v3-ActRelationshipType
type: CodeSystem
node role: treeRoot
id:
  v: v3-ActRelationshipType
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CodeSystem v3-ActRelationshipType Language: en Properties This code system defines the following properties for its concepts Name Code URI Type Description Status status http://hl7.org/fhir/concept-properties#status code Designation of a concept's state. Normally is not populated unless the state is retired.. conductible conductible http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-conductible boolean 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. isDocumentCharacteristic isDocumentCharacteristic http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-document-characteristic boolean 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. Name:Act:inboundRelationship:ActRelationship Name:Act:inboundRelationship:ActRelationship http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-inbound-relationship code Name of inboundRelationship from Act to ActReln Name:Act:outboundRelationship:ActRelationship Name:Act:outboundRelationship:ActRelationship http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-outbound-relationship …
url:
  v: http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.5.1002
version:
  v: 5.0.0
name:
  v: ActRelationshipType
title:
  v: ActRelationshipType
status:
  v: active
experimental:
  v: false
date:
  v: 2019-03-20
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: The source is an excerpt from the target.
copyright:
  v: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
case sensitive:
  v: true
hierarchy meaning:
  v: is-a
content:
  v: complete
property:
  code:
    v: status
  uri:
    v: http://hl7.org/fhir/concept-properties#status
  description:
    v: Designation of a concept's state. Normally is not populated unless the state is retired..
  type:
    v: code
property:
  code:
    v: conductible
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-conductible
  description:
    v: 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.
  type:
    v: boolean
property:
  code:
    v: isDocumentCharacteristic
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-document-characteristic
  description:
    v: 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.
  type:
    v: boolean
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-inbound-relationship
  description:
    v: Name of inboundRelationship from Act to ActReln
  type:
    v: code
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-outbound-relationship
  description:
    v: Formal name of outboundRelationship from Act to ActReln
  type:
    v: code
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Act-inbound-sort
  description:
    v: Sort key for the inboundRelationship from Act to ActReln
  type:
    v: code
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-act-outbound-sort
  description:
    v: Sort key for the outboundRelationship from Act to ActReln
  type:
    v: code
property:
  code:
    v: appliesTo
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-applies-to
  description:
    v: Haven't a clue!
  type:
    v: string
property:
  code:
    v: howApplies
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-how-applies
  description:
    v: Haven't a clue!
  type:
    v: string
property:
  code:
    v: Name:ActRelationship:source:Act
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ActRelationship-source
  description:
    v: The name of the assciation from ActRelationship to the source Act
  type:
    v: string
property:
  code:
    v: Name:ActRelationship:target:Act
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ActRelationship-target
  description:
    v: The name of the assciation from ActRelationship to the source Act
  type:
    v: string
property:
  code:
    v: notSelectable
  uri:
    v: http://hl7.org/fhir/concept-properties#notSelectable
  description:
    v: Indicates that the code is abstract - only intended to be used as a selector for other concepts
  type:
    v: boolean
property:
  code:
    v: synonymCode
  uri:
    v: http://hl7.org/fhir/concept-properties#synonym
  description:
    v: An additional concept code that was also attributed to a concept
  type:
    v: code
property:
  code:
    v: HL7usageNotes
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes
  description:
    v: HL7 Concept Usage Notes
  type:
    v: string
property:
  code:
    v: subsumedBy
  uri:
    v: http://hl7.org/fhir/concept-properties#parent
  description:
    v: The concept code of a parent concept
  type:
    v: code
concept:
  code:
    v: ART
  display:
    v: act relationship type
  definition:
    v: **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)
  property:
    code:
      v: status
    value: code
      v: active
  property:
    code:
      v: Name:ActRelationship:source:Act
    value: string
      v: &

code:
  v: Name:ActRelationship:target:Act
value: string
  v: &

code:
  v: CURE
display:
  v: curative indication
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CURE.ADJ
display:
  v: adjunct curative indication
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MTGT.ADJ
display:
  v: adjunct mitigation
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RACT
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SUGG
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipTemporallyPertainsEnd
display:
  v: ActRelationshipTemporallyPertainsEnd
definition:
  v: A relationship that defines the relative time of the end source act based on the time of the target act.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endTemporallyRelatedTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: temporallyRelatedEndInformation
property:
  code:
    v: subsumedBy
  value: code
    v: _ActClassTemporallyPertains
property:
  code:
    v: subsumedBy
  value: code
    v: TemporallyPertains
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipTemporallyPertainsStart
display:
  v: ActRelationshipTemporallyPertainsStart
definition:
  v: A relationship that defines the relative time of the start source act based on the time of the target act.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startTemporallyRelatedTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: temporallyRelatedStartInformation
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DNA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DNA______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActClassTemporallyPertains
property:
  code:
    v: subsumedBy
  value: code
    v: TemporallyPertains
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipCostTracking
display:
  v: ActRelationshipCostTracking
definition:
  v: Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: costTrackingOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: costTracking
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DOB______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DOB______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipAccounting
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipPosts
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipPosting
display:
  v: ActRelationshipPosting
definition:
  v: Expresses values for describing the relationship between a FinancialTransaction and an Account.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: postingTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: posting
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DOA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DOA______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipAccounting
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipPosts
