
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterOrConcurrentWithStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeOrConcurrentWithEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertains

index: 25
code system.concept.code:
  value: ENE
code system.concept.display:
  value: ends near end
code system.concept.definition:
  value: A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval. *Usage Note:* Inverse code is ENS
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: 23640
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsNearStart
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsNearEnd
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertainsApproximates

index: 26
code system.concept.code:
  value: ENS
code system.concept.display:
  value: ends near start
code system.concept.definition:
  value: A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval. *Usage Note:* Inverse code is ENE
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: 23641
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsNearEnd
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsNearStart
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertainsApproximates

index: 27
code system.concept.code:
  value: SNE
code system.concept.display:
  value: starts near end
code system.concept.definition:
  value: A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval. *Usage Note:* Inverse code is SNS
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: 23638
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsNearStart
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsNearEnd
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertainsApproximates

index: 28
code system.concept.code:
  value: SNS
code system.concept.display:
  value: starts near start
code system.concept.definition:
  value: A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval. *Usage Note:* Inverse code is SNE
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: 23639
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsNearEnd
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsNearStart
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationshipTemporallyPertainsApproximates

index: 29
code system.concept.code:
  value: OBJC
code system.concept.display:
  value: has continuing objective
code system.concept.definition:
  value: A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood.
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: 10327
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: service
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: criterion
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: maintenanceGoalOf
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: maintenanceGoal
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: ACA______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: ACA______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationsipObjective

index: 30
code system.concept.code:
  value: OBJF
code system.concept.display:
  value: has final objective
code system.concept.definition:
  value: A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood.
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: 10326
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: service
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: criterion
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: finalGoalOf
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: finalGoal
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: ACB______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: ACB______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: _ActRelationsipObjective

