HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Extension Definitions

These define constraints on FHIR data types that need to be complied with by conformant implementations

MIF concept relationship transitivity Indicates whether the relationship always (transitive) or never (antitransitive) propagates such that if the association exists from A to B and from B to C that the relationship can be inferred to exist from A to C
MIF concept relationship is reflexivity Indicates if the association always holds for a concept with itself (refexive), never holds for a concept with itself (irreflexive)
MIF concept relationship is navigable Indicates whether the relationship is intended to be navigated when selecting a code
MIF concept relationship kind Identifies a type of relationship between codes that is supported by this code system version
NamingSystem version The business version associated with the Naming System
MIF concept relationship inverse name Identifies the name of the relationship that references the inverse of the current relationship. Allows linking a relationship and its derived inverse.
MIF concept relationship symmetry Indicates if the relationship always holds in the reverse direction as well (symetric), never holds in the reverse direction as well (antisymetric)
NamingSystem title The human-readable descriptive name for the code or identifier system
MIF Associated concept property Concept Properties that are associated with this Code System or Value Set Version

Terminology: Value Sets

These define sets of codes used by systems conforming with this implementation guide

chromosome-human Chromosome number for human.
Special arrangements This value set defines a set of codes that can be used to indicate the kinds of special arrangements in place for a patients visit.
Discharge disposition This value set defines a set of codes that can be used to where the patient left the hospital.
USCLS Codes This value set includes a smattering of USCLS codes.
StateChangeReason Indicates why the state of the subject changed.
Coverage SelfPay Codes This value set includes Coverage SelfPay codes.
Subscription Error Codes Codes to represent subscription error details
QuestionnaireItemUsageMode Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item.
ChargeItemCode Example set of codes that can be used for billing purposes.
Medication knowledge characteristic codes MedicationKnowledge Characteristic Codes
Example Diagnosis Related Group Codes This value set includes example Diagnosis Related Group codes.
Service type This value set defines an example set of codes of service-types.
Test script operation code This value set defines a set of codes that are used to indicate the supported operations of a testing engine or tool.
Validation-process The primary process by which the target is validated
ResearchSubjectState Indicates the progression of a study subject through a study.
Network Type Codes This value set includes a smattering of Network type codes.
Immunization Funding Source The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the source of the vaccine administered. This value set is provided as a suggestive example.
LibraryType The type of knowledge asset this library contains.
AdjudicationError This value set includes a smattering of adjudication codes.
Condition Clinical Status Codes Preferred value set for Condition Clinical Status.
Claim Information Category Codes This value set includes sample Information Category codes.
Missing Tooth Reason Codes This value set includes sample Missing Tooth Reason codes.
Primary-source-type Type of the validation primary source
MeasureType The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
Audit Event Source Type The type of process where the audit event originated from.
AlternativeCodeKind Indicates the type of use for which the code is defined.
Validation-type What the target is validated against
CommunicationNotDoneReason Codes for the reason why a communication did not happen.
Goal category Example codes for grouping goals to use for filtering or presentation.
GoalAcceptanceStatus Codes indicating whether the goal has been accepted by a stakeholder.
Example Revenue Center Codes This value set includes sample Revenue Center codes.
StatisticCertaintySubcomponentRating The quality rating of the subcomponent of a quality of evidence rating.
Push-type-available Type of alerts/updates the primary source can send
Forms This value set includes a sample set of Forms codes.
Consent Scope Codes This value set includes the four Consent scope codes.
ActionType The type of action to be performed.
Process Priority Codes This value set includes the financial processing priority codes.
Example Vision Prescription Product Codes This value set includes a smattering of Prescription Product codes.
Goal priority Indicates the level of importance associated with reaching or sustaining a goal.
Substance Category Codes Substance category codes
Episode of care type This example value set defines a set of codes that can be used to express the usage type of an EpisodeOfCare record.
MeasureImprovementNotation Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
StatisticSynthesisType Types of combining results from a body of evidence (eg. summary data meta-analysis).
Contract Signer Type Codes This value set includes sample Contract Signer Type codes.
AdverseEventCausalityMethod TODO.
Organization type This example value set defines a set of codes that can be used to indicate a type of organization.
Appointment cancellation reason This example value set defines a set of reasons for the cancellation of an appointment.
Risk Probability Codes representing the likelihood of a particular outcome in a risk assessment.
ClaimPayeeResourceType The type of Claim payee Resource.
StatisticStatisticType The type of a specific statistic.
Example Diagnosis on Admission Codes This value set includes example Diagnosis on Admission codes.
AllergyIntoleranceCertainty Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event.
FHIR Device Types Codes used to identify medical devices. Includes concepts from SNOMED CT (http://www.snomed.org/) where concept is-a 49062001 (Device) and is provided as a suggestive example.
FamilyHistoryAbsentReason Codes describing the reason why a family member's history is not available.
Medication request course of therapy codes MedicationRequest Course of Therapy Codes
ReferralMethod The methods of referral can be used when referring to a specific HealthCareService resource.
Reason Medication Given Codes This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the medication process.
StandardsStatus HL7 Ballot/Standards status of artifact.
GuideParameterCode Code of parameter that is input to the guide.
QualityOfEvidenceRating A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems.
PayeeResourceType The type of payee Resource.
CatalogType The type of catalog.
Example Message Reason Codes Example Message Reasons. These are the set of codes that might be used an updating an encounter using admin-update.
FHIRDeviceStatusReason The availability status reason of the device.
SupplyRequestReason The reason why the supply item was requested.
Flag Category Example list of general categories for flagged issues. (Not complete or necessarily appropriate.)
Example Related Claim Relationship Codes This value set includes sample Related Claim Relationship codes.
Adjudication Value Codes This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.
Encounter subject status This example value set defines a set of codes that can be used to indicate the status of the subject within the encounter
Admit source This value set defines a set of codes that can be used to indicate from where the patient came in.
ConditionState Enumeration indicating whether the condition is currently active, inactive, or has been resolved.
SubscriptionChannel Type Codes Codes to represent subscription error details
Surface Codes This value set includes a smattering of FDI tooth surface codes.
Claim Care Team Role Codes This value set includes sample Claim Care Team Role codes.
SubscriptionTag Tags to put on a resource after subscriptions have been sent.
ConformanceExpectation Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification.
Contact entity type This example value set defines a set of codes that can be used to indicate the purpose for which you would contact a contact party.
Location type This example value set defines a set of codes that can be used to indicate the physical form of the Location.
Contract Term Type Codes This value set includes sample Contract Term Type codes.
Test script profile destination type This value set defines a set of codes that are used to indicate the profile type of a test system when acting as the destination within a TestScript.
Encounter type This example value set defines a set of codes that can be used to indicate the type of encounter: a specific code indicating type of service provided.
CompositeMeasureScoring The composite scoring method of the measure.
Service category This value set defines an example set of codes that can be used to classify groupings of service-types/specialties.
Failure-action The result if validation fails
CharacteristicMethod The method used to determine the characteristic(s) of the variable.
ContractDataMeaning How a resource reference is interpreted when evaluating contract offers.
Consent Action Codes This value set includes sample Consent Action codes.
Condition Category Codes Preferred value set for Condition Categories.
ResourceSecurityCategory Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource.
Test script profile origin type This value set defines a set of codes that are used to indicate the profile type of a test system when acting as the origin within a TestScript.
Payment Status Codes This value set includes a sample set of Payment Status codes.
Benefit cost applicability Whether the cost applies to in-network or out-of-network providers.
MatchGrade A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not.
Supply Type This value sets refers to a Category of supply.
MedicationAdministrationLocation Direction in which lists of possible answers should be displayed.
Medication dispense performer function codes MedicationDispense Performer Function Codes
Oral Site Codes This value set includes a smattering of FDI oral site codes.
MeasureScoring The scoring type of the measure.
Consent PolicyRule Codes This value set includes sample Regulatory consent policy types from the US and other regions.
Immunization Evaluation Dose Status codes The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the validity of a dose relative to a particular recommended schedule. This value set is provided as a suggestive example.
SubscriberPolicyholder Relationship Codes This value set includes codes for the relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
Observation Reference Range Meaning Codes This value set defines a set of codes that can be used to indicate the meaning/use of a reference range for a particular target population.
Validation-status Status of the validation of the target against the primary source
Example Payment Type Codes This value set includes example Payment Type codes.
RejectionCriterion Criterion for rejection of the specimen by laboratory.
Contract Term Subtype Codes This value set includes sample Contract Term SubType codes.
Coverage Class Codes This value set includes Coverage Class codes.
Need The frequency with which the target must be validated
Program This value set defines an example set of codes that could be can be used to classify groupings of service-types/specialties.
AlternativeCodeKind Indicates the type of use for which the code is defined.
Coverage Copay Type Codes This value set includes sample Coverage Copayment Type codes.
CopyNumberEvent Copy Number Event.
Example Claim SubType Codes This value set includes sample Claim SubType codes which are used to distinguish the claim types for example within type institutional there may be subtypes for emergency services, bed stay and transportation.
MaxOccurs Flags an element as having unlimited repetitions.
ConditionVerificationStatus The verification status to support or decline the clinical status of the condition or diagnosis.
Basic Resource Types This value set defines codes for resources not yet supported by (or which will never be supported by) FHIR. Many of the codes listed here will eventually be turned into official resources. However, there is no guarantee that any particular resource will be created nor that the scope will be exactly as defined by the codes presented here. Codes in this set will be deprecated if/when formal resources are defined that encompass these concepts.
Example Procedure Type Codes This value set includes example Procedure Type codes.
MeasureDataUsage The intended usage for supplemental data elements in the measure.
Example Use Codes for List Example use codes for the List resource - typical kinds of use.
Insurance plan type This example value set defines a set of codes that can be used to indicate a type of insurance plan.
Example Diagnosis Type Codes This value set includes example Diagnosis Type codes.
List Order Codes Base values for the order of the items in a list resource.
StatisticStudyType The type of study a statistic was derived from.
AdverseEventSeriousness Overall seriousness of this event for the patient.
Exception Codes This value set includes sample Exception codes.
AuditEventEntityRole Code representing the role the entity played in the audit event.
StatisticCertaintySubcomponentType The subcomponent classification of quality of evidence rating systems.
SubscriptionStatusAtEvent A status code for the state of the Subscription.
StatisticsCode The statistical operation parameter -"statistic" codes.
Structure Definition Use Codes / Keywords Structure Definition Use Codes / Keywords
EvidenceDirectness The quality of how direct the match is.
Modifier type Codes This value set includes sample Modifier type codes.
Provenance participant type The type of participation a provenance participant.
Adjudication Reason Codes This value set includes smattering of Adjudication Reason codes.
CoverageEligibilityResponse Auth Support Codes This value set includes CoverageEligibilityResponse Auth Support codes.
ResearchStudyReasonStopped Codes for why the study ended prematurely.
Contract Type Codes This value set includes sample Contract Type codes.
ResearchStudyPhase Codes for the stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.
Example Provider Qualification Codes This value set includes sample Provider Qualification codes.
Nutrition intake category codes NutritionIntake Category Codes
VerificationResult Communication Method Attested information may be validated by process that are manual or automated. For automated processes it may accomplished by the system of record reaching out through another system's API or information may be sent to the system of record. This value set defines a set of codes to describing the process, the how, a resource or data element is validated.
CommunicationTopic Codes describing the purpose or content of the communication.
Immunization Program Eligibility The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the patient's eligibility for a vaccination program. This value set is provided as a suggestive example.
Can-push-updates Ability of the primary source to push updates/alerts
MeasurePopulationType The type of population.
Consent Vefication Codes This value set includes base Consent Verification codes.
Diet This value set defines a set of codes that can be used to indicate dietary preferences or restrictions a patient may have.
UsageContextType A code that specifies a type of context being specified by a usage context.
Benefit Category Codes This value set includes examples of Benefit Category codes.
Claim Type Codes This value set includes Claim Type codes.
Benefit Type Codes This value set includes a smattering of Benefit type codes.
Medication request category codes MedicationRequest Category Codes
AdverseEventSeverity The severity of the adverse event itself, in direct relation to the subject.
DefinitionStatus Codes identifying the lifecycle stage of a definition.
Supply Item Type This value sets refers to a specific supply item.
AdverseEventCategory Overall categorization of the event, e.g. product-related or situational.
Implant Status A set codes that define the functional status of an implanted device.
Contract Actor Role Codes This value set includes sample Contract Actor Role codes.
GoalRelationshipType Types of relationships between two goals.
ExpansionParameterSource Declares what the source of a parameter is.
ActivityDefinitionCategory High-level categorization of the type of activity.
Contract Subtype Codes This value set includes sample Contract Subtype codes.
Contract Action Codes This value set includes sample Contract Action codes.
MedicationRequestAdministrationLocation Direction in which lists of possible answers should be displayed.
Benefit Term Codes This value set includes a smattering of Benefit Term codes.
Observation Category Codes Observation Category codes.
Payment Type Codes This value set includes sample Payment Type codes.
Example Coverage Financial Exception Codes This value set includes Example Coverage Financial Exception Codes.
MedicationUsageAdministrationLocation Direction in which lists of possible answers should be displayed.
Example Service Place Codes This value set includes a smattering of Service Place codes.
HandlingConditionSet Set of handling instructions prior testing of the specimen.
Financial Task Codes This value set includes Financial Task codes.
DeviceDefinitionParameterGroup Codes identifying groupings of parameters; e.g. Cardiovascular.
ResearchSubjectStateType Identifies the kind of state being refered to.
ChoiceListOrientation Direction in which lists of possible answers should be displayed.
EvidenceVariableRole The role that the assertion variable plays.
StrengthOfRecommendationRating A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems.
Immunization Subpotent Reason The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why a dose is considered to be subpotent. This value set is provided as a suggestive example.
PayeeType This value set includes sample Payee Type codes.
Audit Event Outcome The type of process where the audit event originated from.
HL7Workgroup An HL7 administrative unit that owns artifacts in the FHIR specification.
AdverseEventCausalityAssessment Codes for the assessment of whether the entity caused the event.
DiagnosisRole This value set defines a set of codes that can be used to express the role of a diagnosis on the Encounter or EpisodeOfCare record.
Medication knowledge status codes MedicationKnowledge Status Codes
Designation Usage Preferred value set for Condition Categories.
Medication administration performer function codes MedicationAdministration Performer Function Codes
Immunization Recommendation Status Codes The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the status of the patient towards perceived immunity against a vaccine preventable disease. This value set is provided as a suggestive example.
SpecialValues A set of generally useful codes defined so they can be included in value sets.
DefinitionTopic High-level categorization of the definition, used for searching, sorting, and filtering.
Payment Adjustment Reason Codes This value set includes smattering of Payment Adjustment Reason codes.
AllergyIntolerance Verification Status The verification status to support or decline the clinical status of the allergy or intolerance.
ExpansionProcessingRule Defines how concepts are processed into the expansion when it's for UI presentation.
Goal achievement status Describes the progression, or lack thereof, towards the goal against the target.
Financial Task Input Type Codes This value set includes Financial Task Input Type codes.
SmartCapabilities Codes that define what the server is capable of.
Funds Reservation Codes This value set includes sample funds reservation type codes.
Medication knowledge package type codes MedicationKnowledge Package Type Codes
StatisticCertaintyRating The relative quality of the statistic.
Common Tags Common Tag Codes defined by FHIR project
Enteral Formula Additive Type Code EnteralFormulaAdditiveType: Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. This value set is provided as a suggestive example.
Unit Type Codes This value set includes a smattering of Unit type codes.
CommunicationCategory Codes for general categories of communications such as alerts, instructions, etc.
ResearchSubjectMilestone Indicates the progression of a study subject through the study milestones.
Endpoint Connection Type This is an example value set defined by the FHIR project, that could be used to represent possible connection type profile values.
AllergyIntoleranceSubstanceExposureRisk The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products).
StatisticAttributeEstimateType Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation.
sequenceStatus Codes providing the status of the variant test result.
PlanDefinitionType The type of PlanDefinition.