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CIND
display:
  v: has contra-indication
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: action
property:
  code:
    v: howApplies
  value: string
    v: contra-indication
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: contraindicationFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: contraindication
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: CC_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: CC_______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipConditional
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PRCN
display:
  v: has pre-condition
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: action
property:
  code:
    v: howApplies
  value: string
    v: pre-condition
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: preconditionFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: precondition
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: CD_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: CD_______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipConditional
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RSON
display:
  v: has reason
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: action
property:
  code:
    v: howApplies
  value: string
    v: reason
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: reasonOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: reason
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: CA_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: CA_______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipConditional
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: TRIG
display:
  v: has trigger
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: action
property:
  code:
    v: howApplies
  value: string
    v: trigger
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: triggerFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: trigger
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: CB_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: CB_______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipConditional
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CHRG
display:
  v: has charge
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: chargeFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: charge
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DOBA_____
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DOBA_____
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipCostTracking
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: COST
display:
  v: has cost
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: costOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: cost
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DOBB_____
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DOBB_____
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipCostTracking
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CREDIT
display:
  v: has credit
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: creditTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: credit
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DOAA_____
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DOAA_____
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipPosting
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: DEBIT
display:
  v: has debit
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: debitTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: debit
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DOAB_____
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DOAB_____
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipPosting
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipTemporallyPertainsApproximates
display:
  v: ActRelationshipTemporallyPertainsApproximates
definition:
  v: Abstract collector for ActRelationship types that relate two acts by their approximate timing.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EAS
display:
  v: ends after start of
definition:
  v: A relationship in which the source act ends after the target act starts. *UsageNote:* Inverse code is **SBE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsBeforeEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsAfterStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: subsumedBy
  value: code
    v: EASORECWS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EASORECWS
display:
  v: ends after or concurrent with start of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsBeforeOrConcurrentWithStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsAfterOrConcurrentWithStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: INDEPENDENT
display:
  v: independent of time of
definition:
  v: The source Act is independent of the time of the target Act. *UsageNote:* This code is reflexive. Therefore its inverse code is itself.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: independentOfTimeOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: independentOfTimeOf
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SAEORSCWE
display:
  v: starts after or concurrent with end of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsBeforeOrConcurrentWithEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsAfterOrConcurrentWithEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SASORSCW
display:
  v: starts after or concurrent with start of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsBeforeOrConcurrentWithStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsAfterOrConcurrentWithStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBEORSCWE
display:
  v: starts before or concurrent with end of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsAfterOrConcurrentWithStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsBeforeOrConcurrentWithEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertains
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ENE
display:
  v: ends near end
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsNearStart
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsNearEnd
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertainsApproximates
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ENS
display:
  v: ends near start
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsNearEnd
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsNearStart
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertainsApproximates
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SNE
display:
  v: starts near end
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsNearStart
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsNearEnd
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertainsApproximates
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SNS
display:
  v: starts near start
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsNearEnd
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsNearStart
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationshipTemporallyPertainsApproximates
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OBJC
display:
  v: has continuing objective
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: service
property:
  code:
    v: howApplies
  value: string
    v: criterion
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: maintenanceGoalOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: maintenanceGoal
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: ACA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: ACA______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationsipObjective
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OBJF