index: 31
code system.concept.code:
  value: _ActClassTemporallyPertains
code system.concept.display:
  value: ActClassTemporallyPertains
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: synonymCode
  code system.concept.property.value code:
    value: TemporallyPertains
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21307
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: temporallyRelatesTo
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: temporallyRelatedInformation
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DN_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DN_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 32
code system.concept.code:
  value: TemporallyPertains
code system.concept.display:
  value: ActClassTemporallyPertains
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: _ActClassTemporallyPertains
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 21307
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: temporallyRelatesTo
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: temporallyRelatedInformation
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DN_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DN_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 33
code system.concept.code:
  value: _ActRelationshipAccounting
code system.concept.display:
  value: ActRelationshipAccounting
code system.concept.definition:
  value: Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
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: synonymCode
  code system.concept.property.value code:
    value: _ActRelationshipPosts
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20946
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: accountingFor
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: accounting
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DO_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DO_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 34
code system.concept.code:
  value: _ActRelationshipPosts
code system.concept.display:
  value: ActRelationshipAccounting
code system.concept.definition:
  value: Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
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: _ActRelationshipAccounting
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 20946
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: accountingFor
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: accounting
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DO_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DO_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 35
code system.concept.code:
  value: _ActRelationshipConditional
code system.concept.display:
  value: ActRelationshipConditional
code system.concept.definition:
  value: Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred
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: 20945
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: conductible
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: conditionedBy
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: conditions
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: C________
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: C________
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 36
code system.concept.code:
  value: _ActRelationshipTemporallyPertains
code system.concept.display:
  value: ActRelationshipTemporallyPertains
code system.concept.definition:
  value: Abstract collector for ActRelationhsip types that relate two acts by their timing.
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: 23581
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 37
code system.concept.code:
  value: AUTH
code system.concept.display:
  value: authorized by
code system.concept.definition:
  value: A relationship in which the target act authorizes or certifies the source 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: 14019
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: authorizationOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: authorization
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DH_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DH_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 38
code system.concept.code:
  value: CAUS
code system.concept.display:
  value: is etiology for
code system.concept.definition:
  value: **Description:** An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act. **Examples:** * a growth of Staphylococcus aureus may be considered the cause of an abscess * contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced * lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the bed-sides had not been put up which caused the night patient to fall out of bed
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: 10332
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: cause
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: effect
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: cause
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: causeOf
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DD_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DD_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 39
code system.concept.code:
  value: COMP
code system.concept.display:
  value: has component
code system.concept.definition:
  value: The target act is a component of the source act, with no semantics regarding composition or aggregation implied.
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: 10318
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: conductible
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: componentOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: component
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: E________
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: E________
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 40
code system.concept.code:
  value: COVBY
code system.concept.display:
  value: covered by
code system.concept.definition:
  value: A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy.
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: 14894
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: coverageOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: coverage
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DP_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DP_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 41
code system.concept.code:
  value: DRIV
code system.concept.display:
  value: is derived from
code system.concept.definition:
  value: Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target 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: 10334
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: output parameter
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: input parameter
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: derivation
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: derivedFrom
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DF_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DF_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 42
code system.concept.code:
  value: ELNK
code system.concept.display:
  value: episodeLink
code system.concept.definition:
  value: Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.
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: 18865
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: linkedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: links
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BG_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BG_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 43
code system.concept.code:
  value: EVID
code system.concept.display:
  value: provides evidence for
code system.concept.definition:
  value: Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc. *Rationale:* Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies.
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: 21572
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 44
code system.concept.code:
  value: EXACBY
code system.concept.display:
  value: exacerbated by
code system.concept.definition:
  value: **Description:**The source act is aggravated by the target act. (Example "chest pain" EXACBY "exercise")
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: 22827
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 45
code system.concept.code:
  value: EXPL
code system.concept.display:
  value: has explanation
code system.concept.definition:
  value: This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.
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: 10331
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: explaining observation or condition
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: explanationFor
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: explanation
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DI_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DI_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 46
code system.concept.code:
  value: INTF
code system.concept.display:
  value: interfered by
code system.concept.definition:
  value: the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act. *UsageNote:* This provides the semantics to document barriers to 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: 23597
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: any Act
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: interferesWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: interferedBy
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: G________
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: G________
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 47
code system.concept.code:
  value: ITEMSLOC
code system.concept.display:
  value: items located
code system.concept.definition:
  value: Items located
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: 20841
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: itemStorageFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: itemStorage
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DR_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DR_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 48
code system.concept.code:
  value: LIMIT
code system.concept.display:
  value: limited by
code system.concept.definition:
  value: A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood.
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: 14896
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: limitationOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: limitation
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DQ_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DQ_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 49
code system.concept.code:
  value: META
code system.concept.display:
  value: has metadata
code system.concept.definition:
  value: **Definition:** Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act. **Constraint:** Source act must have either a mood code that is not "EVN" (event) or its "isCriterion" attribute must set to "true". Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to "true".
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: 23111
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: conductible
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: metadataFor
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: metadata
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DZ_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AA_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 50
code system.concept.code:
  value: MFST
code system.concept.display:
  value: is manifestation of
code system.concept.definition:
  value: An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation.
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: 10333
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: manifestation
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: cause
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: manifestation
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: manifestationOf
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DE_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DE_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 51
code system.concept.code:
  value: NAME
code system.concept.display:
  value: assigns name
code system.concept.definition:
  value: Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.
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: 10336
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: condition thread
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: name
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: assignedConditionName
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: conditionNamed
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DJ_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DJ_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 52
code system.concept.code:
  value: OUTC
code system.concept.display:
  value: has outcome
code system.concept.definition:
  value: An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment.
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: 10324
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: condition or action
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: conductible
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: outcome
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: outcomeOf
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: outcome
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: A________
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: A________
code system.concept.property:
  index: 10
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 53
code system.concept.code:
  value: PERT
code system.concept.display:
  value: has pertinent information
code system.concept.definition:
  value: This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays.
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: 10329
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: any service
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: conductible
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: any service
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: pertainsTo
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: pertinentInformation
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: D________
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: D________
code system.concept.property:
  index: 10
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 54
code system.concept.code:
  value: PREV
code system.concept.display:
  value: has previous instance
code system.concept.definition:
  value: A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services.
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: Previous instance
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: 14018
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: successor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: predecessor
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DC_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DC_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 55
code system.concept.code:
  value: REFR
code system.concept.display:
  value: refers to
code system.concept.definition:
  value: A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.
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: 14020
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: referencedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: reference
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DK_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DK_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 56
code system.concept.code:
  value: REFV
code system.concept.display:
  value: has reference values
code system.concept.definition:
  value: Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical 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: 10335
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: range
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: referenceRangeFor
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: referenceRange
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DL_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DL_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 57
code system.concept.code:
  value: RELVBY
code system.concept.display:
  value: relieved by
code system.concept.definition:
  value: **Description:**The source act is wholly or partially alleviated by the target act. (Example "chest pain" RELVBY "sublingual nitroglycerin administration")
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: 22828
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 58
code system.concept.code:
  value: SEQL
code system.concept.display:
  value: is sequel
code system.concept.definition:
  value: An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation.
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: 10337
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: conductible
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: sequel
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: sequelTo
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: B________
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: B________
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 59
code system.concept.code:
  value: SPRT
code system.concept.display:
  value: has support
code system.concept.definition:
  value: Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post).
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: 10330
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: supporting evidence
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: supportOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: support
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DA_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DA_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 60
code system.concept.code:
  value: SUBJ
code system.concept.display:
  value: has subject
code system.concept.definition:
  value: Relates an Act to its subject Act that the first Act is primarily concerned with. Examples 1. The first Act may be a ControlAct manipulating the subject Act 2. The first act is a region of interest (ROI) that defines a region within the subject Act. 3. The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose. Constraints An Act may have multiple subject acts. Rationale The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.
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: 13971
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: subjectOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: subject
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DB_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DB_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 61
code system.concept.code:
  value: SUMM
code system.concept.display:
  value: summarized by
code system.concept.definition:
  value: An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period.
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: 15988
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: summaryOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: summary
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DM_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DM_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 62
code system.concept.code:
  value: VALUE
code system.concept.display:
  value: has value
code system.concept.definition:
  value: **Description:**Indicates that the target Act represents the result of the source observation Act. **FormalConstraint:** Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified **UsageNote:** This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute. For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation. The valueNegationInd attribute on the source Act has the same semantics of "negated finding" when it applies to the target of a VALUE ActRelationship as it does to the value attribute. On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding. Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd. **OpenIssue:** The implications of negationInd on ActRelationship and the valueNegationind on Observation.
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: 23319
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ART