DoseAndRateType The kind of dose or rate specified.
Contract Content Derivation Codes This is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source at a specific stage in its lifecycle, which is sufficient to manage that source information, for example, in a repository, registry, processes and workflows, for making access control decisions, and providing query responses.
Example Program Reason Codes This value set includes sample Program Reason Span codes.
ContainerCap Color of the container cap.
AllergyIntolerance Clinical Status Codes Preferred value set for AllergyIntolerance Clinical Status.
List Empty Reasons General reasons for a list to be empty. Reasons are either related to a summary list (i.e. problem or medication list) or to a workflow related list (i.e. consultation list).
Immunization Evaluation Dose Status Reason codes The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why an administered dose has been assigned a particular status. Often, this reason describes why a dose is considered invalid. This value set is provided as a suggestive example.
Medication request status reason codes MedicationRequest Status Reason Codes
ResearchStudyObjectiveType Codes for the kind of study objective.
ResearchStudyPrimaryPurposeType Codes for the main intent of the study.
ServiceProvisionConditions The code(s) that detail the conditions under which the healthcare service is available/offered.
MIF Concept Relationship Kind Codes for use in the ext-mif-relationship-relationshipKind to capture V3 Model Interchange Format (MIF) SupportedConceptRelationship.relationshipKind values
MIF Concept Relationship Symmetry Codes for use in the ext-mif-relationship-symmetry to capture V3 Model Interchange Format (MIF) SupportedConceptRelationship.symmetry values
MIF Concept Relationship Transitivity Codes for use in the ext-mif-relationship-transitivity to capture V3 Model Interchange Format (MIF) SupportedConceptRelationship.transitivity values
MIF Concept Relationship Reflexivity Codes for use in the ext-mif-relationship-reflexivity to capture V3 Model Interchange Format (MIF) SupportedConceptRelationship.reflexivity values
hl7VS-practitionerIdNumberType Value Set of codes that specify the type of number used for the practitioner identification.
hl7VS-riskCodes Value Set of codes that specify any known or suspected specimen hazards, e.g., exceptionally infectious agent or blood from a hepatitis patient.
hl7VS-queryFormatCode Value Set of codes which specify which of several types of formats for data to be returned in response to a query.
hl7VS-employmentStatus Value Set of codes that specify the guarantor's employment status.
hl7VS-cclValue Value Set of codes that specify the clinical complexity level (CCL) value for the determined diagnosis related group (DRG) for this diagnosis.
hl7VS-armStick Value Set of codes specifying the arm(s) receiving a stick.
hl7VS-intendedProcedureType Value Set of codes specifying the type of intended procedure.
hl7VS-non-subjectConsenterReason Value Set of codes that specify a reason consent was granted by a person other than the subject of the consent.
hl7VS-errorSeverity Concepts documenting the severity of an application error as reported during acknowledgment of messages.
hl7VS-reportTypeCode Value Set of codes that identify the kind of patient document.
hl7VS-relationshipModifier Value Set of codes that an observation definition to describe the subject of an observation in relation to a patient.
hl7VS-informPersonCode Value Set of codes that specify who (if anyone) shouldor should not be informed of an error.
hl7VS-documentCompletionStatus Value Set of codes that record the state of a document in a workflow.
hl7VS-specialtyType Value Set of codes that identify the specialty of the care professional who is supported when using this location definition.
hl7VS-sequenceResultsFlag Value Set of codes that specify the sequencing relationship between the current service request and a related service request(s) specified in the same information model structure.
hl7VS-donationDurationUnits Value Set of codes specifying the units of donation duration.
hl7VS-phlebotomyStatus Value Set of codes specifying the status of a phlebotomy.
hl7VS-typeOfAgreement Concepts which specify codes to further identify an insurance plan.
hl7VS-deferredResponseType Value Set of codes which specify which type of deferred query resonse is desired, as specified with the query parameters.
hl7VS-specimenCollectionMethod Concepts to document procedures or processes by which a specimen may be collected. This is one of two code systems that are used instead of table 0070 (code system xxxx) which conflated specimen types and specimen collection methods. Used in Version 2 messaging in the SPM segment.
hl7VS-advancedBeneficiaryNoticeCode Status codes specifying a patient's or a patient's representative's consent for responsibility to pay for potentially uninsured services. Note that this set of codes is generally used in the US only.
hl7VS-personLocationType Value Set of codes that specify the categorization of the person's location.
hl7VS-jobStatus Value Set of codes that specify a next of kin/associated party's job status.
hl7VS-controlledSubstanceSchedule Value Set of codes that specify the class of the drug or other substance if its usage is controlled by legislation.
hl7VS-chargeTypeReason Value Set of codes that specify the choice of, and providing the clinical rationale for, a selected charge type.
hl7VS-sourceOfComment Concepts which are used to specify the source of a comment, as used in HL7 Version 2.x messaging in the NTE segment.
hl7VS-subtypeOfReferencedData A subset of the IANA media subtypes of binary data that are encoded in an ascii structure or stream.
hl7VS-accessRestrictionValue Value Set of codes that specify the information to which access is restricted. Note that the new codes as of November 2018 have been temporarily loaded into the underlying V2 code system pending availability of the currently unavailable new tooling, at which time this value set will be retired and a value set based on the HL7 V3 ActCode code system will be used instead for this table, and the rendered URL will be valid at terminology.hl7.org.
hl7VS-actionCode Concepts which specify actions to be taken with respect to the specimens that accompany or precede an order. The purpose of these are to further qualify (when appropriate) the general action indicated by the order control code (code system xxxx).
hl7VS-pcaType Value Set of codes specifying a type of PCA.
hl7VS-volumeUnits Value Set of codes of units of measure that are used to specify volume.
hl7VS-cumulativeDosageLimitUom Value Set of codes specifying the unit of measure (UoM) for the cumulative dosage limit.
hl7VS-documentAvailabilityStatus Value Set of codes that define whether a patient document is appropriate or available for use in patient care.
hl7VS-consentNon-disclosureReason Value Set of codes that specify a reason the subject did not receive full disclosure.
hl7VS-daysOfTheWeek Value Set of codes that identify the day(s) of the week when a location may be scheduled for appointments.
hl7VS-precision Value Set of codes used to specify the degree of precision of a time stamp.
hl7VS-rangeType Value Set of codes that specify whether a composite price range is experssed as a flat rate or a percentage.
hl7VS-encoding Concept identifying the type of IETF encoding used to represent successive octets of binary data as displayable ASCII characters.
hl7VS-eventRelatedPeriod Value Set of codes that specify a common (periodical) activity of daily living.
hl7VS-consentDisclosureLevel Value Set of codes that specify how much information was disclosed to the subject as part of the informed consent process.
hl7VS-name-addressRepresentation Value Set of codes that provide an indication of the kind of representation provided by a name or address, but does not necessarily specify the character sets used for the data. It is used to provides hints for a receiver, so it can make choic
hl7VS-documentConfidentialityStatus Value Set of codes that specify the degree to which special confidentiality protection should be applied to information. The assignment of data elements to these categories is left to the discretion of the healthcare organization.
hl7VS-transfusionAdverseReaction Value Set of codes that specify the type of adverse reaction that the recipient of the blood product experienced.
hl7VS-phlebotomyIssue Value Set of codes specifying a phlebotomy issue.
hl7VS-temperatureUnits Value Set of codes specifying the units of transport temperature.
hl7VS-exclusiveTest Concepts that define if a test should be a specific event with no other tests to be performed with this test, or not, or other special circumstances.
hl7VS-cycleType Value Set of codes that specify the type of cycle that is being executed. A cycle type is a specific sterilization method used for a specific type of supply item.
hl7VS-sourceOfSpecimen Value Set of codes which specify sources for speciments for clinical testing. These concepts are used in HL7 Version 2.x messaging in the OBR segment prior to version 2.7, and was replaced by the concepts in table 0487 Specimen Type and table
hl7VS-versionControlTable Concepts which are used to identify an HL7 version in the Version 2.x family of published standards.
hl7VS-organizationUnitType-Org Value Set of codes that specify the classification of the organization unit.
hl7VS-denialOrRejectionCode Value Set of codes that specify the OCE status of the line item.
hl7VS-organDonor Value Set of codes that specify whether the patient wants to donate his/her organs and whether an organ donor card or similar documentation is on file with the healthcare organization.
hl7VS-reimbursementTypeCode Value Set of codes that specify the fee schedule reimbursement type applied to a line item.
hl7VS-medicalRoleExecutingPhysician Value Set of codes specifying the role of the physician ("self-employed" or "employed").
hl7VS-allergySeverity Value Set of codes that specify the general severity of an allergy.
hl7VS-whenToCharge Value Set of codes that specify codes for an event precipitating/triggering a charge activity.
hl7VS-whatSubjectFilter Value Set of codes which specify the kind of information that is required to satisfy a query request. The values define the type of transaction inquiry.
hl7VS-diagnosticServiceSectionId Concepts which specify a section of a diagnostic service where the observation may be performed.
hl7VS-processInterruptionReason Value Set of codes specifying the reason for a process interruption.
hl7VS-certificationTypeCode Value Set of codes specifying the code for a certification type.
hl7VS-patientResultsReleaseCategorizationScheme Value Set of codes specifying the scheme for the patient results release categorization.
hl7VS-institutionRelationshipType Value Set of codes that specify the relationship the staff person has with the institution for whom he/she provides services.
hl7VS-bloodProductDispenseStatus Value Set of codes that specify the current status of the specified blood product as indicated by the filler or placer. For example, the first status change of a product that may trigger a Blood Product Dispense Status Message occurs when it fir
hl7VS-appointmentReasonCodes Value Set of codes that describe the kind of appointment or the reason why an appointment has been scheduled.
hl7VS-privacyLevel Value Set of codes that identify the level of privacy a patient will be afforded when assigned to this location definition.
hl7VS-sequenceConditionCode Value Set of codes that specify the relationship between the start/end of the related service request(s) and the current service request.
hl7VS-levelOfCare Value Set of codes that identify the level of care a patient may be afforded when assigned to this location definition.
hl7VS-cyclicEntryExitIndicator Value Set of codes that specify if this service request is the first or last service request in a cyclic series of service requests.
hl7VS-bpObservationStatusCodesInterpretation Value Set of codes that specify the interpretation for the blood product observation status codes. A status is considered preliminary until a blood product has reached a final disposition for the patient. For example, when the product is first c
hl7VS-appointmentTypeCodes Value Set of codes that an appointment request to describe the kind of appointment.
hl7VS-preferredSpecimen-AttributeStatus Concepts that indicate whether a Specimen/Attribute is Preferred or Alternate for collection of a particular specimen.
hl7VS-checkDigitScheme Concepts used to identify the check digit scheme employed when a check digit is used in various HL7 Version 2.x datatypes.
hl7VS-telecommunicationExpirationReason Value Set of codes specifying the reason this contact number/email was marked as "ended".
hl7VS-deviceDataState Value Set of codes that specify the state of the data as provided from a device.
hl7VS-annotations Value Set of codes that specify the coded entry associated with a given point in time during the waveform recording. Note codes beyond 9903 may exist; extensions to this table may be done by incrementing the code value.
hl7VS-name-addressRepresentation Value Set of codes that specify an indication of the representation provided by the data item.
hl7VS-reimbursementActionCode Value Set of codes that specify the action to be taken during reimbursement calculations.
hl7VS-quantityMethod Value Set of codes that specify the method by which the quantity distributed is measured.
hl7VS-formularyStatus Value Set of codes that specify whether or not the service (pharmaceutical) is in the formulary.
hl7VS-livingWill Value Set of codes that specify whether or not the patient has a living will and, if so, whether a copy fo the living will is on file at the healthcare facility. If the patient does not have a living will, the value of this field indicates whether the
hl7VS-universalIdType Types of UID (Universal Identifiers).
hl7VS-consentStatus Value Set of codes that specify whether the consent has been sought and granted.
hl7VS-presentOnAdmission(poa)Indicator Value Set of codes specifying the present on admission indicator for this particular diagnosis.
hl7VS-roleExecutingPhysician Value Set of codes specifying the account role of the physician, for example, only billing for the professional part, the technical part or both.
hl7VS-lotControl Value Set of codes that specify whether the sterilization load for a device is built in the sub-sterile area adjacent to an Operating Room or the Central Processing Department.
hl7VS-processingId Value Set of codes that specify whether the message is part of a production, training or debugging system.
hl7VS-statusPatient Value Set of codes that specify whether the length of stay is normal or respectively shorter or longer than normal.
hl7VS-relationship Concepts specifying an actual personal relationship that the next of kin/associated party has to a patient. Used in HL7 Version 2.x messaging in the NK1 segment.
hl7VS-certificationCategoryCode Value Set of codes specifying the code for a certification category.
hl7VS-VS-observationType Value Set of codes that specify types of observations to enable systems to distinguish between observations sent along with an order, versus observations sent as the result to an order.
hl7VS-observationResultHandling Concepts regarding the handling of a result.
hl7VS-locationEquipment Value Set of codes that identify the equipment available in a location definition identified as a room or bed.
hl7VS-documentStorageStatus Value Set of codes that describe the availability of a document in relation to the type of storage.
hl7VS-bloodProductTransfusion-dispositionStatus Value Set of codes that specify the current status of the specified blood product as indicated by the placer. For example, the placer may return the blood product to the transfusion service unused because an IV could not be started. The blood co
hl7VS-serviceRequestRelationship Value Set of codes that specify an additional or alternate relationship between this service request and other service requests.
hl7VS-patientLocationType Value Set of codes that identify the kind of location described in the location definition.
hl7VS-productSource Value Set of codes that describe the evaluation state of a product identified in an incident.
hl7VS-VS-observationSubtype Value Set of codes specifying an observation sub-type.
hl7VS-processInterruption Value Set of codes specifying whether a process was interrrupted and whether a needle had been inserted in the donor's arm prior to the interruption.
hl7VS-messageType Concepts which specify message types for HL7 Version 2.x messaging.
hl7VS-eventReason Value Set of codes that specify the reason for an event.
hl7VS-delayedAcknowledgmentType Concepts which specify a response type used in deferred processing two phase reply for delayed acknowldgement mode of the original acknowledgement mechanism defined in HL7 Version 2.x messaging.
hl7VS-bedStatus Value Set of codes that specify the state of a bed in an inpatient setting, and is used to determine if a patient may be assigned to it or not.
hl7VS-sideOfBody Value Set of codes specifying the side of the body ("left" or "right").
hl7VS-consentBypassReason Value Set of codes that specify the reason the subject's consent was not sought.
hl7VS-ambulatoryPaymentClassificationCode Value Set of codes that specify the derived Ambulatory Payment Classification (APC) code.
hl7VS-tqConjunctionId Value Set of codes that specify that a second timing specification is to follow using the repeat delimiter.
hl7VS-drgTransferType Value Set of codes that specify a type of hospital receiving a transfer patient, which affects how a facility is reimbursed under diagnosis related group (DRG's), for example, exempt or non-exempt.
hl7VS-treatment Value Set of codes that identify the specimen treatment performed during lab processing.
hl7VS-alertLevel Value Set of codes that identify the highest level of the alert state (e.g.,highest alert severity) that is associated with the indicated equipment (e.g. processing event, inventory event, QC event).
hl7VS-governmentReimbursementProgram Value Set of codes that specify codes that indicate an agency that the practitioner is authorized to bill for medical services. Existing codes only for use in the United States.
hl7VS-productionClassCode Value Set of codes specifying the code and/or text indicating the primary use for which the living subject was bred or grown.
hl7VS-continuationStyleCode Value Set of codes identifying whether it is a fragmented message or part of an interactive continuation message.
hl7VS-addressUsage Value Set of codes that specify how an address is intended to be used.
hl7VS-administrationMethod Value Set of codes that specify the specific method requested for the administration of the drug or treatment to the patient.
hl7VS-dietType Value Set of codes that specify the type of diet.
hl7VS-package Value Set of codes specifying the packaging unit in which this inventory supply item can be ordered or issued when purchased from the vendor in the related vendor segment.