display:
  v: has final objective
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: service
property:
  code:
    v: howApplies
  value: string
    v: criterion
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: finalGoalOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: finalGoal
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: ACB______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: ACB______
property:
  code:
    v: subsumedBy
  value: code
    v: _ActRelationsipObjective
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActClassTemporallyPertains
display:
  v: ActClassTemporallyPertains
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: synonymCode
  value: code
    v: TemporallyPertains
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: temporallyRelatesTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: temporallyRelatedInformation
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DN_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DN_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: TemporallyPertains
display:
  v: ActClassTemporallyPertains
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: synonymCode
  value: code
    v: _ActClassTemporallyPertains
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: temporallyRelatesTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: temporallyRelatedInformation
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DN_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DN_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipAccounting
display:
  v: ActRelationshipAccounting
definition:
  v: Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: synonymCode
  value: code
    v: _ActRelationshipPosts
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: accountingFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: accounting
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DO_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DO_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipPosts
display:
  v: ActRelationshipAccounting
definition:
  v: Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: retired
property:
  code:
    v: synonymCode
  value: code
    v: _ActRelationshipAccounting
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: accountingFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: accounting
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DO_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DO_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipConditional
display:
  v: ActRelationshipConditional
definition:
  v: Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: conditionedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: conditions
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: C________
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: C________
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationshipTemporallyPertains
display:
  v: ActRelationshipTemporallyPertains
definition:
  v: Abstract collector for ActRelationhsip types that relate two acts by their timing.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: AUTH
display:
  v: authorized by
definition:
  v: A relationship in which the target act authorizes or certifies the source act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: authorizationOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: authorization
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DH_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DH_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CAUS
display:
  v: is etiology for
definition:
  v: **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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: cause
property:
  code:
    v: howApplies
  value: string
    v: effect
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: cause
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: causeOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DD_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DD_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: COMP
display:
  v: has component
definition:
  v: The target act is a component of the source act, with no semantics regarding composition or aggregation implied.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: componentOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: component
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: E________
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: E________
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: COVBY
display:
  v: covered by
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: coverageOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: coverage
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DP_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DP_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: DRIV
display:
  v: is derived from
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: output parameter
property:
  code:
    v: howApplies
  value: string
    v: input parameter
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: derivation
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: derivedFrom
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DF_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DF_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ELNK
display:
  v: episodeLink
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: linkedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: links
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BG_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BG_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EVID
display:
  v: provides evidence for
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EXACBY
display:
  v: exacerbated by
definition:
  v: **Description:**The source act is aggravated by the target act. (Example "chest pain" EXACBY "exercise")
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EXPL
display:
  v: has explanation
definition:
  v: This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: howApplies
  value: string
    v: explaining observation or condition
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: explanationFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: explanation
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DI_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DI_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: INTF
display:
  v: interfered by
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: any Act
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: interferesWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: interferedBy
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: G________
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: G________
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ITEMSLOC
display:
  v: items located
definition:
  v: Items located
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: itemStorageFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: itemStorage
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DR_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DR_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: LIMIT
display:
  v: limited by
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: limitationOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: limitation
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DQ_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DQ_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: META
display:
  v: has metadata
definition:
  v: **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".