index: 63
code system.concept.code:
  value: CTRLV
code system.concept.display:
  value: has control variable
code system.concept.definition:
  value: A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation.
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: 17902
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: controlVariableFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: controlVariable
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EA_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EA_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: COMP

index: 64
code system.concept.code:
  value: MBR
code system.concept.display:
  value: has member
code system.concept.definition:
  value: The target Acts are aggregated by the source Act. Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source. **UsageNotes:** This explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with \_ActClassRecordOrganizer, BATTERY, and LIST
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 explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 23594
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: any Act
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: memberOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: hasMember
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EA_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EA_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: COMP

index: 65
code system.concept.code:
  value: PART
code system.concept.display:
  value: has part
code system.concept.definition:
  value: The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act. *UsageNote:* In UML 1.1, this is a "composition" defined as: *"A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive."*
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: 23596
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: any Act
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: isPartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: hasPart
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EB_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EB_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: COMP

index: 66
code system.concept.code:
  value: SASEAE
code system.concept.display:
  value: starts after start of, ends after end of
code system.concept.definition:
  value: The source Act starts after start of the target Act and ends after end of the target Act. *UsageNote:* Inverse code is **SBSEBE**
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: 23583
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeStartOfEndsBeforeEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterStartOfEndsAfterAndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EAE
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SAS

index: 67
code system.concept.code:
  value: EAE
code system.concept.display:
  value: ends after end of
code system.concept.definition:
  value: A relationship in which the source act ends after the target act ends. *UsageNote:* Inverse code is **EBE**
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: 23081
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EAEORECW
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EAS

index: 68
code system.concept.code:
  value: ECW
code system.concept.display:
  value: ends concurrent with
code system.concept.definition:
  value: A relationship in which the source act's effective time ends with the end of the target act's effective time. *UsageNote:* This code is reflexive. Therefore its inverse code is itself.
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: 23033
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsConcurrentlyWith
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsConcurrentlyWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EAEORECW
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EBEORECW
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ENE
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP

index: 69
code system.concept.code:
  value: SAS
code system.concept.display:
  value: starts after start of
code system.concept.definition:
  value: The source Act starts after the start of the target Act (i.e. if we say "ActOne SAS ActTwo", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target). *UsageNote:* Inverse code is **SBS**
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: 21308
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterStartOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EAS
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SASORSCW