PHVS_Race_HL7_2x This race value set is based upon CDC check-digit codes, but using the HL7 table 0005. HL7 adopted the CDC Race and Ethnicity codes in HL7 Table 0005 in 2005. This value set has been created for backward compatibility and some historic Implementation guides (E.g. Immunization). Recommend using Race Category value set based upon CDC Race & Ethnicity code system.
hl7VS-drgProcedureRelevance Value Set of codes that specify the relevance of this particular procedure for the diagnosis related group (DRG) determination.
hl7VS-orderStatusModifier Value Set of codes that further define an identified status.
hl7VS-product-servicesClarification Value Set of codes that specify the Product/Service Code.
hl7VS-processingMode Concepts that indicate an archival process or an initial load process.
hl7VS-purgeStatus Value Set of codes that define the state of a visit relative to its place in a purge workflow.
hl7VS-signatory'sRelationshipToSubject Value Set of codes that specify the relationship of the consenter to the subject.
hl7VS-quantityUnits Value Set of codes that specify the adjustment quantity.
hl7VS-segmentActionCode Concepts specifying actions to be applied for segments when an HL7 version 2 interface is operating in "action code mode" (a kind of update mode in the Standard).
hl7VS-ReasonForStudy Value Set of codes that provide additional information to the universal service identifier on why a test, study or review was ordered.
HL7 Value Set for State/Province Concepts used to specify a state or province. Used in Version 2 messaging in the Extended Composite ID with Check Digit (CX), Performing Person Time Stamp (PPN), and Extended Composite ID Number and Name for Persons (XCN) values as well as the Accident (ACC) segment.
hl7VS-auto-DilutionType Value Set of codes that specify the pre‑configured dilution to be applied on the instrument, which can be used instead of a numeric declaration.
hl7VS-orderStatus Value Set of codes that specify the status of an order. The purpose of these values are to report the status of an order either upon request (solicited), or when the status changes (unsolicited). The values are not intended to initiate action. It is as
hl7VS-itemStatus Value Set of codes that specify the status (useful for reporting and item usage purposes) that applies to an item.
hl7VS-patientClass Concepts used by systems to categorize patients by sites.
hl7VS-date-timeSelectionQualifier Value Set of codes that allow the specification of certain types of values within the date/time range.
hl7VS-administrationDevice Value Set of codes that specify the mechanical device used to aid in the administration of the drug or other treatment. Common examples are IV-sets of different types.
hl7VS-derivedSpecimen Value Set of codes that specify the parents and children for diagnostic studies, especially in microbiology, where the initial specimen (e.g., blood) is processed to produce results (e.g., the identity of the bacteria grown out of the culture). The pro
hl7VS-addressExpirationReason Value Set of codes that specify the reason this address was marked as "ended".
hl7VS-incidentTypeCode Value Set of codes specifying a classification of the incident type.
hl7VS-local-remoteControlState Value Set of codes that identify the current state of control associated with the equipment. Equipment can either work autonomously ('Local' control state) or it can be controlled by another system, e.g., LAS computer ('Remote' control state)
hl7VS-specimenComponent Value Set of codes that identify the specimen component, e.g., supernatant, sediment, etc.
hl7VS-schoolType Value Set of codes that specify a categorization of an academic institution that grants a degree to a Staff Member.
hl7VS-commentType Value Set of codes that identify the type of comment text being sent in the specific comment record.
hl7VS-containerStatus Value Set of codes that identify the status of the unique container in which the specimen resides at the time the transaction was initiated.
hl7VS-procedureDrgType Value Set of codes that specify a procedure's priority ranking relative to its DRG.
hl7VS-rxComponentType Value Set of codes that specify the RX component type.
hl7VS-stockLocation Value Set of codes that specify a stock location.
hl7VS-religion2 Value Set of codes that specify a person's religion.
hl7VS-relationalConjunction Value Set of codes used with relational operator values to group more than one segment field name.
hl7VS-organizationalNameType Concepts used to specify the type of name for an organization i.e., legal name, display name.
hl7VS-processingConsiderationCodes Value Set of codes that specify special processing requested of Payer for this Product/Service Line Item (e.g., hold until paper supporting documentation is received by Payer).
hl7VS-eventSeriousness Value Set of codes that a sender to designate an event as serious or significant.
hl7VS-eventExpected Value Set of codes that communicate whether an event has been judged to be expected or unexpected.
hl7VS-priceType Value Set of codes that identify the intent for the dollar amount on a pricing transaction.
hl7VS-alternateCharacterSets Value Set of codes that identify one of a number of possible standard alternate character sets for a message, either single-byte or double-byte.
hl7VS-supplierType Value Set of codes specifying the type of supplier that will distribute the supply items associated to a contract number.
Confidentiality Concepts drawn from the HL7 V3 Confidentiality code system . Used in Version 2 messaging in the Security Classification elements in the Message Header segment (MSH) and the Access Restrictions segment (ARV).
hl7VS-drgGroupingStatus Value Set of codes that specify the status of the use of the gender information for diagnosis related group (DRG) determination.
hl7VS-drgProcedureDeterminationStatus Value Set of codes that specify the status of the use of this particular procedure for the diagnosis related group (DRG) determination.
hl7VS-admissionType Value Set of codes that specify the circumstances under which the patient was or will be admitted.
hl7VS-userAuthenticationCredentialTypeCode Value Set of codes that specify a type of user authentication credential.
hl7VS-coordinationOfBenefits Value Set of codes that specify whether this insurance works in conjunction with other insurance plans or if it provides independent coverage and payment of benefits regardless of other insurance that might be available to the patient.
hl7VS-substitutionStatus Value Set of codes that specify the substitution status.
hl7VS-diagnosisPriority Concepts that identify the significance or priority of the diagnosis code. Note that the codes are numeric, and the number of the code represents the ordinal priority of the associated diagnosis. Used in the DG1 segment in Version 2 messaging.
hl7VS-additivePreservative Concepts specifying any additive introduced to the specimen before or at the time of collection. These additives may be introduced in order to preserve, maintain or enhance the particular nature or component of the specimen. Used in Version 2 messaging in the SPM segment.
hl7VS-tissueTypeCode Value Set of codes that specify the type of tissue removed from a patient during a procedure.
hl7VS-languageAbility Value Set of codes that specify codes that indicate the ability that a Staff Member possesses with respect to the language.
hl7VS-equipmentState Value Set of codes that identify the status the equipment was in at the time the transaction was initiated.
hl7VS-artificialBlood Value Set of codes that identify the artificial blood identifier associated with the specimen.
hl7VS-administriveSite Concepts that specify a body site from which a specimen is obtained.
hl7VS-confidentialityCode Value Set of codes that specify the degree to which special confidentiality protection should be applied to the observation.
hl7VS-statusAdmission Value Set of codes that specify the admission status for the diagnosis related group (DRG) determination.
hl7VS-transactionType Value Set of codes that specify a type of financial transaction.
hl7VS-eventTypeCode Concepts specifying the trigger event for Version 2.x interface messages.
V2 Table 0942 Version Master Value Set of codes that specify the type of measurement of the state of an automated laboratory instrument.
hl7VS-publicityCode Concepts specifying a level of publicity of information about a patient for a specific visit.
hl7VS-weightUnits Value Set of codes of units of measure that are used to specify weight.
hl7VS-telecommunicationUseCode Concepts for specifying a specific use of a telecommunication number.
hl7VS-bloodUnitType Value Set of codes used to specify the type of blood unit
hl7VS-nameType Concepts for types of names for persons.
hl7VS-specialProgramCode Value Set of codes that record a health insurance program required for healthcare visit reimbursement.
hl7VS-taxStatus Value Set of codes used to specify the tax status of a provider.
hl7VS-diagnosisClassification Value Set of codes that classify whether a patient visit can be related to a diagnosis.
hl7VS-maritalStatus Value Set of codes that specify a person's marital (civil/legal) status.
hl7VS-ethnicGroup Concepts further defining a patient's ancestry. In the US, a current use is to use these codes to report ethnicity in line with US federal standards for Hispanic origin. Used for HL7 Version 2 messaging in the PID segment.
hl7VS-routeOfAdministration Value Set of codes that specify the route of administration.
hl7VS-systemInducedContaminants Value Set of codes that identify the specimen contaminant identifier associated with the specimen in the container.
hl7VS-degreeLicenseCertificate Concepts specifying an educational degree (e.g., MD). Used in the CNN datatype (names and identifiers of clinicians) in Version 2 messaging. Used in Version 2 messaging; note that in releases of HL7 prior to 2.3.1, was also used in person names (XPN), but this use was deprecated, then withdrawn in 2.7.
hl7VS-organizationUnitType Value Set of codes that specify the environment in which the provider acts in the role associated with the provider type, and inludes codes for venues outside of formal organized healthcare settings, such as Home. The provider environment is no
hl7VS-allergyClinicalStatus Value Set of codes specifying the verification status for the allergy.
hl7VS-specialHandlingConsiderations Concepts describing how a specimen and/or container needs to be handled from the time of collection through the initiation of testing. Used in Version 2 messaging in the SPM segment.
hl7VS-languageProficiency Value Set of codes which specify the level of knowledge a person possesses with respect to a language ability identified.
hl7VS-analyteRepeatStatus Value Set of codes identifying the repeat status for the analyte/result (e.g. original, rerun, repeat, reflex). The following are assumptions regarding the table values: Repeated without dilution — performed usually to confirm correctness of r
hl7VS-penaltyType Value Set of codes that specify whether the amount is currency or a percentage.
hl7VS-natureOfServiceTestObservation Concepts specifying an identification of a test battery, an entire functional procedure or study, a single test value (observation), multiple test batteries or functional procedures as an orderable unit (profile), or a single test value (observation) calculated from other independent observations, typically used as an indicator for Master Files.
hl7VS-trayType Value Set of codes that specify the type of dietary tray.
hl7VS-payeeRelationshipToInvoice Value Set of codes used to specify the relationship to the invoice for Person Payee Types.
hl7VS-telecommunicationEquipmentType Concepts for specifying a type of telecommunication equipment.
hl7VS-adjustmentCategoryCode Value Set of codes used to specify the category of adjustment and is used to assist in determining which table is used for Adjustment Reason.
hl7VS-paymentMethodCode Value Set of codes used to specify the method for the movement of payment.
hl7VS-patientStatusCode Value Set of codes that define the state of a care episode for a patient.
hl7VS-invoiceProcessingResultsStatus Value Set of codes used to specify the processing status for an Invoice Processing Result.
hl7VS-visitPriorityCode Value Set of codes that define a relative level of urgency applied to a patient visit.
hl7VS-identifierType Concepts specifying types of identififiers, as used in person and organization identification datatypes in HL7 Version 2 standards.
hl7VS-providerAdjustmentReasonCode Value Set of codes used to specify the reason for this adjustment.
hl7VS-product-serviceStatus Value Set of codes that specify the processing status for the Product/Service Code.
hl7VS-VS-limitationTypeCode Value Set of codes specifying a type of limitation.
hl7VS-administrativeSex Concepts specifying a patient's sex for administrative purposes.
hl7VS-mimeTypes Value Set of codes specifying the general type of data.
hl7VS-allowSubstitution Value Set of codes that specify whether substitutions are allowed and, if so, the type of substitutions allowed.
hl7VS-masterFileIdentifierCode Concepts which are represented by codes identifying HL7Versions 2.x Master Files.
hl7VS-dayType Value Set of codes that specify whether the days are denied, pending or approved.
hl7VS-processingType Value Set of codes identifying the processing type that applies to the test code. If this attribute is omitted, then regular production is the default.
hl7VS-otherEnvironmentalFactors Value Set of codes that identify the other environmental factors associated with the specimen in a specific container, e.g., atmospheric exposure.
hl7VS-patientConditionCode Value Set of codes specifying the patient's current medical condition for the purpose of communicating to non-medical outside parties, e.g. family, employer, religious minister, media, etc.
hl7VS-segmentGroup Value Set of codes that specify the optional segment groups which are to be included in a response.
hl7VS-precertificationPatientType Value Set of codes that specify the category or type of patient for which this certification is requested.
hl7VS-eligibilitySource Value Set of codes that specify the source of information about the insured's eligibility for benefits.
hl7VS-file-levelEventCode Concepts specifying file-level events for master files. Used in HL7 Version 2 messaging in the MFI segment.
hl7VS-amountClass Value Set of codes that specify the amount quantity class.
hl7VS-providerBilling Value Set of codes that specify how provider services are billed.
hl7VS-drgStatusFinancialCalculation Value Set of codes that specify the status of the diagnosis related group (DRG) calculation regarding the financial aspects.
workClassificationODH A person’s employment type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).
hl7VS-onlineVerificationResultErrorCodes V2 Table 0971 Version Master (Online Verification Result Error Code)
hl7VS-inactiveReasonCode Value Set of codes that specify the reason the staff member is inactive.
hl7VS-insuranceCompanyContactReason Value Set of codes that describe why an insurance company has been contacted.
hl7VS-invoiceReasonCodes Value Set of codes that specify the reason for an invoice.
hl7VS-volumeUnits Value Set of codes of units of measure that are used to specify volume.
hl7VS-adjustmentAction Value Set of codes used to specify the action requested of a party that receives an adjustment.
hl7VS-invoiceType Value Set of codes that specify the type of invoice.
PHVS_ManufacturersOfVaccinesMVX_CDC_NIP Value Set of codes that specify the organization that manufactures a vaccine. The values are maintained by the US Centers of Disease Control. Note that the source of truth for these code values are maintained by the CDC, and the code system may be acce
hl7VS-onlineVerificationResult Code values used to indicate the result of an online verification of insurance data.
hl7VS-statusRespirationMinutes Value Set of codes that specify the status of the use of the respiration minutes information for diagnosis related group (DRG) determination.
hl7VS-countryCode-3alpha Value Set of codes that identifies a country of origin for a message. It will be used primarily to specify default elements, such as currency denominations. The values to be used are those of ISO 3166. The ISO 3166 table has three separate forms for the codes for each country, this value set includes only the 3-character alpha form.
hl7VS-responseLevel Concepts specifying application response levels defined for a given Master File Message at the MFE segment level, and used for MFN-Master File Notification message. Specifies additional detail (beyond MSH-15 - Accept Acknowledgment Type and MSH-16 - Application Acknowledgment Type) for application-level acknowledgment paradigms for Master Files transactions.
hl7VS-roomType Value Set of codes that specify the room type.
hl7VS-substanceType Value Set of codes identifying the type of substance.
hl7VS-applicationChangeType Value Set of codes that specify a type of change being requested (if NMR query) or announced (if NMD unsolicited update).
hl7VS-severityOfIllnessCode Value Set of codes specifying the severity ranking of a patient's illness.
hl7VS-advanceDirectiveCode Value Set of codes specifying the patient's instructions to the healthcare facility.
hl7VS-cweStatuses Concepts that represent an exception identifier code; that is, a code that is not defined in the value set (either model or site-extended). These are occationsally referred to a 'flavors of null' although this set of concepts is specific to the CWE datatype used in Version 2 messaging, and the codes may be used in the 'identifier' component of the 'triplets' in that datatype.
hl7VS-caseCategoryCode Value Set of codes specifying the reason a non-urgent patient presents to the emergency room for treatment instead of a clinic or physican office.
hl7VS-occurrenceSpan Concepts drawn from the National Uniform Billing Committee (NUBC) code that identifies an event that relates to the payment of a claim. Used in Version 2 messaging in the Occurrence Span Code and Date (OSP) value.
hl7VS-alertDeviceCode Value Set of codes specifying any type of allergy alert device the patient may be carrying or wearing.
hl7VS-matchReason Value Set of codes identifying what search components (e.g., name, birthdate, social security number) of the record returned matched the original query where the responding system does not assign numeric match weights or confidence levels. It
hl7VS-policyType Value Set of codes that specify the policy type.
hl7VS-addressType Concepts specifying types or kinds of addresses.
hl7VS-sterilizationType Value Set of codes specifying the type of sterilization used for sterilizing the inventory supply item in the ITM segment.
