HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

CodeSystem: ParticipationMode

Official URL: http://terminology.hl7.org/CodeSystem/v3-ParticipationMode Version: 4.0.0
Active as of 2021-08-10 Responsible: Health Level Seven International Computable Name: ParticipationMode
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.5.1064

Copyright/Legal: 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

A set of codes specifying the modality by which the Entity playing the Role is participating in the Act.

Examples: Physically present, over the telephone, written communication.

Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically.

Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.

This Code system is referenced in the content logical definition of the following value sets:


This code system defines the following properties for its concepts

SpecializesCodingThe child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.
GeneralizesCodingInverse of Specializes. Only included as a derived relationship.
internalIdhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-idcodeThe internal identifier for the concept in the HL7 Access database repository.
statushttp://hl7.org/fhir/concept-properties#statuscodeDesignation of a concept's state. Normally is not populated unless the state is retired.


This case-sensitive code system http://terminology.hl7.org/CodeSystem/v3-ParticipationMode defines the following codes in a Is-A heirarchy:

1ELECTRONIC electronic dataParticipation by non-human-languaged based electronic signal16554active
1PHYSICAL physical presenceParticipation by direct action where subject and actor are in the same location. (The participation involves more than communication.)16556active
1REMOTE remote presenceParticipation by direct action where subject and actor are in separate locations, and the actions of the actor are transmitted by electronic or mechanical means. (The participation involves more than communication.)16557active
1VERBAL verbalParticipation by voice communication16544active
2  DICTATE dictatedParticipation by pre-recorded voice. Communication is limited to one direction (from the recorder to recipient).16547active
2  FACE face-to-faceParticipation by voice communication where parties speak to each other directly.16545active
2  PHONE telephoneParticipation by voice communication where the voices of the communicating parties are transported over an electronic medium16546active
2  VIDEOCONF videoconferencingParticipation by voice and visual communication where the voices and images of the communicating parties are transported over an electronic medium16548active
1WRITTEN writtenParticipation by human language recorded on a physical material16549active
2  FAXWRIT telefaxParticipation by text or diagrams printed on paper that have been transmitted over a fax device16552active
2  HANDWRIT handwrittenParticipation by text or diagrams printed on paper or other recording medium16550active
2  MAILWRIT mailParticipation by text or diagrams printed on paper transmitted physically (e.g. by courier service, postal service).23720active
2  ONLINEWRIT online writtenParticipation by text or diagrams submitted by computer network, e.g. online survey.23719active
3    EMAILWRIT emailParticipation by text or diagrams transmitted over an electronic mail system.16553active
2  TYPEWRIT typewrittenParticipation by text or diagrams printed on paper or other recording medium where the recording was performed using a typewriter, typesetter, computer or similar mechanism.16551active
2  MSGWRIT messagingParticipation by messaging typically from a mobile phone or mobile device through a cellular network or Internet. Includes secured or unsecured messaging transmission and includes online chat. Also includes submission of photos or other images.116551active
3    SMSWRIT SMS messageParticipation by text or diagrams transmitted by an SMS message.116552active
3    MMSWRIT MMS messageParticipation by text or diagrams transmitted by an MMS message.116553active
3    APPWRIT messaging appParticipation by text or diagrams transmitted over an online app, e.g. Facebook Messenger, WhatsApp, or similar web app.116554active


2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2022-02-17 00:00:32+1100reviseVocabulary WGGrahame GrievePopulate Missing caseSensitive property; UP-286
2021-09-02reviseCanada Health InfowayJoan HarperAdd text messaging values to the ParticipationMode code system; UP-226
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.