index: 70
code system.concept.code:
  value: EAEORECW
code system.concept.display:
  value: ends after or concurrent with end of
code system.concept.definition:
  value: A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time. *Usage Note:* Inverse code is EBEORECW
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: 23646
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeOrConcurrentWithEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterOrConcurrentWithEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EASORECWS

index: 71
code system.concept.code:
  value: ECWS
code system.concept.display:
  value: ends concurrent with start of
code system.concept.definition:
  value: The source Act ends when the target act starts (i.e. if we say "ActOne ECWS ActTwo", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target). *UsageNote:* Inverse code is **SCWE**
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: 23463
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsConcurrentWithEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsConcurrentWithStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EASORECWS
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EBSORECWS
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ENS

index: 72
code system.concept.code:
  value: SBSEBE
code system.concept.display:
  value: starts before start of, ends before end of
code system.concept.definition:
  value: The source Act starts before the start of the target Act, and ends before the end of the target Act. *UsageNote:* Inverse code is **SASEAE**
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: 23590
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterStartOfEndsAfterAndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeStartOfEndsBeforeEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EBE
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBS

index: 73
code system.concept.code:
  value: EBE
code system.concept.display:
  value: ends before end of
code system.concept.definition:
  value: The source Act ends before the end of the target Act (i.e. if we say "ActOne EBE ActTwo", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). *UsageNote:* Inverse code is **EAE**
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: 23461
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EBEORECW
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBE

index: 74
code system.concept.code:
  value: EBS
code system.concept.display:
  value: ends before start of
code system.concept.definition:
  value: A relationship in which the source act ends before the target act starts. *UsageNote:* Inverse code is **SAE**
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: 23078
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EBSORECWS

index: 75
code system.concept.code:
  value: CONCURRENT
code system.concept.display:
  value: concurrent with
code system.concept.definition:
  value: A relationship in which the source act's effective time is the same as the target act's effective time. *UsageNote:* This code is reflexive. Therefore its inverse code is itself.
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: 23032
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: isConcurrentWith
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: isConcurrentWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ECW
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SCW

index: 76
code system.concept.code:
  value: SBSECWE
code system.concept.display:
  value: starts before start of, ends with
code system.concept.definition:
  value: The source Act starts before the start of the target Act, and ends with the target Act. *UsageNote:* Inverse code is **SASECWE**
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: 23591
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterStartOfEndsWith
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeStartOfEndsWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: ECW
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSEAS

index: 77
code system.concept.code:
  value: SBSEASEBE
code system.concept.display:
  value: contains start of, ends before end of
code system.concept.definition:
  value: The source Act contains the start of the target Act, and ends before the end of the target Act. *UsageNote:* Inverse code is **SASSBEEAS**
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: 23589
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startAfterStartOfContainsEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: containsStartOfEndsBeforeEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EDU
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBE
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSEAS
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSEBE

index: 78
code system.concept.code:
  value: SCWSEBE
code system.concept.display:
  value: starts with. ends before end of
code system.concept.definition:
  value: The source Act starts with.the target Act and ends before the end of the target Act. *UsageNote:* Inverse code is **SCWSEAE**
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: 23593
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsWithEndsAfterEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsWithEndsBeforeEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: EDU
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBE
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SCW

index: 79
code system.concept.code:
  value: OCCR
code system.concept.display:
  value: occurrence
code system.concept.definition:
  value: The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the "completion track" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa).
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: is occurrence of
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: 11614
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: occurrence
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: occurrenceOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BAA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BAA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: FLFS

index: 80
code system.concept.code:
  value: OREF
code system.concept.display:
  value: references order
code system.concept.definition:
  value: Relates either an appointment request or an appointment to the order for the service being scheduled.
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: 11628
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: ActMood = ARQ or APT and ActMood = ORD
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: referencedBy
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: referencedOrder
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BAB______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BAB______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: FLFS

index: 81
code system.concept.code:
  value: SCH
code system.concept.display:
  value: schedules request
code system.concept.definition:
  value: Associates a specific time (and associated resources) with a scheduling request or other intent.
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: schedules
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: 11627
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: requestedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: scheduleRequest
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BAC______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BAC______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: FLFS