hl7VS-route Value Set of codes that are used to indicate a means of administrating a medication dose.
hl7VS-statusWeightAtBirth Value Set of codes that specify the status of the use of the weight at birth for diagnosis related group (DRG) determination.
hl7VS-priority Value Set of codes that specify the allowed priorities for obtaining the specimen.
hl7VS-payeeType Value Set of codes that specify the type of payee (e.g., organization, person).
hl7VS-studentStatus Value Set of codes that designate whether a guarantor is a full or part time student.
hl7VS-escortRequired Value Set of codes indicating whether a patient must be accompanied while travelling to a diagnostic service department.
hl7VS-transportArranged Value Set of codes defining whether patient transportation preparations are in place.
hl7VS-benefitGroup Value Set of codes that specify the benefit group.
hl7VS-procedureFunctionalType Value Set of codes that classify a procedure.
hl7VS-typeOfData Concepts declaring the general type of media data that is encoded.
hl7VS-preferredMethodOfContrct Value Set of codes that specify which of a group of multiple phone numbers is the preferred method of contact for this person.
hl7VS-itemImportanceCodes Value Set of codes that denote a level or importance of an inventory item within the context of an inventory location.
hl7VS-amountType Value Set of codes that specify amount quantity type.
hl7VS-matchAlgorithms Value Set of codes identifying the name or identity of the specific search algorithm to which the RCP-5 Search Confidence Threshold and the QRI-1 Candidate Confidence refer.
hl7VS-commandResponse Value Set of codes identifying the response of the previously issued command.
hl7VS-occurrenceCode Concepts drawn from the National Uniform Billing Committee (NUBC) code for the event or occurrence relating to a bill that may affect payer processing. Used in Version 2 messaging in the Occurrence Code and Date (OCD) value.
hl7VS-sensitivityToCausativeAgentCode Value Set of codes specifying the reason the patient should not be exposed to a substance.
hl7VS-triageCode Value Set of codes specifying a patient's prioritization within the context of this abstract.
hl7VS-patient’sRelationshipToInsured Value Set of codes that specify the relationship of the patient to the insured, as defined by CMS or other regulatory agencies.
hl7VS-remoteControlCommand Value Set of codes that identify the comment the component is to initiate.
hl7VS-bloodProductCode Value Set of codes specifying the blood product code.
hl7VS-admissionLevelOfCareCode Value Set of codes specifying the acuity level assigned to the patient at the time of admission.
hl7VS-messageStructure HL7 abstract message structure codes.
hl7VS-substanceStatus Value Set of codes identifying the status of the inventoried item. The status indicates the current status of the substance.
hl7VS-sequencing Value Set of codes identifying how the field or parameter will be sorted and, if sorted, whether the sort will be case sensitive (the default) or not.
hl7VS-protectionCode Value Set of codes that specify that an address needs to be treated with special care or sensitivity.
hl7VS-militaryStatus Value Set of codes that specify the military status of the patient. This field is defined by CMS or other regulatory agencies.
hl7VS-whichDate-timeQualifier Value Set of codes that specify the type of date referred to in the other date fields in the QRF segment.
hl7VS-mfnRecode-levelErrorReturn Concepts which code status values for requested master file record update operations.
hl7VS-itemType Value Set of codes that specify a classification of material items into like groups as defined and utilized within an operating room setting for charting procedures.
DeviceSafety Codes used to identify medical devices safety characteristics. These codes are taken from the [NCI Thesaurus](https://ncit.nci.nih.gov/ncitbrowser/pages/home.jsf) and are provided here as a suggestive example.
hl7VS-rulingAct Value Set of codes that specify an act containing a rule that the item is legally required to be included in notification reporting.
hl7VS-queryResponseStatus Concepts defining precise response status concepts in support of HL7 Version 2 query messaging.
hl7VS-reportTiming Value Set of codes that identify the time span of a report or the reason for a report sent to a regulatory agency.
hl7VS-livingArrangement Concepts characterizing the situation that patient-associated parties live in at their residential address.
hl7VS-jurisdictionalBreadth Value Set of codes that specify the breadth/extent of the jurisdiction where the qualification is valid.
hl7VS-reportSource Value Set of codes that identify where a report sender learned about an event.
hl7VS-invoiceControlCode Value Set of codes that specify what invoice action is being performed by this message.
hl7VS-relationalOperator Value Set of codes that define the relationship between HL7 segment field names identified in a query construct.
FHIRdeviceStatus The availability status of the device.
hl7VS-masterfileActionCode Concepts specifying an action for a master file record. Used in HL7 V2.x messaging in the MFE segment.
hl7VS-whichDate-timeStatusQualifier Value Set of codes that specify the status type of objects selected in date range defined by QRF-2 and QRF-3.
hl7VS-itemStatusCodes Value Set of codes that specify the state of an inventory item within the context of an inventory location.
hl7VS-codingSystem Names of coding systems. Each coding system is assigned a unique identifier, which is generally a short mnemonic derived from the full name of the coding system.
hl7VS-precautionCode Value Set of codes specifying non-clincal precautions that need to be taken with the patient.
hl7VS-primaryKeyValueType Value Set of codes that specify the type for the master file record identifier.
hl7VS-riskManagementIncidentCode Value Set of codes specifying the incident that occurred during a patient's stay.
hl7VS-specimenRole Value Set of codes that identify the role of a sample.
hl7VS-messageErrorConditionCodes HL7 (communications) error codes, as transmitted in a message acknowledgement.
hl7VS-recreationalDrugUseCode Value Set of codes specifying what recreational drugs the patient uses.
hl7VS-newbornCode Value Set of codes specifying whether the baby was born in or out of the facility.
hl7VS-responseModality Value Set of codes identifying the timing and grouping of the response message(s).
hl7VS-reportingPriority Value Set of codes that specify the available priorities reporting the test results when the user is asked to specify the reporting priority independent of the processing priority.
hl7VS-accept-applicationAcknowledgmentConditions Concepts which identify conditions under which accept acknowledgments are required to be returned in response to a message, and required for enhanced acknowledgment mode.
hl7VS-ambulatoryStatus Value Set of codes that specify permanent or transient handicapped conditions of a person.
dataAbsentReason Used to specify why the normally expected content of the data element is missing.
hl7VS-relationshipType Value Set of codes that specify the type of relationship that is established between the instances of Source Information and Target Information.
hl7VS-approvingRegulatoryAgency Value Set of codes that specify the regulatory agency by which the item has been approved, such as the FDA or AMA.
hl7VS-livingDependency Value Set of codes identifying specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs.
hl7VS-eventQualification Value Set of codes that qualify an event related to a product experience.
hl7VS-bodyParts Value Set of codes that specify the part of the body.
hl7VS-eventReportedTo Value Set of codes that identify the type of entity to which the event has been reported.
hl7VS-containerCondition Value Set of codes that specify at each receipt the status of the container in which the specimen is shipped in chain of custody cases where specimens are moved from lab to lab. If the container is compromised in any way (seal broken, container
hl7VS-orderControlCodeReason Value Set of codes that describe reasons for the chosen order control codes.
DeviceType Codes used to identify medical devices.
hl7VS-siteAdministered Value Set of codes that specify a location on the body where a dose is to be administered, e.g., IV, IM, Subcutaneous.
hl7VS-acknowledgmentCode Concepts specifying acknowledgment codes used in Version 2.x message. For details of usage, see message processing rules in the published Standard.
hl7VS-active-inactive Value Set of codes that specify whether a person is currently a valid staff member.
hl7VS-militaryService Value Set of codes that specify the military branch. This field is defined by CMS or other regulatory agencies.
hl7VS-processingPriority Value Set of codes that specify one or more available priorities for performing the observation or test.
hl7VS-modifyIndicator Value Set of codes identifying whether the subscription is new or is being modified.
hl7VS-gestationCategoryCode Value Set of codes specifying the status of the birth in relation to the gestation
hl7VS-alternateCharacterSetHandlingScheme Concepts that specify the scheme used when any alternative character sets are specified in the second or later iterations of MSH-18 Character Set, and if any special handling scheme is needed.
hl7VS-modeOfArrivalCode Value Set of codes specifying how the patient was brought to the healthcare facility.
hl7VS-procedurePriority Value Set of codes specifying a number that identifies the significance or priority of the procedure code.
hl7VS-facilityType Value Set of codes that specify the type of facility.
hl7VS-overallClaimDispositionCode Value Set of codes specifying the final status of the claim.
hl7VS-providerRole Value Set of codes that specify the functional involvement with the activity being transmitted (e.g., Case Manager, Evaluator, Transcriber, Nurse Care Practitioner, Midwife, Physician Assistant, etc.).
hl7VS-locationRelationshipId Value Set of codes that specify an identifier code to show which relationship is being communicated with the segment.
hl7VS-specimenChildRole Value Set of codes that specify for child specimens the relationship between this specimen and the parent specimen.
hl7VS-pharmacyOrderTypes Value Set of codes that specify the general category of pharmacy order which may be used to determine the processing path the order will take.
hl7VS-procedurePractitionerType Value Set of codes of concepts which specify the different types of practitioners associated with this procedure. This set of codes is known to be incomplete.
hl7VS-allergyType Value Set of codes that specify classification of general allergy categories (drug, food, pollen, etc.).
hl7VS-loadStatus Value Set of codes that specify the status of the information provided in a device sterilization or decontamination cycle.
hl7VS-deviceStatus Value Set of codes that specify the state of a device.
hl7VS-actpriority Value Set of codes specifying the priority for a shipment.
hl7VS-participation Concepts that represent functional involvement of a caregiver or member of a care team with an activity being transmitted (e.g., Case Manager, Evaluator, Transcriber, Nurse Care Practitioner, Midwife, Physician Assistant, etc.)
hl7VS-computationType Value Set of codes that specify if the change is computed as a percent change or as an absolute change.
hl7VS-actionTakenInResponseToTheEvent Value Set of codes that define the action taken as a result of an event related to a product issue.
hl7VS-allowSubstitutionCodes Value Set of codes that indicate whether the appointment resource may be substituted for another by the entity assigned to fulfill the appointment.
hl7VS-providerRole Value Set of codes that define the relationship between a referral recipient and a patient or between a referral initiator and a patient.
PHVS_VaccinesAdministeredCVX_CDC_NIP Value Set of codes that specify the administered vaccines. The values are maintained by the US Centers of Disease Control.. The code system is maintained by the CDC, and may be found at URL; https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.1
hl7VS-actionCode Concepts used in Patient Care for the intent of a problem or goal. Used in Version 2 messaging in the GOL segment.
hl7VS-fillerStatusCodes Value Set of codes that describe an appointment status from the perspective of the entity assigned to fulfill the appointment.
hl7VS-certificateStatus Value Set of codes that specify the status of the certificate held by a health professional.
hl7VS-relatednessAssessment Value Set of codes that provide an estimate of whether an issue with a product was the cause of an event.
hl7VS-confidentiality Value Set of codes specifying the confidentiality for a shipment.
hl7VS-queryPriority Concepts which specify a time frame in which a querry response is expected.
hl7VS-observationResultStatus Concepts which specify observation result status. These codes reflect the current completion status of the results for one Observation Identifier.
hl7VS-diagnosisType Concepts specifying a type of diagnosis being sent in HL7 Version 2.x messages.
hl7VS-grouperStatus Value Set of codes that specify the status of a grouper in general.
hl7VS-quantityLimitedRequest Concepts which specify the maximum length of a query response that can be accepted by a requesting system, and are expressed as units of mesaure of query response objects.
hl7VS-bodySiteModifier Value Set of codes that specify the modifier for the body site.
hl7VS-locationServiceCode Value Set of codes specifying the types of services provided by the location.
hl7VS-locationCharacteristicId Value Set of codes that specify an identifier code to show which characteristic is being communicated with the segment.
hl7VS-marketingBasis Value Set of codes that specify the basis for marketing approval.
hl7VS-revenueCode Value Set of codes specifying a revenue code as specified in the National Uniform Billing Committee (NUBC) UB-04 manual, UB form locator 42, the service line revenue code. These are claim codes indicating the identifying number for the product or service provided. The UB-04 Data Specifications Manual with the codes is available by subscription from NUBC at http://www.nubc.org/become.html.
hl7VS-visitIndicator Value Set of codes that specify the level on which data are being sent. It is the indicator used to send data at two levels, visit and account. HL7 recommends sending an "A" or no value when the data in the message are at the account level or "V" to i
hl7VS-dataTypes Value Set of codes specifying the data type.
hl7VS-networkSourceType Value Set of codes that indicate (in certain systems) whether a lower level source identifier is an initiate or accept type.
hl7VS-paymentAdjustmentCode Value Set of codes that specify any payment adjustment due to drugs or medical devices.
hl7VS-authorizationMode Concepts of forms of authorization a recorder may receive from the responsible practitioner to create or change an order. Used in Version 2 messaging for orders in the ORC segment.
hl7VS-consentMode Value Set of codes that specify the method in which a subject provides consent.
hl7VS-reorderTheoryCodes Value Set of codes that specify the calculation method used to determine the resupply schedule.
hl7VS-transportationMode Value Set of codes that specify how (or whether) to transport a patient, when applicable, for an ordered service.
hl7VS-visitUserCode Value Set of codes that specify categories of a patient's visit with respect to an individual institution's needs, and is expected to be different on a site-specific basis.
hl7VS-supplyRiskCodes Value Set of codes specifying any known or suspected hazard associated with this material item.
hl7VS-interpretationCode A categorical assessment, providing a rough qualitative interpretation of the observation value, such as “normal”/ “abnormal”,”low” / “high”, “better” / “worse”, “susceptible” / “resistant”, “expected”/ “not expected”. The value set is intended to be for ANY use where coded representation of an interpretation is needed. Notes: This is being communicated in v2.x in OBX-8, in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR Observation.interpretation. Historically these values come from the laboratory domain, and these codes are extensively used. The value set binding is extensible, so codes outside the value set that are needed for interpretation concepts (i.e. particular meanings) that are not included in the value set can be used, and these new codes may also be added to the value set and published in a future version.
hl7VS-VS-communicationLocation Value Set of codes specifying a communication location.
hl7VS-shipmentStatus Value Set of codes specifying the status of a shipment.
hl7VS-causalityObservations Value Set of codes that record event observations regarding what may have caused a product related event.
hl7VS-notifyClergyCode Value Set of codes that specify whether the clergy should be notified.
hl7VS-messageWaitingPriority Value Set of codes that specify how important the most important waiting mesasge is. For example, if there are 3 low priority messages, 1 medium priority message and 1 high priority message, the message waiting priority would be "high", because
hl7VS-bloodProductProcessingRequirements Value Set of codes that specify additional information about the blood component class associated with the Universal Service ID. The placer of the order can specify any required processing of the blood product that must be completed prior to t
hl7VS-referralCategory Value Set of codes that describe the patient care setting where a referral should take place.
hl7VS-mimeBase64EncodingCharacters Value Set of codes that are used for base64 MIME encoding. Base64 is defined as follows (adapted from MIME Internet standard RFC 1521).
hl7VS-startOfEvaluation Value Set of codes that describes the status of product evaluation.
hl7VS-indirectExposureMechanism Value Set of codes that identify the mechanism of product transmission when the product has not been directly applied to the patient.
hl7VS-signatureCode Concepts that indicate how a patient/subscriber authorization signature is obtained and how it is being retained by a provider.
hl7VS-securityCheckScheme Value Set of codes specifying the scheme for a security check.
hl7VS-acquisitionModality Value Set of codes specifying the modality for the acquisition of an image.
hl7VS-VS-collectionEvent Value Set of codes specifying the limit for a collection event or process step.
hl7VS-re-admissionIndicator Value Set of codes which are used to specify that a patient is being re-admitted to a healthcare facility from which they were discharged, and indicates the circumstances around such re-admission.
hl7VS-orderControl Concepts which are used to determine the function of the order segment. Depending on the message, the action specifies by one of these control codes may refer to an order or an individual service.