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: metadataFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: metadata
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DZ_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: AA_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MFST
display:
  v: is manifestation of
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: manifestation
property:
  code:
    v: howApplies
  value: string
    v: cause
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: manifestation
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: manifestationOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DE_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DE_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: NAME
display:
  v: assigns name
definition:
  v: Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: condition thread
property:
  code:
    v: howApplies
  value: string
    v: name
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: assignedConditionName
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: conditionNamed
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DJ_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DJ_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OUTC
display:
  v: has outcome
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: condition or action
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: howApplies
  value: string
    v: outcome
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: outcomeOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: outcome
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: A________
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: A________
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PERT
display:
  v: has pertinent information
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: any service
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: howApplies
  value: string
    v: any service
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: pertainsTo
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: pertinentInformation
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: D________
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: D________
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PREV
display:
  v: has previous instance
definition:
  v: 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.
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: Previous instance
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: successor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: predecessor
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DC_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DC_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: REFR
display:
  v: refers to
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: referencedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: reference
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DK_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DK_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: REFV
display:
  v: has reference values
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: howApplies
  value: string
    v: range
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: referenceRangeFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: referenceRange
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DL_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DL_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RELVBY
display:
  v: relieved by
definition:
  v: **Description:**The source act is wholly or partially alleviated by the target act. (Example "chest pain" RELVBY "sublingual nitroglycerin administration")
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SEQL
display:
  v: is sequel
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: sequel
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: sequelTo
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: B________
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: B________
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SPRT
display:
  v: has support
definition:
  v: 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).
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: howApplies
  value: string
    v: supporting evidence
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: supportOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: support
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DA_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DA_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SUBJ
display:
  v: has subject
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: subjectOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: subject
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DB_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DB_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SUMM
display:
  v: summarized by
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: summaryOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: summary
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DM_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DM_______
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: VALUE
display:
  v: has value
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: subsumedBy
  value: code
    v: ART
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CTRLV
display:
  v: has control variable
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: controlVariableFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: controlVariable
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: EA_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: EA_______
property:
  code:
    v: subsumedBy
  value: code
    v: COMP
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MBR
display:
  v: has member
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: HL7usageNotes
  value: string
    v: 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
property:
  code:
    v: appliesTo
  value: string
    v: any Act
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: memberOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: hasMember
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: EA_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: EA_______
property:
  code:
    v: subsumedBy
  value: code
    v: COMP
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PART
display:
  v: has part
definition:
  v: 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."*
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: any Act
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: isPartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: hasPart
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: EB_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: EB_______
property:
  code:
    v: subsumedBy
  value: code
    v: COMP
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SASEAE
display:
  v: starts after start of, ends after end of
definition:
  v: The source Act starts after start of the target Act and ends after end of the target Act. *UsageNote:* Inverse code is **SBSEBE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsBeforeStartOfEndsBeforeEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsAfterStartOfEndsAfterAndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EAE
property:
  code:
    v: subsumedBy
  value: code
    v: SAS
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EAE
display:
  v: ends after end of
definition:
  v: A relationship in which the source act ends after the target act ends. *UsageNote:* Inverse code is **EBE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsBeforeEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsAfterEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EAEORECW
property:
  code:
    v: subsumedBy
  value: code
    v: EAS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ECW
display:
  v: ends concurrent with
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsConcurrentlyWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsConcurrentlyWith
property:
  code:
    v: subsumedBy
  value: code
    v: EAEORECW
property:
  code:
    v: subsumedBy
  value: code
    v: EBEORECW
property:
  code:
    v: subsumedBy
  value: code
    v: ENE
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SAS
display:
  v: starts after start of
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsBeforeStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsAfterStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: EAS
property:
  code:
    v: subsumedBy
  value: code
    v: SASORSCW
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EAEORECW
display:
  v: ends after or concurrent with end of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsBeforeOrConcurrentWithEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsAfterOrConcurrentWithEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EASORECWS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ECWS
display:
  v: ends concurrent with start of
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsConcurrentWithEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsConcurrentWithStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: EASORECWS
property:
  code:
    v: subsumedBy
  value: code
    v: EBSORECWS
property:
  code:
    v: subsumedBy
  value: code
    v: ENS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBSEBE
display:
  v: starts before start of, ends before end of
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsAfterStartOfEndsAfterAndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsBeforeStartOfEndsBeforeEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EBE
property:
  code:
    v: subsumedBy
  value: code
    v: SBS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EBE
display:
  v: ends before end of
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsAfterEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsBeforeEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EBEORECW
property:
  code:
    v: subsumedBy
  value: code
    v: SBE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EBS
display:
  v: ends before start of
definition:
  v: A relationship in which the source act ends before the target act starts. *UsageNote:* Inverse code is **SAE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsAfterEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsBeforeStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: EBSORECWS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: CONCURRENT
display:
  v: concurrent with
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: isConcurrentWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: isConcurrentWith
property:
  code:
    v: subsumedBy
  value: code
    v: ECW
property:
  code:
    v: subsumedBy
  value: code
    v: SCW
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBSECWE
display:
  v: starts before start of, ends with
definition:
  v: The source Act starts before the start of the target Act, and ends with the target Act. *UsageNote:* Inverse code is **SASECWE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsAfterStartOfEndsWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsBeforeStartOfEndsWith
property:
  code:
    v: subsumedBy
  value: code
    v: ECW
property:
  code:
    v: subsumedBy
  value: code
    v: SBSEAS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBSEASEBE
display:
  v: contains start of, ends before end of
definition:
  v: The source Act contains the start of the target Act, and ends before the end of the target Act. *UsageNote:* Inverse code is **SASSBEEAS**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startAfterStartOfContainsEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: containsStartOfEndsBeforeEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EDU
property:
  code:
    v: subsumedBy
  value: code
    v: SBE
property:
  code:
    v: subsumedBy
  value: code
    v: SBSEAS
property:
  code:
    v: subsumedBy
  value: code
    v: SBSEBE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SCWSEBE
display:
  v: starts with. ends before end of
definition:
  v: The source Act starts with.the target Act and ends before the end of the target Act. *UsageNote:* Inverse code is **SCWSEAE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsWithEndsAfterEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsWithEndsBeforeEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: EDU
property:
  code:
    v: subsumedBy
  value: code
    v: SBE
property:
  code:
    v: subsumedBy
  value: code
    v: SCW
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OCCR
display:
  v: occurrence
definition:
  v: 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).
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: is occurrence of
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: occurrence
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: occurrenceOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BAA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BAA______
property:
  code:
    v: subsumedBy
  value: code
    v: FLFS
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OREF
display:
  v: references order
definition:
  v: Relates either an appointment request or an appointment to the order for the service being scheduled.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: ActMood = ARQ or APT and ActMood = ORD
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: referencedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: referencedOrder
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BAB______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BAB______
property:
  code:
    v: subsumedBy
  value: code
    v: FLFS
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SCH
display:
  v: schedules request
definition:
  v: Associates a specific time (and associated resources) with a scheduling request or other intent.
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: schedules
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: requestedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: scheduleRequest
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BAC______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BAC______
property:
  code:
    v: subsumedBy
  value: code
    v: FLFS
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ACTIMM
display:
  v: active immunization against
definition:
  v: **Description:** The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: activelyImmunizedAgainst
property:
  code:
    v: subsumedBy
  value: code
    v: IMM
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PASSIMM
display:
  v: passive immunization against
definition:
  v: **Description:** The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: passivelyImmunizedAgainst
property:
  code:
    v: subsumedBy
  value: code
    v: IMM
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: STEP
display:
  v: has step
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: HL7usageNotes
  value: string
    v: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.