index: 82
code system.concept.code:
  value: ACTIMM
code system.concept.display:
  value: active immunization against
code system.concept.definition:
  value: **Description:** The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)
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: 23305
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: activelyImmunizedAgainst
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: IMM

index: 83
code system.concept.code:
  value: PASSIMM
code system.concept.display:
  value: passive immunization against
code system.concept.definition:
  value: **Description:** The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).
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: 23306
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: passivelyImmunizedAgainst
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: IMM

index: 84
code system.concept.code:
  value: STEP
code system.concept.display:
  value: has step
code system.concept.definition:
  value: A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently. *UsageNotes:* Sequence of steps may be indicated by use of \_ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode. *OpenIssue:* Need Additional guidelines on when each approach should be used.
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: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 23595
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: any _ActMoodCompletionTrack
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: isStepOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: hasStep
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EAA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EAA______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: MBR

index: 85
code system.concept.code:
  value: RCVY
code system.concept.display:
  value: recovers
code system.concept.definition:
  value: **Definition:** The source act is performed to recover from the effects of the target 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: 22189
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: recoveredFrom
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: recovers
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: MITGT

index: 86
code system.concept.code:
  value: _ActRelationsipObjective
code system.concept.display:
  value: Act Relationsip Objective
code system.concept.definition:
  value: The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood.
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: 21384
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: goalOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: goal
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AC_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AC_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OUTC

index: 87
code system.concept.code:
  value: GOAL
code system.concept.display:
  value: has goal
code system.concept.definition:
  value: A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood.
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: 10325
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: observation, condition
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: goal
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: goalOf
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: goal
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AB_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AB_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OUTC

index: 88
code system.concept.code:
  value: RISK
code system.concept.display:
  value: has risk
code system.concept.definition:
  value: A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.
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: 10328
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: observation, condition
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: risk
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: riskOf
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: risk
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AA_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: AA_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OUTC

index: 89
code system.concept.code:
  value: EDU
code system.concept.display:
  value: ends during
code system.concept.definition:
  value: A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times) *UsageNote:* Inverse code is **SBEEAE**
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: 23080
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: encompassesEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsDuring
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP

index: 90
code system.concept.code:
  value: SBEEAE
code system.concept.display:
  value: contains end of
code system.concept.definition:
  value: The source Act contains the end of the target Act. *UsageNote:* Inverse code is **EDU**
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: 23587
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsDuring
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: containsEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SASEAE

index: 91
code system.concept.code:
  value: SBSEAS
code system.concept.display:
  value: contains start of
code system.concept.definition:
  value: The source Act contains the start of the target Act. *UsageNote:* Inverse code is **SDU**
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: 23586
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsDuring
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: containsStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBS

index: 92
code system.concept.code:
  value: SCW
code system.concept.display:
  value: starts concurrent with
code system.concept.definition:
  value: A relationship in which the source act's effective time starts with the start of the target act's effective time. *UsageNote:* This code is reflexive. Therefore its inverse code is itself.
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: 23036
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsConcurrentlyWith
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsConcurrentlyWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SASORSCW
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSORSCW
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SNS

index: 93
code system.concept.code:
  value: SCWE
code system.concept.display:
  value: starts concurrent with end of
code system.concept.definition:
  value: The source Act starts when the target act ends (i.e. if we say "ActOne SCWE ActTwo", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target). *UsageNote:* Inverse code is **SBSECWS**
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: 23462
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsConcurrentWithStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsConcurrentWithEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SAEORSCWE
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SNE

index: 94
code system.concept.code:
  value: SDU
code system.concept.display:
  value: starts during
code system.concept.definition:
  value: A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times) *UsageNote:* Inverse code is **SBSEAS**
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: 23082
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: encompassesStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsDuring
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: OVERLAP

index: 95
code system.concept.code:
  value: USE
code system.concept.display:
  value: uses
code system.concept.definition:
  value: Indicates that the source act makes use of (or will make use of) the information content of the target act. *UsageNotes:* A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate. *Rationale:* There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications. This is stronger than the assertion of "references". References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference.
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: A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate.
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: internalId
  code system.concept.property.value code:
    value: 23102
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: usedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: uses
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DKA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DKA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: REFR