hl7VS-contactRole2 Concepts which specify a relationship role that the next of kin/associated parties plays with regard to the patient. Built on the updated code system. Also used in referrals, for example, it may be necessary to identify the contact representative at the clinic that sent a referral.
hl7VS-deviceType Value Set of codes that specify the kind of device as defined by the manufacturer.
hl7VS-valueType Concepts which specify the data type of OBX-5, Observation Value, and are a subset of the datatypes defined in HL7 Version 2.x.
hl7VS-consentType Value Set of codes that specify to what the subject is consenting, i.e. what type of service, surgical procedure, information access/release or other event.
hl7VS-orderType Value Set of codes that specify whether the order is to be executed in an inpatient setting or an outpatient setting.
hl7VS-packagingStatusCode Value Set of codes that specify the packaging status of the service.
hl7VS-immunizationRegistryStatus Immunization registry status codes of a patient. Used in Version 2 messaging in the PD1 segment.
hl7VS-identityReliabilityCode Value Set of codes that specify the reliability of patient/person identifying data transmitted via a transaction.
hl7VS-actionCode Status codes of record operations.
hl7VS-certificationStatus Value Set of codes that specify the status of the practitioner's speciality certification.
hl7VS-specimenAppropriateness Value Set of codes that specify the suitability of the specimen for the particular planned use as determined by the filler.
hl7VS-reportPriority Value Set of codes which specify the priority associated with a report or update run using a query.
hl7VS-responseFlag Value Set of codes allowing the placer (sending) application to determine the amount of information to be returned from the filler.
hl7VS-dateFormat Value Set of codes that specify the date format for a decontamination/sterilization instance.
hl7VS-assignmentOfBenefits Value Set of codes which indicate whether an insured person agreed to assign the insurance benefits to a healthcare provider. If so, the insurance will pay the provider directly.
hl7VS-hospitalService Value Set of codes that specify the treatment or type of surgery the patient is scheduled to receive.
hl7VS-rootCause Value Set of codes specifying a root cause.
hl7VS-natureOfChallenge Value Set of codes that further describe an observation definition that is characterized as a challenge observation.
hl7VS-identityMayBeDivulged Value Set of codes that define whether the primary observer has given permission for their identification information to be provided to a product manufacturer.
hl7VS-timeSelectionCriteriaParameterClassCodes Value Set of codes that describe acceptable start and end times, as well as days of the week, for appointment or resource scheduling.
hl7VS-referralPriority Value Set of codes that designate the urgency of a referral.
hl7VS-referralType Value Set of codes that identify the general category of healthcare professional desired to satisfy a referral.
hl7VS-primaryObserver'sQualification Value Set of codes that provide a general description of the kind of health care professional who provided the primary observation.
hl7VS-sequenceCondition Value Set of codes that identify whether sequence conditions or a repeating cycle of orders is defined, as part of the Order Sequence Definition.
hl7VS-organization-Agency-Department Value Set of codes that specify the agency or department that assigned a specified identifier.
hl7VS-timeDelayPostChallenge Value Set of codes that classify an observation definition as being a component of a challenge test.
hl7VS-overrideType Value Set of codes that specify what type of override can be used to override the specific error identified.
hl7VS-outlierType Value Set of codes that specify the type of outlier (i.e. period of care beyond DRG-standard stay in facility) that has been paid.
hl7VS-weightUnits Value Set of codes of units of measure that are used to specify weight.
hl7VS-queryResultsLevel Value Set of codes which are used to control level of detail in query results.
hl7VS-specimenCondition Concepts of modes or states of being that describe the nature of a specimen. Used in Version 2 messaging in the SPM segment.
hl7VS-specimenType Concepts that describe the precise nature of an entity that may be used as the source material for an observation. This is one of two code systems that are used instead of table 0070 (code system xxxx) which conflated specimen types and specimen collection methods. Used in Version 2 messaging in the SPM segment.
hl7VS-referralReason Value Set of codes that specify the reason for which the referral will take place.
hl7VS-eventType Value Set of codes specifying the type of event of the message.
hl7VS-nameAssemblyOrder Value Set of codes specifying the preferred display order of the components of this person name.
hl7VS-completionStatus Status codes used in the workflow of treatment administration events.
hl7VS-formularyStatus Value Set of codes that specify whether or not the pharmaceutical substance is part of the local formulary.
hl7VS-disabledPerson Value Set of codes that specify to which person the disability information relates in the message. For example, if the value is PT, the disability information relates to the patient.
hl7VS-specimenQuality Value Set of codes that specify the degree or grade of excellence of the specimen at receipt.
hl7VS-extendedPriorityCodes Concepts describing the urgency of a request carried in an order. Used in Version 2 messaging in timing/quantity; in older versions of the Standard was used in the TQ datatype, but in later versions it is used in the TQ1 segment (which replaced the TQ datatype which has been withdrawn). Many of the codes are widely recognized values used in healthcare settings in the english-speaking world.
hl7VS-yes-no-Indicator Codes specifying either Yes or No used in fields containing binary answers generally user-specified.
hl7VS-chargeType Value Set of codes that specify someone or something other than the patient to be billed for a service.
hl7VS-bolusType Value Set of codes specifying a type of bolus.
hl7VS-override Value Set of codes that define whether a Charge Description Master description may be overridden or if it must be overridden.
hl7VS-eventConsequence Value Set of codes that describe the impact of an event on a patient.
hl7VS-kindOfQuantity Value Set of codes that describe the underlying kind of property represented by an observation. The categories distinguish concentrations from total amounts, molar concentrations from mass concentrations, partial pressures from colors, and so
hl7VS-expandedYes-NoIndicator Value Set of codes that specify an expansion on the original Yes/No indicator table by including "flavors of null". It is intended to be applied to fields where the response is not limited to "yes" or "no".
hl7VS-referralStatus Value Set of codes that define the state of a referral.
hl7VS-referralDisposition Value Set of codes that identify the expected response from the healthcare professional receiving a referral.
hl7VS-durationCategories Value Set of codes that classify an observation definition as intended to measure a patient's state at a point in time.
hl7VS-calendarAlignment Value Set of codes that specify an alignment of the repetition to a calendar (e.g., to distinguish every 30 days from "the 5th of every month").
hl7VS-patientOutcome Value Set of codes that describe the overall state of a patient as a result of patient care.
hl7VS-chargeOnIndicator Value Set of codes that define the event upon which a charge should be generated.
hl7VS-natureOfAbnormalTesting Value Set of codes that specify the nature of an abnormal test.
hl7VS-relevantClincialInformation Value Set of codes that specify additional clinical information about the patient or specimen to report the supporting and/or suspected diagnosis and clinical findings on requests for interpreted diagnostic studies.
hl7VS-drgDiagnosisDeterminationStatus Value Set of codes that specify the status of a diagnosis for a diagnosis related group (DRG) determination.
hl7VS-moodCodes Value Set of codes that specify the functional state of an order.
InformationSensitivityPolicy Value Set of codes that specify the reason for the restricted access. Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an "employee" sensitivity code would make little sense for use outside of a policy domain. "Taboo" would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.titleValue Set of codes that specify the reason for the restricted access.
hl7VS-resultStatus-Obr Concepts which specify a status of results for an order. Used in HL7 Version 2.x messaging in the OBR segment.
hl7VS-mailClaimParty Value Set of codes that specify a party to which a claim should be mailed when claims are sent by mail.
hl7VS-laborCalculationType Value Set of codes that specify the method used to calculate employee labor and measure employee productivity.
hl7VS-dispenseType Value Set of codes that specify the type of dispensing event that occurred.
hl7VS-specimenRejectReason Reasons a specimen may be rejected for a specified observation/result/analysis. Used in Version 2 messaging in the SPM segment.
hl7VS-dispenseMethod Value Set of codes that specify the method by which treatment is dispensed.
hl7VS-repeatPattern Value Set of codes that specify the interval between repeated services. See the Comment/Usage Note in the table below, as the table contains both precoordinated codes that may be used in an HL7 field or component and also explanatory patterns i
hl7VS-coverageType Note that this set of codes is used generally in the US only.
OregonAthapaskan
PerineuralRoute Perineural
NullFlavor
RoleClassSubsumer An entity that subsumes the identity of another. Used in the context of merging documented entity instances. Both the player and scoper must have the same classCode. The use of this code is **deprecated** in favor of the term SUBY which is its inverse and is more ontologically correct.
ObservationInterpretationNormalityHigh Interpretation for a quantitative observation of degree of abnormality (including critical or "alert" level) above the upper limit of the reference range.
x_RoleClassCoverage An abstract domain that encompasses the roles that arise in the context of providing, purchasing, and managing health care coverage and insurance.
LingualRoute Lingual
ParticipationCallbackContact A person or organization who should be contacted for follow-up questions about the act in place of the author.
ClinicalNurseSpecialistHIPAA A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
RoleClassIdentifiedEntity Roles played by entities and scoped by entities that identify them for various purposes.
EntityClassHealthChartEntity A health chart included to serve as a document receiving entity in the management of medical records.
TableRules These values are defined within the XHTML 4.0 Table Model
ActCoverageAssessmentObservationValue Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.
ActMoodProposal A non-mandated intent to perform an act. Used to record intents that are explicitly not Orders. Professional responsibility for the 'proposal' may or may not be present.
x_ActClassCareProvisionObservation
ParticipationDistributor Distributes material used in or generated during the act.
TrustPolicy A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain’s trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]
ActRelationshipHasSubject 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.
x_AdministeredSubstance A type of Manufactured Material that is administered to a living subject, either by a healthcare professional or auto-administered, within a healthcare context.
CoveredPartyRoleType A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder. **Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent. **Discussion:** The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.
RespiratoryTherapistHIPAA A respiratory therapist is a person who has graduated from a respiratory therapy program accredited by the Committee on Allied Health Education and Accreditation, and where applicable, is licensed by the state and is practicing within the scope of that license. A respiratory therapist administers oxygen and other gases and provides assistance with equipment to patients with either acute or chronic breathing difficulties, often within the home.
SuppositoryRoute Suppository
ActClassSpecimenObservation An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation
AnnotationType
x_InformationRecipient Used to represent participant(s) who should receive a copy of a document.
RoleClassRelationshipFormal A relationship between two entities that is formally recognized, frequently by a contract or similar agreement.
RoleClassIndividual **Description:** A role played by a party covered under a policy as the policy holder. An individual may be either a person or an organization. **Note:** The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party. In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss. **Example:** The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder.
LifeInsurancePolicy **Definition:** A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion. *Discussion:*A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).
RoleClassRegulatedProduct A product regulated by some governmentatl orgnization. The role is played by Material and scoped by Organization. Rationale: To support an entity clone used to identify the NDC number for a drug product.
LaryngealRoute Laryngeal
ParticipationResponsibleParty The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature. *Example:* A person who is the head of a biochemical laboratory; a sponsor for a policy or government program.
SecurityControlObservationType Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata conveys instructions for secure distribution, transmission, storage or use.
ActCoverageLimitCode Criteria that are applicable to the authorized coverage.
x_ActEncounterReason Administrative reasons for patient encounters. *Example:*Medical necessity, patient request and dependency.
ManagedParticipationStatusCancelled The terminal state resulting from cancellation of the Participation prior to activation.
ParticipationAttender The practitioner that has responsibility for overseeing a patient's care during a patient encounter.
StreetName
MedicalDevice A device with direct or indirect therapeutic purpose. Values for EntityCode when EntityClass = "DEV"
EPSG-GeodeticParameterDataset **Description:** The EPSG (European Petroleum Survey Group) dataset represents all Datums, coordinate references (projected and 2D geographic) and coordinate systems (including Cartesian coordinate systems) used in surveying worldwide. Each record includes a 4-8 digit unique identifier. The current version is available from http://www.epsg.org/. The database contains over 4000 records covering spatial data applications worldwide.
ParentInLaw The player of the role is the parent of scoping person's husband or wife.
ObservationInterpretationChange Interpretations of change of quantity and/or severity, such as "better", "worse", "increased", etc. At most one of B or W and one of U or D allowed.
x_ActMoodDefEvnRqo
HL7SearchUse
ActRelationshipCheckpoint A code specifying when in the course of an Act a precondition for the Act is evaluated (e.g., before the Act starts for the first time, before every repetition, after each repetition but not before the first, or throughout the entire time of the Act.) *Discussion:* This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Before each step is executed and has preconditions these conditions are tested and if the test is positive, the Act has clearance for execution. The repeatNumber may indicate that an Act may be repeatedly executed. The checkpointCode is specifies when the precondition is checked and is analogous to the various conditional statements and loop constructs in programming languages "while-do" vs. "do-while" or "repeat-until" vs. "loop-exit". For all checkpointCodes, except "end", preconditions are being checked at the time when the preceding step of the plan has terminated and this step would be next in the sequence established by the sequenceNumber attribute. When the checkpointCode for a criterion of a repeatable Act is "end", the criterion is tested only at the end of each repetition of that Act. When the condition holds true, the next repetition is ready for execution. When the checkpointCode is "entry" the criterion is checked at the beginning of each repetition (if any) whereas "beginning" means the criterion is checked only once before the repetition "loop" starts. The checkpointCode "through" is special in that it requires the condition to hold throughout the execution of the Act, even throughout a single execution. As soon as the condition turns false, the Act should receive an interrupt event (see interruptibleInd) and will eventually terminate. The checkpointCode "exit" is only used on a special plan step that represents a loop exit step. This allows an action plan to exit due to a condition tested inside the execution of this plan. Such exit criteria are sequenced with the other plan components using the ActRelationship.sequenceNumber.
x_DocumentEntrySubject Used to represent the role(s) of those who can serve as subjects of the contents of a clinical document.
ObservationIncomeValue Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.
GenericUpdateReasonCode **Description:**Identifies why a change is being made to a record.
Yukian
Yaqui
ActClassLocus **Description:**The position of a gene (or other significant sequence) on the genome.
ActClassStateTransitionControl Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or a command, according to the mood of the control act.
CountryEntityType A set of codes identifying specific countries.
ActClassDetectedIssue An observation identifying a potential adverse outcome as a result of an Act or combination of Acts. *Examples:* Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria. *Discussion:* This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation. *Constraints:* the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).
ActClassGrouper
RegulationPolicyActCode **Description:** A rule set by regulators of product that somehow constrain the use of products. Regulator may be any organization with a mandate to issue such rules, regardless of level, regional, country, state, and local (e.g., an institutional Pharmaceutical and Treatment Committee.) **Examples:** * Prescription Only * Controlled Substance Schedule II * Standard of Practice
ActConditionList List of condition observations.
Race In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.
IntrabursalRoute Intrabursal
EskimoAleut
DocumentSectionType The type of document section. Possible values: review of systems, medical history, family history, microscopic findings, etc.
RefrainPolicy Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. **Examples:** * prohibit redisclosure without consent directive
x_ActMoodEvnOrdPrmsPrp
ActClassComposition A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians. A composition represents part of a patient record originating from a single interaction between an authenticator and the record. Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application. A composition contains organizers and entries.
x_ActClassCareProvisionProcedure
RoleClassClaimant **Description:** A role played by a party making a claim for coverage under a policy or program. A claimant must be either a person or organization, or a group of persons or organizations. A claimant is not a named insured or a program eligible. **Discussion:** With respect to liability insurance such as property and casualty insurance, a claimant must file a claim requesting indemnification for a loss that the claimant considers covered under the policy of a named insured. The claims adjuster for the policy underwriter will review the claim to determine whether the loss meets the benefit coverage criteria under a policy, and base any indemnification or coverage payment on that review. If a third party is liable in whole or part for the loss, the underwriter may pursue third party liability recovery. A claimant may be involved in civil or criminal legal proceedings involving claims against a defendant party that is indemnified by an insurance policy or to protest the finding of a claims adjustor. With respect to life insurance, a beneficiary designated by a named insured becomes a claimant of the proceeds of coverage, as in the case of a life insurance policy. However, a claimant for coverage under life insurance is not necessarily a designated beneficiary. **Note:** A claimant is not a named insured. However, a named insured may make a claim under a policy, e.g., an insured driver may make a claim for an injury under his or her comprehensive automobile insurance policy. Similarly, a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants. In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that either a named insured or an individual insured has filed a claim for a loss. In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits. **Example:** A claimant under automobile policy that is not the named insured.