property:
  code:
    v: appliesTo
  value: string
    v: any _ActMoodCompletionTrack
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: isStepOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: hasStep
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: EAA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: EAA______
property:
  code:
    v: subsumedBy
  value: code
    v: MBR
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RCVY
display:
  v: recovers
definition:
  v: **Definition:** The source act is performed to recover from the effects of the target act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: recoveredFrom
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: recovers
property:
  code:
    v: subsumedBy
  value: code
    v: MITGT
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: _ActRelationsipObjective
display:
  v: Act Relationsip Objective
definition:
  v: 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.
property:
  code:
    v: notSelectable
  value: boolean
    v: true
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: goalOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: goal
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: AC_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: AC_______
property:
  code:
    v: subsumedBy
  value: code
    v: OUTC
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: GOAL
display:
  v: has goal
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: observation, condition
property:
  code:
    v: howApplies
  value: string
    v: goal
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: goalOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: goal
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: AB_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: AB_______
property:
  code:
    v: subsumedBy
  value: code
    v: OUTC
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RISK
display:
  v: has risk
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: observation, condition
property:
  code:
    v: howApplies
  value: string
    v: risk
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: riskOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: risk
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: AA_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: AA_______
property:
  code:
    v: subsumedBy
  value: code
    v: OUTC
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EDU
display:
  v: ends during
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: encompassesEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsDuring
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBEEAE
display:
  v: contains end of
definition:
  v: The source Act contains the end of the target Act. *UsageNote:* Inverse code is **EDU**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsDuring
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: containsEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: subsumedBy
  value: code
    v: SASEAE
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBSEAS
display:
  v: contains start of
definition:
  v: The source Act contains the start of the target Act. *UsageNote:* Inverse code is **SDU**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsDuring
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: containsStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: subsumedBy
  value: code
    v: SBS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SCW
display:
  v: starts concurrent with
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsConcurrentlyWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsConcurrentlyWith
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: subsumedBy
  value: code
    v: SASORSCW
property:
  code:
    v: subsumedBy
  value: code
    v: SBSORSCW
property:
  code:
    v: subsumedBy
  value: code
    v: SNS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SCWE
display:
  v: starts concurrent with end of
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsConcurrentWithStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsConcurrentWithEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: subsumedBy
  value: code
    v: SAEORSCWE
property:
  code:
    v: subsumedBy
  value: code
    v: SNE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SDU
display:
  v: starts during
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: encompassesStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsDuring
property:
  code:
    v: subsumedBy
  value: code
    v: OVERLAP
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: USE
display:
  v: uses
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: HL7usageNotes
  value: string
    v: 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.
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: usedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: uses
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DKA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DKA______
property:
  code:
    v: subsumedBy
  value: code
    v: REFR
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: BLOCK
display:
  v: blocks
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: blockedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: blocks
property:
  code:
    v: subsumedBy
  value: code
    v: RSON
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: DIAG
display:
  v: diagnoses
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: diagnosedBy
property:
  code:
    v: subsumedBy
  value: code
    v: RSON
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: IMM
display:
  v: immunization against
definition:
  v: **Description:** The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: immunizedAgainst
property:
  code:
    v: subsumedBy
  value: code
    v: RSON
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MITGT
display:
  v: mitigates
definition:
  v: The source act removes or lessens the occurrence or effect of the target act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: mitigatedBy
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: mitigates
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: CAA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: CAA______
property:
  code:
    v: subsumedBy
  value: code
    v: RSON
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PRYLX
display:
  v: prophylaxis of
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: prophylaxisOf
property:
  code:
    v: subsumedBy
  value: code
    v: RSON
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: TREAT
display:
  v: treats
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: treatmentFor
property:
  code:
    v: subsumedBy
  value: code
    v: RSON
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SAE
display:
  v: starts after end of
definition:
  v: A relationship in which the source act starts after the target act ends. *UsageNote:* Inverse code is **EBS**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsBeforeStartof
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsAfterEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: SAEORSCWE
property:
  code:
    v: subsumedBy
  value: code
    v: SAS
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: DURING
display:
  v: occurs during
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: spansOccurrenceOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: occursDuring
property:
  code:
    v: subsumedBy
  value: code
    v: SAS
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SASECWE
display:
  v: starts after start of, ends with
definition:
  v: The source Act starts after start of the target Act, and ends with the target Act. *UsageNote:* Inverse code is **SBSECWE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsBeforeStartOfEndsWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsAfterStartOfEndsWith
property:
  code:
    v: subsumedBy
  value: code
    v: SAS
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SASSBEEAS
display:
  v: start after start of, contains end of
definition:
  v: The source Act start after the start of the target Act, and contains the end of the target Act. *UsageNote:* Inverse code is **SBSEASEBE**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: containsStartOfEndsBeforeEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startAfterStartOfContainsEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: SASEAE
property:
  code:
    v: subsumedBy
  value: code
    v: SBEEAE
property:
  code:
    v: subsumedBy
  value: code
    v: SDU
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EBEORECW
display:
  v: ends before or concurrent with end of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsAfterOrConcurrentWithEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsBeforeOrConcurrentWithEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBSORSCW
display:
  v: starts before or concurrent with start of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsAfterOrConcurrentWithStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsBeforeOrConcurrentWithStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBSEAE
display:
  v: contains time of
definition:
  v: The source Act contains the time of the target Act. *UsageNote:* Inverse code is **DURING**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: occursDuring
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: containsTimeOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBEEAE
property:
  code:
    v: subsumedBy
  value: code
    v: SBSEAS
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SCWSEAE
display:
  v: starts with, ends after end of
definition:
  v: The source Act starts with the target Act, and ends after the end of the target Act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsWithEndsBeforeEndOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsWithEndsAfterEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBEEAE
property:
  code:
    v: subsumedBy
  value: code
    v: SCW
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OVERLAP
display:
  v: overlaps with
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: overlapsWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: overlapsWith
property:
  code:
    v: subsumedBy
  value: code
    v: SBEORSCWE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBE
display:
  v: starts before end of
definition:
  v: 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**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsAfterStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsBeforeEndOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBEORSCWE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: EBSORECWS
display:
  v: ends before or concurrent with start of
definition:
  v: 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
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: endsAfterOrConcurrentWithStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: endsBeforeOrConcurrentWithStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBSEBE
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SBS
display:
  v: starts before start of
definition:
  v: A relationship in which the source act begins before the target act begins. *UsageNote:* Inverse code is **SAS**
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: startsAfterStartOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: startsBeforeStartOf
property:
  code:
    v: subsumedBy
  value: code
    v: SBSORSCW
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: APND
display:
  v: is appendage
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: appendageOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: appendage
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BJ_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BJ_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: BSLN
display:
  v: has baseline
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: baselineFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: baseline
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BG_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BG_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: COMPLY
display:
  v: complies with
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: compliesWith
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: compliance
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BO_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BO_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: DOC
display:
  v: documents
definition:
  v: The source act documents the target act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: documentation
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: documentationOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BH_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BH_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: FLFS
display:
  v: fulfills
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: fulfillment
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: inFulfillmentOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BA_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BA_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: GEN
display:
  v: has generalization
definition:
  v: 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).