index: 96
code system.concept.code:
  value: BLOCK
code system.concept.display:
  value: blocks
code system.concept.definition:
  value: **Definition:** The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.
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: 22188
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: blockedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: blocks
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: RSON

index: 97
code system.concept.code:
  value: DIAG
code system.concept.display:
  value: diagnoses
code system.concept.definition:
  value: **Description:** The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
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: 21644
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: diagnosedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: RSON

index: 98
code system.concept.code:
  value: IMM
code system.concept.display:
  value: immunization against
code system.concept.definition:
  value: **Description:** The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)
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: 23304
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: immunizedAgainst
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: RSON

index: 99
code system.concept.code:
  value: MITGT
code system.concept.display:
  value: mitigates
code system.concept.definition:
  value: The source act removes or lessens the occurrence or effect of the target 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: 19986
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: mitigatedBy
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: mitigates
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CAA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: CAA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: RSON

index: 100
code system.concept.code:
  value: PRYLX
code system.concept.display:
  value: prophylaxis of
code system.concept.definition:
  value: **Description:** The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
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: 23303
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: prophylaxisOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: RSON

index: 101
code system.concept.code:
  value: TREAT
code system.concept.display:
  value: treats
code system.concept.definition:
  value: **Description:** The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
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: 23307
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: treatmentFor
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: RSON

index: 102
code system.concept.code:
  value: SAE
code system.concept.display:
  value: starts after end of
code system.concept.definition:
  value: A relationship in which the source act starts after the target act ends. *UsageNote:* Inverse code is **EBS**
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: 22043
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeStartof
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterEndOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SAEORSCWE
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SAS

index: 103
code system.concept.code:
  value: DURING
code system.concept.display:
  value: occurs during
code system.concept.definition:
  value: A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times) *UsageNote:* Inverse code is **SBSEAE**
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: 23034
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: spansOccurrenceOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: occursDuring
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SAS

index: 104
code system.concept.code:
  value: SASECWE
code system.concept.display:
  value: starts after start of, ends with
code system.concept.definition:
  value: The source Act starts after start of the target Act, and ends with the target Act. *UsageNote:* Inverse code is **SBSECWE**
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: 23584
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeStartOfEndsWith
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterStartOfEndsWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SAS

index: 105
code system.concept.code:
  value: SASSBEEAS
code system.concept.display:
  value: start after start of, contains end of
code system.concept.definition:
  value: The source Act start after the start of the target Act, and contains the end of the target Act. *UsageNote:* Inverse code is **SBSEASEBE**
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: 23585
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: containsStartOfEndsBeforeEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startAfterStartOfContainsEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SASEAE
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBEEAE
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SDU

index: 106
code system.concept.code:
  value: EBEORECW
code system.concept.display:
  value: ends before or concurrent with end of
code system.concept.definition:
  value: A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time. *Usage Note:* Inverse code is EAEORECW
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: 23648
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterOrConcurrentWithEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeOrConcurrentWithEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBE

index: 107
code system.concept.code:
  value: SBSORSCW
code system.concept.display:
  value: starts before or concurrent with start of
code system.concept.definition:
  value: A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time. *Usage Note:* Inverse code is SASORSCW
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: 23647
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterOrConcurrentWithStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeOrConcurrentWithStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBE

index: 108
code system.concept.code:
  value: SBSEAE
code system.concept.display:
  value: contains time of
code system.concept.definition:
  value: The source Act contains the time of the target Act. *UsageNote:* Inverse code is **DURING**
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: 23588
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: occursDuring
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: containsTimeOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBEEAE
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSEAS

index: 109
code system.concept.code:
  value: SCWSEAE
code system.concept.display:
  value: starts with, ends after end of
code system.concept.definition:
  value: The source Act starts with the target Act, and ends after the end of the target 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: 23592
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsWithEndsBeforeEndOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsWithEndsAfterEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBEEAE
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SCW

index: 110
code system.concept.code:
  value: OVERLAP
code system.concept.display:
  value: overlaps with
code system.concept.definition:
  value: A relationship in which the source act's effective time overlaps the target act's effective time in any way. *UsageNote:* This code is reflexive. Therefore its inverse code is itself.
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: 23035
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: overlapsWith
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: overlapsWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBEORSCWE

index: 111
code system.concept.code:
  value: SBE
code system.concept.display:
  value: starts before end of
code system.concept.definition:
  value: The source Act starts before the end of the target Act (i.e. if we say "ActOne SBE ActTwo", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). *UsageNote:* Inverse code is **EAS**
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: 23460
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeEndOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBEORSCWE

index: 112
code system.concept.code:
  value: EBSORECWS
code system.concept.display:
  value: ends before or concurrent with start of
code system.concept.definition:
  value: A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time. *Usage Note:* Inverse code is EASORECWS
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: 23649
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsAfterOrConcurrentWithStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: endsBeforeOrConcurrentWithStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSEBE

index: 113
code system.concept.code:
  value: SBS
code system.concept.display:
  value: starts before start of
code system.concept.definition:
  value: A relationship in which the source act begins before the target act begins. *UsageNote:* Inverse code is **SAS**
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: 23076
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsAfterStartOf
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: startsBeforeStartOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SBSORSCW

index: 114
code system.concept.code:
  value: APND
code system.concept.display:
  value: is appendage
code system.concept.definition:
  value: An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered.
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: 10339
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: appendageOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: appendage
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BJ_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BJ_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 115
code system.concept.code:
  value: BSLN
code system.concept.display:
  value: has baseline
code system.concept.definition:
  value: Indicates that the target observation(s) provide an initial reference for the source observation or observation group. *UsageConstraints:* Both source and target must be Observations or specializations thereof.
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: 23101
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: baselineFor
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: baseline
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BG_______
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BG_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 116
code system.concept.code:
  value: COMPLY
code system.concept.display:
  value: complies with
code system.concept.definition:
  value: **Description:**The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act. Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy.
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: 22626
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: compliesWith
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: compliance
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BO_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BO_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 117
code system.concept.code:
  value: DOC
code system.concept.display:
  value: documents
code system.concept.definition:
  value: The source act documents the target 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: 11609
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: documentation
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: documentationOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BH_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BH_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 118
code system.concept.code:
  value: FLFS
code system.concept.display:
  value: fulfills
code system.concept.definition:
  value: The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target 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: 10342
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: fulfillment
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: inFulfillmentOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BA_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BA_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 119
code system.concept.code:
  value: GEN
code system.concept.display:
  value: has generalization
code system.concept.definition:
  value: The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).
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: 10348
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: specialization
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: generalization
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: specialization
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: generalization
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BC_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BC_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 120
code system.concept.code:
  value: GEVL
code system.concept.display:
  value: evaluates (goal)
code system.concept.definition:
  value: A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a "goal distance" (e.g., goal to observation) can be "calculated" and need not be sent explicitly.
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: 10346
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: evaluation
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: goal
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: evaluation
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: evaluationOf
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BD_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BD_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 121
code system.concept.code:
  value: INST
code system.concept.display:
  value: instantiates (master)
code system.concept.definition:
  value: Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults.
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: 10341
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: instance
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: master
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: instantiation
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: definition
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BB_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BB_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 122
code system.concept.code:
  value: MOD
code system.concept.display:
  value: modifies
code system.concept.definition:
  value: Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target). *Usage:*The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead. Name from source to target = "modifiesPrior" Name from target to source = "modifiesByNew"
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: 21638
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 123
code system.concept.code:
  value: MTCH
code system.concept.display:
  value: matches (trigger)
code system.concept.definition:
  value: A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is "observation of pain" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger.
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: 10345
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: matching service
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: trigger
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: match
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: matchOf
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BF_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BF_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 124
code system.concept.code:
  value: OPTN
code system.concept.display:
  value: has option
code system.concept.definition:
  value: A relationship between a source Act that provides more detailed properties to the target Act. The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements. The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements. Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options.
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: 10347
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: optionFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: option
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BN_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BN_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 125
code system.concept.code:
  value: RCHAL
code system.concept.display:
  value: re-challenge
code system.concept.definition:
  value: **Description:**A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.
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: 22044
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 126
code system.concept.code:
  value: REV
code system.concept.display:
  value: reverses
code system.concept.definition:
  value: A relationship between a source Act that seeks to reverse or undo the action of the prior target Act. Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction. Constraints: the "completion track" mood of the target Act must be equally or more "actual" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT.
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: 14898
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: reversal
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: reversalOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BK_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BK_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 127
code system.concept.code:
  value: RPLC
code system.concept.display:
  value: replaces
code system.concept.definition:
  value: A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.
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: 10338
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: replacement
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: replacementOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BI_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BI_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 128
code system.concept.code:
  value: SUCC
code system.concept.display:
  value: succeeds
code system.concept.definition:
  value: **Definition:** A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source 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: 11616
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: successor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: predecessor
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BIA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BIA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 129
code system.concept.code:
  value: UPDT
code system.concept.display:
  value: updates (condition)
code system.concept.definition:
  value: A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread.
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: 10340
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: new head of thread
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: howApplies
  code system.concept.property.value string:
    value: old head of thread
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: update
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: updateOf
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BE_______
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BE_______
code system.concept.property:
  index: 9
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 130
code system.concept.code:
  value: XCRPT
code system.concept.display:
  value: Excerpts
code system.concept.definition:
  value: The source is an excerpt from the target.
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: 18660
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: excerpt
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: excerptFrom
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BM_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BM_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 131
code system.concept.code:
  value: XFRM
code system.concept.display:
  value: transformation
code system.concept.definition:
  value: Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)
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: 11624
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: transformation
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: transformationOf
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BL_______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BL_______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SEQL