RoleClassCaregiver A person responsible for the primary care of a patient at home.
ActEncounterCode Domain provides codes that qualify the ActEncounterClass (ENC)
ActPriority A code or set of codes (e.g., for routine, emergency,) specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen. *Discussion:* This attribute is used in orders to indicate the ordered priority, and in event documentation it indicates the actual priority used to perform the act. In definition mood it indicates the available priorities.
RefusalReasonCode
RouteByMethod Route of substance administration classified by administration method.
EntityClassPerson A living subject of the species homo sapiens.
DoseDurationDetectedIssueCode Proposed length of therpay differs from standard practice
ActResearchInformationAccess **Definition:** Consent to have healthcare information in an electronic health record accessed for research purposes.
RoleClassIngredientEntity Relates a component (player) to a mixture (scoper). E.g., Glucose and Water are ingredients of D5W, latex may be an ingredient in a tracheal tube.
x_RoleClassPayeePolicyRelationship The specification of the relationship of the Payee to the invoice. Can be used in cases when an insurer is not directly paying the healthcare provider (as payee) but reimbursing the party that paid the invoice/claim.
EntericCoatedTablet
ContainerEntityType Material intended to hold another material for purpose of storage or transport.
EligibilityActReasonCode **Description:**Identifies the reason or rational for why a person is eligible for benefits under an insurance policy or program. **Examples:** A new employee is eligible for health insurance as an employment benefit. A person meets eligibility criteria for government program coverage based on financial, age or health status.
x_VeryBasicConfidentialityKind **Description:**Limits confidentiality to effectively a yes/no decision. *Usage Note:*x\_VeryBasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.
PadDrugForm
ActAdministrativeAuthorizationDetectedIssueCode
ICUPracticeSetting
Chew Chew
RaceAmericanIndianNavajo
RoleClassDistributedMaterial A material (player) distributed by a distributor (scoper) who functions between a manufacturer and a buyer or retailer.
ActRelationshipHasPreviousInstance 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.
ActClassAccommodation An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.
ActClassClinicalTrialTimepointEvent An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.
RaceAlaskanNativeYupikEskimo
CapsuleDrugForm A solid dosage form in which the drug is enclosed within either a hard or soft soluble container or "shell" made from a suitable form of gelatin.
ExpectedSubset An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored.
BehavioralHealthAndOrSocialServiceProviderHIPAA Broad classification aggregating providers who are trained and educated to perform services related to behavioral health, mental health, and counseling and may be licensed or practice within the scope or licensure or training.
NonRigidContainerEntityType A container having dimensions that adjust somewhat based on the amount and shape of the material placed within it.
RoleClassInvestigationSubject An entity that is the subject of an investigation. This role is scoped by the party responsible for the investigation.
RaceAmericanIndianIroquois
RefillPharmacySupplyType A fill against an order that has already been filled (or partially filled) at least once.
SubscriberCoveredPartyRoleType **Description:** A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.
HospitalUnitPracticeSetting
OralInhalation Inhalation, oral
ActRelationshipHasOption 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.
OtherPhysicianProviderHIPAA A State licensed provider in allopathic or osteopathic medicine who performs services in a role defined independently of the scope of medical practice.
SeverityObservation Potential values for observations of severity.
RacePacificIslandMelanesian
AddressLine **Description:** An address line is for either an additional locator, a delivery address or a street address.
UpdateRefusalReasonCode
ClinicalResearchEventReason **Definition:**Specifies the reason that an event occurred in a clinical research study.
VaginalFoam
LiquidLiquidEmulsion A two-phase system in which one liquid is dispersed throughout another liquid in the form of small droplets.
InformationSensitivityPolicy Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an "employee" sensitivity code would make little sense for use outside of a policy domain. "Taboo" would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title.
RaceAmericanIndianCreek
RaceAlaskanNativeInupiatEskimo
ContextControl A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).
OptometristHIPAA An optometrist is a person qualified by a Doctor of Optometry (O.D. ) degree, licensed by the state and practicing within the scope of that license. Optometrists examine the eyes and related structures to determine the presence of any abnormality and prescribe and adapt lenses or optical aids. They use drugs for diagnosis in all states and for treatment in some states. They do not perform surgery.
GenitourinaryRoute Genitourinary
EntityRisk The vocabulary table for the Entity.riskCode attribute
ActRelationshipExcerpt The source is an excerpt from the target.
RoleStatusPending The state representing that fact that the role has not yet become active.
PsychoanalystHIPAA (1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor's degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure.
ActRelationshipCostTracking Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.
RoleClassAdjuvant
ActClassCareProvision An **Act** that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care. *Discussion:* A **care provision** event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional. In **request** (RQO) mood **care provision** communicates a referral, which is a request: * from one party (linked as a **participant** of type **author** (AUT)), * to another party (linked as a **participant** of type **performer** (PRF), * to take responsibility for a scope specified by the code attribute, * for an entity (linked as a **participant** of type **subject** (SBJ)). The scope of the care for which responsibility is taken is identified by *code* attribute. In **event** (EVN) mood **care provision** indicates the effective time interval of a specified scope of responsibility by a **performer** (PRF) or set of **performers** (PRF) for a **subject** (SBJ). *Examples:* 1. Referral from GP to a specialist. 2. Assignment of a patient or group of patients to the case list of a health professional. 3. Assignment of inpatients to the care of particular nurses for a working shift.
PayorParticipationFunction **Definition:** Set of codes indicating the manner in which payors participate in a policy or program.</
ActControlVariable An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).
ObservationMethodAggregate A set of codes that defines how a set of values are summarized in an aggregated computation, for use with sets of values do describe which aggregated statistic functions are to be applied (e.g., average, mode, min, max, standard deviation, variance).
TransplacentalRoute Transplacental
RoleStatusActive The state representing the fact that the Entity is currently active in the Role.
RaceAmericanIndianArapaho
PrimaryDentition Primary dentition, the first teeth to errupt and usually replaced with permanent dentition
ActClassElectronicHealthRecord A context that comprises all compositions. The EHR is an extract that includes the entire chart. **NOTE:** In an exchange scenario, an EHR is a specialization of an extract.
ProvenanceEventCurrentState Specifies the state change of a target Act, such as a document or an entry, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
RadDiagTherPracticeSetting A practice setting where radiology services (diagnostic or therapeutic) are provided (X12N 261QR0200N)
ROIOverlayShape Shape of the region on the object being referenced
ActClassIncident An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.
RaceAmericanIndianChippewaCree
PedsClinPracticeSetting
ActClassDiet
KitEntityType A container for a diverse collection of products intended to be used together for some purpose (e.g. Medicinal kits often contain a syringe, a needle and the injectable medication).
RoleClassManufacturedProduct Scoped by the manufacturer
ActExposureCode Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.
ParticipationReferredBy A participant (e.g. provider) who has referred the subject of an act (e.g. patient). Typically, a referred by participant will provide a report (e.g. referral).
ActClassSemiFowlers **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
SecurityAlterationIntegrityObservationValue
GTSAbbreviation
EasternMiwok
ActInvoiceDetailGenericCode The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
ObservationInterpretationNormalityCriticallyAbnormal Interpretation of a critical (or "alert") degree of abnormality. Concepts in this category are mutually exclusive, i.e., at most one is allowed.
SecurityClassificationObservationValue Security observation values used to indicate security classification metadata.
ActClassCompositeOrder
ActDetectedIssueManagementCode Codes dealing with the management of Detected Issue observations
ActCareProvisionCode **Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
IntratympanicRoute Intratympanic
Apachean
WorkPlace
GeneralAcuteCareHospital (X12N 282N00000N)
Yokuts
x_DeterminerInstanceKind
EntityClassCertificateRepresentation A physical artifact that stores information about the granting of authorization.
RaceAmericanIndianShawnee
ActClassSubstitution Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code. Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.
ActClassProcedure An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. *Examples:* : Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.
PatientImmunizationRelatedObservationType **Description:** Reporting codes that are related to an immunization event.
x_PhoneURLScheme Restricts scheme to phone numbers at which a human can be reached
RoleClassCoveredParty **Description:** A relationship between a party that receives benefit coverage under the terms of an insurance policy or program and the underwriter of the policy or program. The role is played by the party that receives benefit coverage under the terms of a particular insurance policy or program. The organization playing the underwriter of that policy or program is the scoping entity. A covered party receives coverage under a policy because of some contractual or other relationship with the policy holder. In most cases, the policy holder has discretion over which parties may be covered under a policy, unless the policy holder assigns or is required by a court to assign this right. A covered party receives coverage under a program by being determined eligible based on program eligibility criteria specified by the program sponsor. **Discussion:** This reason for coverage is specified by use of a role type code from either of the abstract value sets beneath the PolicyOrProgramCoverageRoleType abstract value set. The CoverageRoleType abstract value set can only be used when the role class is the concept code "covered party" (COVPTY) because this value set contains precoordinated coded concepts relating to coverage criteria that was developed for the Canadian realm. This is to avoid overlapping concepts, e.g., the DEPEN role.class cannot be used with the FAMDEP Role.code The CoveredPartyRoleType abstract value set may be used with any of the covered party role class codes to support post coordination of coverage criteria. Where coverage under a policy depends on the concurrence of a policy holder, a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target. **Note:** A particular policy may cover several parties, one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder. **Note:** The entity playing the role of covered party is an organization, a non-person living subject or a group of persons, the role class codes Subscriber and Dependent may not be used.
ActRelationshipSplitInclusiveTryOnce A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped. Inclusive branches are not suppressed and do not suppress other branches.
RoleClassAgent An entity (player) that acts or is authorized to act on behalf of another entity (scoper).
materialForm A value representing the state (solid, liquid, gas) and nature of the material.
RaceAmericanIndianYuman
LOINCObservationActContextAgeDefinitionCode Identifies a type of observation that captures the age of an entity involved in an act with no implied method of determination.
ActSpecimenTreatmentCode Set of codes related to specimen treatments
SecurityTrustAssuranceObservationValue Values for security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
ActTaskClinicalNoteReviewCode A person reviews a clinical note of a given patient.
ActContainerRegistrationCode Constrains the ActCode to the domain of Container Registration
PaymentTerms Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice.
OtherTechnologistOrTechnicianProviderHIPAA A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
ActMoodPromise An intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.
RaceAmericanIndianWinnebago
ActClassDeterminantPeptide **Description:**A determinant peptide in a polypeptide as described by polypeptide.
ResidentialTreatmentPracticeSetting
RoleLinkStatusCancelled
IntracoronaryRoute Intracoronary
x_SubstitutionConditionNoneOrUnconditional Restricts substitution to effectively a yes/no decision
ParticipationCoverageTarget The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.
ActRelationshipSymptomaticRelief Used in the diagnosis of the indicated disease.
RoleLinkIsBackupFor This relationship indicates the source Role is available to the target Role as a backup. An entity in a backup role will be available as a substitute or replacement in the event that the entity assigned the role is unavailable. In medical roles where it is critical that the function be performed and there is a possibility that the individual assigned may be ill or otherwise indisposed, another individual is assigned to cover for the individual originally assigned the role. A backup may be required to be identified, but unless the backup is actually used, he/she would not assume the assigned entity role.
ActRelationshipHasPre-condition 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.
ActPolicyType **Description:**Types of policies that further specify the ActClassPolicy value set.
RaceAmericanIndianSioux
WesternMuskogean
RaceWhiteMiddleEast
RoleClassHeldEntity Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner.
RaceAmericanIndianIowa
OticRoute Otic
EntericCoatedCapsule
VaginalRoute Vaginal
ActClassClinicalTrial The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.
AcknowledgementDetailSyntaxErrorCode Reflects errors in the syntax or structure of the communication.
EncounterAdmissionSource
Wiyot
ObligationPolicy Conveys the mandated workflow action that an information custodian, receiver, or user must perform. **Examples:** * encrypt *Usage Note:* Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
NephClinPracticeSetting
RoleClassActiveIngredientMoietyBasis
ParticipationExposuretarget **Description:** The entity playing the associated role is the target (contact) of exposure.
DeliveryAddressLine A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.
PackageEntityType A material intended to hold other materials for purposes of storage or transportation
HemClinPracticeSetting
ActStatusAborted The Act has been terminated prior to the originally intended completion.
RoleClassPreservative A substance (player) added to a mixture (scoper) to prevent microorganisms (fungi, bacteria) to spoil the mixture.
Siouan
ActInvoiceAdjudicationPaymentGroupCode Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
RoleClassICSRInvestigationSubject **Description:** The class of the primary role by which the party is identified as the subject of an adverse event assessment.
ActRelationshipEndsAfterEndOf
RoleClassMember A role played by an entity that is a member of a group. The group provides the scope for this role. Among other uses, groups as used in insurance (groups of covered individuals) and in scheduling where resources may be grouped for scheduling and logistical purposes.
SnodentAnteriorInterarchDeviationTypeInternational The SNODENT identifiers for dental anterior inter-arch deviations utilized to calculate the Salzmann Malocclusion Severity Index. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
SecurityCategoryObservationType Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone."
ActInpatientEncounterCode An inpatient encounter is an encounter in which the patient is admitted to a hospital or equivalent facility.
EntityClass Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are encoded in Entity.code and are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.
NorthernCaddoan
LocalRemoteControlState A value representing the current state of control associated with the device. *Examples:* A device can either work autonomously (localRemoteControlStateCode="Local") or it can be controlled by another system (localRemoteControlStateCode="Remote"). *Rationale:* The control status of a device must be communicated between devices prior to remote commands being transmitted. If the device is not in "Remote" status then external commands will be ignored.
NursingServiceProviderHIPAA Providers who are trained and educated to perform services in health promotion, disease prevention, acute and chronic care, and restoration of health, and health maintenance across the life span.
RoleClassConnection
SecurityTrustMechanismObservationValue Values for security metadata observation made about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
ActRelationshipIndependentOfTimeOf
ElectroOsmosisRoute Electro-osmosis
EntityClassNonPersonLivingSubject
ActClassEncounter An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.
IntracavitaryRoute Intracavitary
ObservationMeasureType Observation values used to indicate what kind of health quality measure is used.
ActRelationshipAdjunctMitigation
EpiduralRoute Epidural
CentralNumic
x_PayeeRelationshipRoleType The specification of the relationship to the covered party of the payee in the case when an insurer is not directly paying the healthcare provider (as payee) but reimbursing the party that did pay them.
ActCoverageReason **Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.
NebulizationInhalation Inhalation, nebulization
ActInvoiceInterGroupCode Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.
SubmucosalRoute Submucosal
ActEncounterAccommodationCode Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
AmbulatoryHealthCareFacilityHIPAA
ContextConductionStyle
LineAccessMedicalDevice A hollow tube used to administer a substance into a vein, artery or body cavity
ActRelationshipSucceeds **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.
HL7StandardVersionCode This is the domain of HL7 version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard.
EthnicityHispanicSpaniard
ActAdministrativeRuleDetectedIssueCode
AccessMedicalDevice A device used to allow access to a part of a body
RoleClassClinicalResearchInvestigator A role played by a provider, always a person, who has agency authority from a Clinical Research Sponsor to direct the conduct of a clinical research trial or study on behalf of the sponsor.
OtherServiceProviderHIPAA Providers not otherwise classified, who perform or administer services in or related to the delivery or research of health care services, disease, and restoration of health. An individual provider who is not represented in one of the identified categories but whose data may be needed for clinical, operational or administrative processes.
ActRelationshipArrival 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.
RoleInformationSensitivityPolicy RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
ControlledSubstanceMonitoringProtocol A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
SubconjunctivalRoute Subconjunctival
DentalServiceProviderHIPAA Broad category to identify practitioners licensed by the State who render services related the practice of dentistry. The Practice of Dentistry means the diagnosis, treatment, prescription, or operation for a disease, pain, deformity, deficiency, injury or physical condition of the human tooth, teeth, alveolar process, gums or jaws, or their dependent tissues, or an offer, undertaking, attempt to do, or holding oneself out to do any other these acts.