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: specialization
property:
  code:
    v: howApplies
  value: string
    v: generalization
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: specialization
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: generalization
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BC_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BC_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: GEVL
display:
  v: evaluates (goal)
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: evaluation
property:
  code:
    v: howApplies
  value: string
    v: goal
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: evaluation
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: evaluationOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BD_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BD_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: INST
display:
  v: instantiates (master)
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: instance
property:
  code:
    v: howApplies
  value: string
    v: master
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: instantiation
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: definition
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BB_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BB_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MOD
display:
  v: modifies
definition:
  v: 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"
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MTCH
display:
  v: matches (trigger)
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: matching service
property:
  code:
    v: howApplies
  value: string
    v: trigger
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: match
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: matchOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BF_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BF_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: OPTN
display:
  v: has option
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: optionFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: option
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BN_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BN_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RCHAL
display:
  v: re-challenge
definition:
  v: **Description:**A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: REV
display:
  v: reverses
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: reversal
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: reversalOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BK_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BK_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: RPLC
display:
  v: replaces
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: replacement
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: replacementOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BI_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BI_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SUCC
display:
  v: succeeds
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: successor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: predecessor
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BIA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BIA______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: UPDT
display:
  v: updates (condition)
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: new head of thread
property:
  code:
    v: howApplies
  value: string
    v: old head of thread
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: update
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: updateOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BE_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BE_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: XCRPT
display:
  v: Excerpts
definition:
  v: The source is an excerpt from the target.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: excerpt
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: excerptFrom
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BM_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BM_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: XFRM
display:
  v: transformation
definition:
  v: 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.)
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: transformation
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: transformationOf
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BL_______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BL_______
property:
  code:
    v: subsumedBy
  value: code
    v: SEQL
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SPRTBND
display:
  v: has bounded support
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: boundedSupportOf
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: boundedSupport
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DAA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DAA______
property:
  code:
    v: subsumedBy
  value: code
    v: SPRT
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ARR
display:
  v: arrival
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: arrivalFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: arrivedBy
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: EAAB_____
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: EAAB_____
property:
  code:
    v: subsumedBy
  value: code
    v: STEP
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: DEP
display:
  v: departure
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: false
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: departureFor
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: departedBy
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: EAAC_____
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: EAAC_____
property:
  code:
    v: subsumedBy
  value: code
    v: STEP
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: QUALF
display:
  v: has qualifier
definition:
  v: 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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: appliesTo
  value: string
    v: any Act
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: qualifies
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: hasQualifier
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: DBA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: DBA______
property:
  code:
    v: subsumedBy
  value: code
    v: SUBJ
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: ADJUNCT
display:
  v: adjunctive treatment
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: adjunctiveTreatmentFor
property:
  code:
    v: subsumedBy
  value: code
    v: TREAT
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: MTREAT
display:
  v: maintenance treatment
definition:
  v: **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.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: maintenanceTreatmentFor
property:
  code:
    v: subsumedBy
  value: code
    v: TREAT
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: PALLTREAT
display:
  v: palliates
definition:
  v: **Description:** The source act is intended to provide palliation for the effects of the target act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: palliativeTreatmentFor
property:
  code:
    v: subsumedBy
  value: code
    v: TREAT
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: SYMP
display:
  v: symptomatic relief
definition:
  v: **Description:** The source act is intented to provide symptomatic relief for the effects of the target act.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: symptomaticTreatmentFor
property:
  code:
    v: subsumedBy
  value: code
    v: TREAT
property:
  code:
    v: conductible
  value: boolean
    v: true
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &

code:
  v: VRXCRPT
display:
  v: Excerpt verbatim
definition:
  v: The source is a direct quote from the target.
property:
  code:
    v: status
  value: code
    v: active
property:
  code:
    v: isDocumentCharacteristic
  value: boolean
    v: true
property:
  code:
    v: Name:Act:inboundRelationship:ActRelationship
  value: code
    v: verbatimExcerpt
property:
  code:
    v: Name:Act:outboundRelationship:ActRelationship
  value: code
    v: verbatimExcerptFrom
property:
  code:
    v: Sort:Act:inboundRelationship:ActRelationship
  value: code
    v: BMA______
property:
  code:
    v: Sort:Act:outboundRelationship:ActRelationship
  value: code
    v: BMA______
property:
  code:
    v: subsumedBy
  value: code
    v: XCRPT
property:
  code:
    v: conductible
  value: boolean
    v: false
property:
  code:
    v: Name:ActRelationship:source:Act
  value: string
    v: &
property:
  code:
    v: Name:ActRelationship:target:Act
  value: string
    v: &