index: 132
code system.concept.code:
  value: SPRTBND
code system.concept.display:
  value: has bounded support
code system.concept.definition:
  value: A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used.
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: 17899
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: boundedSupportOf
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: boundedSupport
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DAA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DAA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SPRT

index: 133
code system.concept.code:
  value: ARR
code system.concept.display:
  value: arrival
code system.concept.definition:
  value: The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation 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: 17911
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: arrivalFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: arrivedBy
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EAAB_____
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EAAB_____
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: STEP

index: 134
code system.concept.code:
  value: DEP
code system.concept.display:
  value: departure
code system.concept.definition:
  value: The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation 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: 17912
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: false
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: departureFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: departedBy
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EAAC_____
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: EAAC_____
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: STEP

index: 135
code system.concept.code:
  value: QUALF
code system.concept.display:
  value: has qualifier
code system.concept.definition:
  value: The target observation qualifies (refines) the semantics of the source observation. *UsageNote:* This is not intended to replace concept refinement and qualification via vocabulary. It is used when there are multiple components which together provide the complete understanding of the source 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: 23598
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: appliesTo
  code system.concept.property.value string:
    value: any Act
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: qualifies
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: hasQualifier
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DBA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: DBA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: SUBJ

index: 136
code system.concept.code:
  value: ADJUNCT
code system.concept.display:
  value: adjunctive treatment
code system.concept.definition:
  value: **Description:** The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified.
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: 23310
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: adjunctiveTreatmentFor
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: TREAT

index: 137
code system.concept.code:
  value: MTREAT
code system.concept.display:
  value: maintenance treatment
code system.concept.definition:
  value: **Description:** The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
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: 23308
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: maintenanceTreatmentFor
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: TREAT

index: 138
code system.concept.code:
  value: PALLTREAT
code system.concept.display:
  value: palliates
code system.concept.definition:
  value: **Description:** The source act is intended to provide palliation for the effects of the target 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: 23309
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: palliativeTreatmentFor
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: TREAT

index: 139
code system.concept.code:
  value: SYMP
code system.concept.display:
  value: symptomatic relief
code system.concept.definition:
  value: **Description:** The source act is intented to provide symptomatic relief for the effects of the target 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: 21645
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: symptomaticTreatmentFor
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: TREAT

index: 140
code system.concept.code:
  value: VRXCRPT
code system.concept.display:
  value: Excerpt verbatim
code system.concept.definition:
  value: The source is a direct quote from the target.
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: 18661
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: isDocumentCharacteristic
  code system.concept.property.value boolean:
    value: true
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: Name:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: verbatimExcerpt
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: Name:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: verbatimExcerptFrom
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: Sort:Act:inboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BMA______
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: Sort:Act:outboundRelationship:ActRelationship
  code system.concept.property.value code:
    value: BMA______
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: subsumedBy
  code system.concept.property.value code:
    value: XCRPT