ObservationMeasureScoring
SubstanceAdministrationPermissionRefusalReasonCode **Definition:**Indicates why the requested authorization to prescribe or dispense a medication has been refused.
x_EncounterParticipant Clones using this x\_domain should have a name "encounterParticipant".
RaceAfricanAmericanAfrican
RaceAmericanIndianNorthwestTribes
StepParent The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent.
NorthernIroquoian
SecurityTrustObservationValue Values for security metadata observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain’s trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]
DoseDurationHighDetectedIssueCode Proposed length of therapy is longer than standard practice
CentralSalish
InterstitialRoute Interstitial
EntityClassMaterial Any thing that has extension in space and mass, may be of living or non-living origin.
StepChild The player of the role is a child of the scoping person's spouse by a previous union.
CoverageRoleType Role recognized through the issuance of insurance coverage to an identified covered party who has this relationship with the policy holder such as the policy holder themselves (self), spouse, child, etc
Aleut
ActStatusCompleted An Act that has terminated normally after all of its constituents have been performed.
PowerOfAttorney A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts.
EntityClassHolder A type of container that can hold other containers or other holders.
RoleClassAliquot A portion (player) of an original or source specimen (scoper) used for testing or transportation.
x_ActMoodOrdPrmsEvn A grouping of Order, Promise and Event moods.
ActUncertainty A code indicating whether the Act statement as a whole, with its subordinate components has been asserted to be uncertain in any way. *Examples:* Patient might have had a cholecystectomy procedure in the past (but isn't sure). *Constraints:* Uncertainty asserted using this attribute applies to the combined meaning of the Act statement established by all descriptive attributes (e.g., Act.code, Act.effectiveTime, Observation.value, SubstanceAdministration.doseQuantity, etc.), and the meanings of any components. *Discussion:*This is not intended for use to replace or compete with uncertainty associated with a Observation.values alone or other individual attributes of the class. Such pointed indications of uncertainty should be specified by applying the PPD, UVP or UVN data type extensions to the specific attribute. Particularly if the uncertainty is uncertainty of a quantitative measurement value, this must still be represented by a PPD<PQ> in the value and NOT using the uncertaintyCode. Also, when differential diagnoses are enumerated or weighed for probability, the UVP<CD> or UVN<CD> must be used, not the uncertaintyCode. The use of the uncertaintyCode is appropriate only if the entirety of the Act and its dependent Acts is questioned. Note that very vague uncertainty may be thought related to negationInd, however, the two concepts are really independent. One may be very uncertain about an event, but that does not mean that one is certain about the negation of the event.
ParticipationBaby In an obstetric service, the baby.
RaceAmericanIndianSerrano
ActClassTrendelenburg **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
ArtificialDentition Artificial dentition, artificial subsitutes for the natural dentition
SnodentOrthodonticTreatmentPreconditionInternational The SNODENT identifiers for patient conditions that may preclude starting orthodontic treatment. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
ComplianceAlert
ActRelationshipHasCost 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.
DiagTherPracticeSetting A practice setting where diagnostic procedures or therapeutic interventions are performed
AbstractChiropractersHIPAA
OralSolution
x_ActMoodIntentEvent A constraint domain for RMIM design.
ObservationEnvironmentalIntoleranceType Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
RoleClassStudent A role played by an individual who is a student of a school, which is the scoping entity.
ActRelationshipProvidesEvidenceFor 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.
IntracerebralRoute Intracerebral
OintmentDrugForm A semisolid preparation intended for external application to the skin or mucous membranes.
ActRelationshipJoinExclusiveWait Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches.
AcknowledgementCondition Acknowledgement Condition codes describe the conditions under which accept or application level acknowledgements are required to be returned in response to the message send operation.
SerranoGabrielino
IntravascularRoute Intravascular
MedicationObservationType
SecurityTrustAssuranceObservationType Values for security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
Transfer Transfer of ownership for a product.
ActRelationshipSplitExclusiveTryOnce The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or "XOR-split." The order in which the branches are considered may be specified in the priorityNumber attribute.
EntityStatusNullified The state representing the termination of an Entity record instance that was created in error.
RoleClassEmergencyContact An entity to be contacted in the event of an emergency.
SolidDrugForm
Utian
Liquid A state of substance that is an intermediate one entered into as matter goes from solid to gas; liquids are also intermediate in that they have neither the orderliness of a crystal nor the randomness of a gas. (Note: This term should not be used to describe solutions, only pure chemicals in their liquid state.)
GasLiquidMixture
Tepiman
PedsICUPracticeSetting
ParticipationPrimaryPerformer The principal or primary performer of the act.
ActAdjudicationResultActionCode Actions to be carried out by the recipient of the Adjudication Result information.
ParticipationPhysicalPerformer A person who actually and principally carries out the action. Need not be the principal responsible actor, e.g. a surgery resident operating under supervision of attending surgeon, and may be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.
MilitaryHospital A health care facility operated by the Department of Defense or other military operation.
EasternApachean
ParticipationProduct A material target that is brought forth (produced) in the service (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It doesn't matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock).
ParticipationExposureparticipation **Description:**Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure. If the participant is known to be the contact of an exposure then the EXPTRGT participation type should be used. If the participant is known to be the source then the EXSRC participation type should be used.
ActStatusActiveSuspendedObsolete \*\* none supplied \*\*
MedicationCap Cap types for medication containers
ObservationLivingDependencyValue Continued living in private residence requires functional and health care assistance from spouse or life partner.
ActClassVerification An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.
RaceAmericanIndianPawnee
ActRelationshipTreats
ParticipationTypeCDASectionOverride Identifies the set of participation types context that can be blocked (overridden) at the CDA section or sub-section level of a document.
ActRelationshipTemporallyPertainsEnd
IssueFilterCode **Description:**Indicates how result sets should be filtered based on whether they have associated issues.
x_ActMoodCompletionCriterion **Description:**These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed, and any applicable criterion or condition over actual and potential services that must apply for an associated service to be considered.
ExtendedReleaseCapsule A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) in such a manner to allow a reduction in dosing frequency as compared to that drug (or drugs) presented as a conventional dosage form.
RegisteredDieticianHIPAA A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor's degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
ActAntigenInvalidReason **Description:** Coded reasons why an antigen is considered invalid.
RoleClassFlavorAdditive A substance (player) added to a mixture (scoper) to make it taste a certain way. In food the use is obvious, in pharmaceuticals flavors can hide disgusting taste of the active ingredient (important in pediatric treatments).
ActClassReview The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."
ActSubstanceAdministrationCode Describes the type of substance administration being performed.
ActInvoicePaymentCode
RoleStatusNullified The state representing the termination of a Role instance that was created in error.
EquipmentAlertLevel
SnodentOralCavityAreaInternational The SNODENT identifiers for regions in the mouth utilized to calculate the Salzmann Malocclusion Severity Index. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
IntratendinousRoute Intratendinous
ActTaskCode **Description:** A task or action that a user may perform in a clinical information system.
Eskimoan
ActMoodEventOccurrence A service that actually happens, may be an ongoing service or a documentation of a past service. Historical note: in previous RIM versions, the event mood was captured as a separate class hierarchy, called Patient\_service\_event, and later Service\_event.
RoleStatusSuspended The state that represents a suspension of the Entity playing the Role. This state is arrived at from the "active" state.
ModelMediaType Model media type.
ActClassExposure The action of coming into sufficient physical proximity to allow physical or chemical interaction. Examples include: exposure to radiation, inhalation of peanut aerosol or viral particles. This includes intended exposure (e.g. administering a drug product) as well as accidental or environmental exposure. Actual vs. potential exposure can be differentiated using Act.uncertaintyCode. The agent to which the subject was exposed is conveyed as a *Direct* participation or specialization there-of. *Constraints:* The following Participations should be used with the following Roles and Entities to distinguish the specific entities: * The ***exposed entity*** is the entity of interest that is the recipient of the exposure and potentially affected. This is conveyed through the subject (SBJ) Participation. * An entity that has carried the agent transmitted in the exposure is the "***exposure source***" (EXSRC). For example: * a person or animal who carried an infectious disease and interacts (EXSRC) with another person or animal (SBJ) transmitting the disease agent; or * a place or other environment (EXSRC) and a person or animal (SBJ) who is exposed in the presence of this environment. * When it is unknown whether a participating entity is the source of the agent (EXSRC) or the target of the transmission (SBJ), also known as "***exposure contact***", the "participant" (PART) is used. * The substance to which the subject is exposed that carries the exposure agent or the chemical substance of interest itself, participates as a "consumable" (CSM). There are at least two configurations: (a) the player of the Role that participates as CSM is the chemical or biological substance mixed or carried by the scoper-entity of the Role (e.g., ingredient role); or (b) the player of the Role that participates as CSM is a mixture known to contain the chemical, radiological or biological substance of interest. * The device specifically used to administer the substance is associated using the device (DEV) Participation. This may be a device intentionally used (such as applicator device) or it may be a thing that accidentally carried this substance; for instance, an infected needle or knife. The same entity may be related in the act as both EXSRC and DEV.
BuccalMucosaRoute Buccal mucosa
ObservationInterpretationNormalityLow Interpretation for a quantitative observation of degree of abnormality (including critical or "alert" level) below the lower limit of the reference range.
Nootkan
ActRelationshipObjective 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.
BarDrugForm
ActFinancialStatusObservationValue Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.
x_DocumentSubstanceMood Used to enumerate the moods that a substance administration can take within the body of a clinical document.
IntralymphaticRoute Intralymphatic
EntityClassMicroorganism All single celled living organisms including protozoa, bacteria, yeast, viruses, etc.
SubstanceAdminSubstitutionReason
AthapaskanEyak
GeneticObservationValue **Description:** The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.
OverriderParticipationFunction This code is used to specify the exact function an actor is authorized to have in authoring a consent override.
LavageRoute Lavage
InvoiceElementPaid Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
River
RaceAmericanIndianKlallam
IntravesicleRoute Intravesicle
x_PersonNamePartType
ActRelationshipIsAppendage 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.
NeuropsychologistHIPAA An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
RoleLocationIdentifiedEntity **Description:**Describes types of identifiers other than the primary location registry identifier for a service delivery location. Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level.
PharmacySupplyRequestFulfillerRevisionRefusalReasonCode **Definition:**Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.
BiotherapeuticNon-personLivingSubjectRoleType **Description:**Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies.
ChronicCareFacility (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes
RoleLinkStatusPending
ActClassAccount A financial account established to track the net result of financial acts.
OtherServiceProviderContractorHIPAA A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
HeightSurfaceAreaAlert Proposed therapy may be inappropriate based on the patient's height or body surface area
MobilityImpaired
BuccalTablet
TimingDetectedIssueCode
ParticipationReferrer A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.
ManagedParticipationStatus Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.
ObservationInterpretationSusceptibility Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.
ParticipationNon-reuseableDevice A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he service.
PastSubset An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)
ControlActNullificationReasonCode **Description:**Identifies reasons for nullifying (retracting) a particular control act. **Examples:**"Entered in error", "altered decision", etc.
RoleClassProductRelated **Description:**A value set of product related role classCodes
AddressUse
IntracorpusCavernosumRoute Intracorpus cavernosum
RoleClassAdditive An ingredient (player) that is added to a base (scoper), that amounts to a minor part of the overall mixture.
IntracornealRoute Intracorneal
ActRelationshipStartsBeforeOrConcurrentWithStartOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
PurposeOfUse Supports communication of purpose of use at a general level.
MucousMembraneRoute Mucous membrane
OralSuspension
ClinicalResearchObservationReason **Definition:**SSpecifies the reason that a test was performed or observation collected in a clinical research study. **Note:**This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.
UrinaryTractRoute Urinary tract
ActRelationshipContainsStartOf
PharmacySupplyRequestRenewalRefusalReasonCode **Definition:**A collection of concepts that identifies why a renewal prescription has been refused.
SecurityIntegrityProvenanceAssertedByObservationType Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource.
CoverageParticipationFunction **Definition:** Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.
immunizationForecastDate Set of LOINC codes that identify the type of date that is specified within an immunization forecast step.
SignificantOtherRoleType A person who is important to one's well being; especially a spouse or one in a similar relationship. (The player is the one who is important)
RespiratoryAndOrRehabilitativeAndOrRestorativeSpecialistOrTechnologistHIPAA General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Yokutsan
x_ClinicalStatementExposureMood
SnodentDentalAbnormalityInternational The SNODENT identifiers for tooth-specific abnormalities that impact orthodontic treatment. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
RoleClassAdjacency
ActRelationshipHasContinuingObjective 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.
RoleClassInstance An individual piece of material (player) instantiating a class of material (scoper).
ActRelationshipStartsBeforeOrConcurrentWithEndOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
WesternNumic
DeltaCalifornia
ParticipationPrimaryInformationRecipient Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary.
ActAccountCode An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.
LanguageAbilityProficiency A value representing the level of proficiency in a language. *Example:*Excellent, good, fair, poor.
RaceAmericanIndianChemakuan
IntraarterialInjection Injection, intraarterial
ActInvoiceElementCode Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
IdentifierReliability **Description:** The identifier was issued by the system responsible for constructing the instance.
DosageProblemDetectedIssueCode Proposed dosage instructions for therapy differ from standard practice.
NativeEntityContiguous NATIVE ENTITIES WITHIN THE CONTIGUOUS 48 STATES
ActRelationshipHasRisk 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.
TransportationServiceHIPAA A provider who moves a patient, tissue specimen or equipment from one location to another.
Sahaptian
RoleClassPassive An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity.
RouteBySite Route of substance administration classified by site.
RoleClassActiveIngredient A therapeutically active ingredient (player) in a mixture (scoper), where the mixture is typically a manufactured pharmaceutical.
FirstFillPharmacySupplyType The initial fill against an order. (This includes initial fills against refill orders.)
x_DocumentEncounterMood Used to enumerate the moods that an encounter can take within the body of a clinical document.
RaceAlaskanNativeAleutUnangan
ActRelationshipHasPart
ActInvoiceDetailGenericProviderCode The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
CodeSystem Code systems used in HL7 standards.
IntravenousRoute Intravenous
SecurityIntegrityConfidenceObservationType Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
RaceAmericanIndian
RoleClassCommissioningParty An Entity that is authorized to issue or instantiate permissions, privileges, credentials or other formal/legal authorizations.
Dentition
RigidContainerEntityType A container having a fixed and inflexible dimensions and volume
ActRelationshipSubset Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets. Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.
Salishan
ActRelationshipHasMember
EntityNamePartTypeR2 **Description:**Indicates whether the name part is a given name, family name, prefix, suffix, etc.
WorkScheduleODH Describes an individual's typical arrangement of working hours for an occupation.
CentralMuskogean
x_OrganizationNamePartType A name for an organization, such as "Health Level Seven, Inc." An organization name consists only of untyped name parts, prefixes, suffixes, and delimiters.
HL7CalendarCycle
ActTaskPatientInformationReviewCode A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
x_ActClassCareProvisionEncounter **Definition:** When identifying the "request" that resulted in an encounter, there is a need to distinguish whether the "request" was a general referral (CareProvisionRequest) or a more specific ordered or scheduled encounter (PatientEncounter).
TopicalPowder
ActRelationshipTemporallyPertains
RoleLinkHasDirectAuthorityOver The source Role has direct authority over the target role in a chain of authority.
ActTransportationModeCode Characterizes how a transportation act was or will be carried out. *Examples:* Via private transport, via public transit, via courier.
x_SUCC_REPL_PREV
ActRelationshipLimitedBy 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.
SublingualRoute Sublingual
RaceWhite
ActMoodIntent An intention or plan to perform a service. Historical note: in previous RIM versions, the intent mood was captured as a separate class hierarchy, called Service\_intent\_or\_order.
SecurityClassificationObservationType Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure.
SchedulingActReason Reasons for cancelling or rescheduling an Appointment
ExtraAmnioticRoute Extra-amniotic
x_BillableProduct **Description:**The billable codes selected for Clinical Product Invoices. Steward is Financial Management.
ActRelationshipEvaluatesGoal 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.
ActClassCorrelatedObservationSequences Container for Observation Sequences (Observations whose values are contained in LIST<>'s) having values correlated with each other. Each contained Observation Sequence LIST<> must be the same length. Values in the LIST<>'s are correlated based on index. E.g. the values in position 2 in all the LIST<>'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST<> of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.
NaturalParent
IntracoronalRoute Intracoronal (dental)
EthnicityHispanicCentralAmerican
IntramuscularInjection Injection, intramuscular
Sibling One person who shares a parent or parents with another.
TherapeuticProductDetectedIssueCode Proposed therapy may interact with an existing or recent therapeutic product
UtoAztecan
RoleClassMutualRelationship A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may be *de facto* behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children).
ActClassTransmissionExposure **Description:** A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. **Constraints:** The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.
TribalEntityUS INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS
ActClassAccession A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).
SecurityDataIntegrityObservationType Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made."
RaceAmericanIndianCalifornia
PersonalAndLegalRelationshipRoleType A ‘personal and legal’ relationship records the role of a person in relation to another person, or a person to himself or herself. This value set is to be used when recording relationships based on personal or family ties or through legal assignment of responsibility.
ActClassCluster A group of entries within a composition, topic or category that have a logical association with one another. The representation of a single observation or action might itself be multi-part. The data might need to be represented as a nested set of values, as a table, list, or as a time series. The Cluster class permits such aggregation within an entry for such compound data. Examples include "Haematology investigations" which might include two or more distinct batteries. A cluster may contain batteries and/or individual entries
OutpatientFacilityPracticeSetting
RaceAmericanIndianChumash
PhysicianAndOrOsteopathHIPAA A physician is a person qualified by a doctorate in medicine (M.D.) or osteopathy (D.O.), licensed by the state, and practicing within the scope of that license. A physician generally has primary responsibility for the health care of the patient. While M.D.s and D.O.s may use all accepted methods of treatment, including drugs and surgery, D.O.s place special emphasis on the body's musculoskeletal systems.
ActClassContract An agreement of obligation between two or more parties that is subject to contractual law and enforcement.
OrganizationalHealthcareProviderHIPAA
x_ActRelationshipPertinentInfo
CompressionAlgorithm
ActTaskRiskAssessmentInstrumentCode A person reviews a Risk Assessment Instrument report of a given patient.
StudentRoleType Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.
KnowledgeSubtopicObservationCode
UrethralRoute Urethral
EntityClassGroup A grouping of resources (personnel, material, or places) to be used for scheduling purposes. May be a pool of like-type resources, a team, or combination of personnel, material and places.
PolicyOrProgramCoverageRoleType **Description:** A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria. Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law. These criteria may be: 1. The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage 2. May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent 3. May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits. **Discussion:** The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role. For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead. In summary, the coded concepts in the Abstract Value Set "CoveredPartyRoleType" can be "post-coordinated" with the "RoleClassCoveredParty" Abstract Value Set. Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability.
IntraepidermalRoute Intraepidermal
EnteralRoute Enteral
KnowledgeSubtopicObservationValue Observation values used to indicate a knowledge subtopic of interest for which knowledge content is requested (e.g., treatment, etiology, prognosis).
ActRelationshipHasDebit 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.
PeriarticularRoute Periarticular
CoverageLevelObservationValue **Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.
TopicalApplication Topical application
ParticipationCatalyst
ManagedCarePolicy **Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. *Discussion:* Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.
GeneticObservationInterpretation Codes that specify interpretation of genetic analysis, such as "positive", "negative", "carrier", "responsive", etc.
IntraabdominalRoute Intra-abdominal
ActPatientAnnotationType **Description:**Provides a categorization for annotations recorded directly against the patient
ActClassBattery **Description:**A battery specifies a set of observations. These observations typically have a logical or practical grouping for generally accepted clinical or functional purposes, such as observations that are run together because of automation. A battery can define required and optional components and, in some cases, will define complex rules that determine whether or not a particular observation is made. **Examples:** "Blood pressure", "Full blood count", "Chemistry panel".
ClinicalResearchReason **Definition:**Contains domains for act reasons used in clinical research.
RaceAmericanIndianPima
AmericanIndianAlaskaNativeLanguages
ResponsibleParty The role played by a party who has legal responsibility for another party.
ActClassRecordOrganizer
RaceAmericanIndianWashoe
ECGObservationSeriesType
ActMedicationList List of medications.
ActClassConditionNode **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
PublicHealthcareProgram **Definition:** A a public or governmental health program with an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. These programs are established by legislation with provisions for ongoing government oversight. Regulations mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. For example, A Canadian provincial or national health plan such as the BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service). Examples of U.S. government funded health programs include those for maternity case management, behavioral health, and HIV-AIDs, such as the Ryan White program.
ObservationSocioEconomicStatusValue Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.
ParticipationRecordTarget The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself.
IntraductalRoute Intraductal
ModifyPrescriptionReasonType Indicates why an existing prescription is changed.
RehabilitationCounselorHIPAA An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.
AdministrationMedicalDevice A device intended to administer a substance to a subject
x_ClinicalStatementSubstanceMood
ActIncidentCode Set of codes indicating the type of incident or accident.
SecurityTrustAccreditationObservationValue Values for security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
IntradiscalRoute Intradiscal
ActPrivacyLaw ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.
SoftTissueRoute Soft tissue
RoleStatusCancelled The terminal state resulting from cancellation of the role prior to activation.
Penutian
x_ClinicalStatementEncounterMood
RoleClassTherapeuticAgent A manufactured material (player) that is used for its therapeutic properties. The manufacturer is the scoper.
ActClassPositionCoordinate **Description:**An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.
FoamDrugForm
ActMoodDefinition A definition of a service (master). Historical note: in previous RIM versions, the definition mood was captured as a separate class hierarchy, called Master\_service.
InterameningealRoute Interameningeal
LocalMarkupIgnore Tells a receiver to ignore just the local markup tags (local\_markup, local\_header, local\_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"
GIDiagTherPracticeSetting A practice setting where GI procedures (such as endoscopies) are performed
Spouse **Description:**A relationship between two people characterizing their "familial" relationship
SecurityTrustAgreementObservationType Type of security metadata observation made about security requirements for a security domain. \[ISO IEC 10181-1\]
ActClassRoot A record of something that is being done, has been done, can be done, or is intended or requested to be done. *Examples:*The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others. *Discussion and Rationale:* Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action. Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear. One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described by two people, each being the author of their Act, describing the same real world activity. Yet one can be a witness while the other can be a principal performer. The performer has responsibilities for the physical actions; the witness only has responsibility for making a true statement to the best of his or her ability. The two Act-instances may even disagree, but because each is properly attributed to its author, such disagreements can exist side by side and left to arbitration by a recipient of these Act-instances. In this sense, an Act-instance represents a "statement" according to Rector and Nowlan (1991) \[Foundations for an electronic medical record. Methods Inf Med. 30.\] Rector and Nowlan have emphasized the importance of understanding the medical record not as a collection of facts, but "a faithful record of what clinicians have heard, seen, thought, and done." Rector and Nowlan go on saying that "the other requirements for a medical record, e.g., that it be attributable and permanent, follow naturally from this view." Indeed the Act class is this attributable statement, and the rules of updating acts (discussed in the state-transition model, see Act.statusCode) versus generating new Act-instances are designed according to this principle of permanent attributable statements. Rector and Nolan focus on the electronic medical record as a collection of statements, while attributed statements, these are still mostly factual statements. However, the Act class goes beyond this limitation to attributed factual statements, representing what is known as "speech-acts" in linguistics and philosophy. The notion of speech-act includes that there is pragmatic meaning in language utterances, aside from just factual statements; and that these utterances interact with the real world to change the state of affairs, even directly cause physical activities to happen. For example, an order is a speech act that (provided it is issued adequately) will cause the ordered action to be physically performed. The speech act theory has culminated in the seminal work by Austin (1962) \[How to do things with words. Oxford University Press\]. An activity in the real world may progress from defined, through planned and ordered to executed, which is represented as the mood of the Act. Even though one might think of a single activity as progressing from planned to executed, this progression is reflected by multiple Act-instances, each having one and only one mood that will not change along the Act-instance life cycle. This is because the attribution and content of speech acts along this progression of an activity may be different, and it is often critical that a permanent and faithful record be maintained of this progression. The specification of orders or promises or plans must not be overwritten by the specification of what was actually done, so as to allow comparing actions with their earlier specifications. Act-instances that describe this progression of the same real world activity are linked through the ActRelationships (of the relationship category "sequel"). Act as statements or speech-acts are the only representation of real world facts or processes in the HL7 RIM. The truth about the real world is constructed through a combination (and arbitration) of such attributed statements only, and there is no class in the RIM whose objects represent "objective state of affairs" or "real processes" independent from attributed statements. As such, there is no distinction between an activity and its documentation. Every Act includes both to varying degrees. For example, a factual statement made about recent (but past) activities, authored (and signed) by the performer of such activities, is commonly known as a procedure report or original documentation (e.g., surgical procedure report, clinic note etc.). Conversely, a status update on an activity that is presently in progress, authored by the performer (or a close observer) is considered to capture that activity (and is later superceded by a full procedure report). However, both status update and procedure report are acts of the same kind, only distinguished by mood and state (see statusCode) and completeness of the information.
RehabilitationHospital (X12N 283X00000N)
SiouanCatawba
IntraduralRoute Intradural
Palaihnihan
SnodentDentalUniversalNumberingSystemInternational The SNODENT identifiers for all of the possible human teeth, both adult and adolescent. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
x_PhoneOrEmailURLScheme Restricts scheme to e-mail or phone numbers at which a human can be reached
HealthQualityMeasureDocument
PharmacyServiceProviderHIPAA A broad category grouping providers who render services relating to the preparation and dispensing of drugs.
ActRelationshipStartsConcurrentWithEnd 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).
ActInformationAccessContextCode Conveyance of the type of context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information. *Steward:* Security WG
RoleLinkHasPart The target Role is part of the Source Role.
BiliaryRoute Biliary tract
ActNonObservationIndicationCode **Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
SouthernCaddoan
ActClaimAttachmentCategoryCode
TableCellHorizontalAlign These values are defined within the XHTML 4.0 Table Model
ObservationInterpretation One or more codes providing a rough qualitative interpretation of the observation,such as "normal" / "abnormal", "low" / "high", "better" / "worse", "resistant" / "susceptible", "expected" / "not expected". The value set is intended to be for ANY use where coded representation of an interpretation is needed. *Usage Note:* This is being communicated in v2.x in OBX-8, in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR Observation.interpretation. Historically these values come from the laboratory domain, and these codes are extensively used.
ActInvoiceDetailGenericAdjudicatorCode The billable item codes to identify adjudicator specified components to the total billing of a claim.
IntramedullaryRoute Intramedullary
DedicatedServiceDeliveryLocationRoleType A role of a place that further classifies a setting that is intended to house the provision of services.
immunizationForecastStatusObservationValue Represents the patient's status with respect to their immunization guideline as of an evaluation date.
SupplierHIPAA A provider, other than a pharmacy, who supplies healthcare related products. The term supplier also includes pharmacies.
RoleClassSame The "same" roleclass asserts an identity between playing and scoping entities: that they are in fact instances of the same entity and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error. *Usage:* playing and scoping entities must have same classcode, but need not have identical attributes or values. *Example:* a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual.
GasSolidSpray
DentistHIPAA A dentist is a person qualified by a doctorate in dental surgery (D.D. S.) or dental medicine (D.M.D.). licensed by the state to practice dentistry, and practicing within the scope of that license. Many dentists are general practitioners who handle a wide variety of dental needs. Other dentists practice in one of eight specialty areas recognized by the American Dental Association: oral and maxillofacial surgery, orthodontics, periodontics, prosthodontics, endodontics, public health, oral pathology and pediatric dentistry.
RaceSoutheastAlaskanIndianTsimshian
ActClassProcessStep
EntityClassCountry The territory of a sovereign nation.
ActSupplyFulfillmentRefusalReason Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations)
ActRelationshipStartsAfterStartOf 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).
NonDrugAgentEntity Indicates types of allergy and intolerance agents which are non-drugs. (E.g. foods, latex, etc.)
AerosolDrugForm
RaceAmericanIndianMaidu
x_ClinicalStatementSupplyMood
FosterChild The player of the role is a child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.
IntratrachealRoute Intratracheal
DependentCoveredPartyRoleType **Description:** A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.
CoverageSponsorRoleType **Description:**Codes that indicate a specific type of sponsor. Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor. NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)
PharmacistHIPAA An individual who is licensed to prepare and sell or dispense drugs and compounds and to make up prescriptions.
ActInvoiceDetailGenericModifierCode The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
KutchinHan
ActExposureLevelCode A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
EntityClassContainer A container of other entities.
PeriodontalRoute Periodontal
ParticipationModeElectronicData Participation by non-human-languaged based electronic signal
EntityDeterminerSpecificGroup A standard value set allowing reference to all EntityDeterminer codes that are equal to or specializations of GROUP. This is the value set used when a model indicates that the binding is to "<= GROUP".
CoverageEligibilityReason **Description:**Identifies the reason or rational for why a person is eligible for benefits under an insurance policy or program. **Examples:** A new employee is eligible for health insurance as an employment benefit. A person meets eligibility criteria for government program coverage based on financial, age or health status.
GTSAbbreviationOther **Description:**Other, more specific, abbreviations defined for the General timing Specification data type, that are specializations of one of the Base concepts.
ParticipationConsultant An advisor participating in the service by performing evaluations and making recommendations.
ActRelationshipMitigates The source act removes or lessens the occurrence or effect of the target act.
DietaryManagerHIPAA A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.
RoleClassContaminantIngredient
RaceAmericanIndianPonca
LiquidCleanser
EntityClassOrganization A social or legal structure formed by human beings.
AdoptedChild The player of the role is a child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.
IntravenousInjection Injection, intravenous
Wintuan
ActRelationshipIsManifestationOf 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.
QualitySpecimenRoleType A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test.
ActClassPublicHealthCase2 A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation.
RaceAmericanIndianOttawa
EyeAndVisionServiceProviderHIPAA Broad category grouping individuals who render services related to the human eye and visual systems, but are not an allopathic or osteopathic physicians.
ActRelationshipProphylaxisOf
SpecimenRoleType
ParticipationConsumable Target that is taken up, is diminished, and disappears in the service.
Keresan
RoleClassInactiveIngredient
IntradermalRoute Intradermal
OromucosalRoute Oromucosal
DispensableDrugForm
RaceAlaskanIndian
OtherActionTakenManagementCode Order is performed as issued, but other action taken to mitigate potential adverse effects
IntralesionalRoute Intralesional
ActListCode Provides codes associated with ActClass value of LIST (working list)
ActRelationshipHasFinalObjective 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.
RaceAmericanIndianCahuilla
ActPaymentCode Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
RoleClassFomite **Description:** A fomite is a non-living entity that is capable of conveying exposure agent from one entity to another. A doorknob contaminated with a Norovirus is an example of a fomite. Anyone touching the doorknob would be exposed to the virus. The scoper of the role must be the exposure agent (e.g., pathogen).
ActClassAction Sender asks addressee to do something depending on the focal Act of the payload. An example is "fulfill this order". Addressee has responsibilities to either reject the message or to act on it in an appropriate way (specified by the specific receiver responsibilities for the interaction).
TopicalSolution
SecurityControlObservationValue Security observation values used to indicate security control metadata. V:SecurityControl is the union of V:SecurityPolicy, V:ObligationPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurpose of Use, V:PrivacyMark, V:SecurityLabelMark, and V:ControlledUnclassifiedInformation used to populate the SecurityControlObservationValue attribute in order to convey one or more nonhierarchical security control metadata dictating handling caveats including, purpose of use, obligation policy, refrain policy, dissemination controls and privacy marks to which a custodian or receiver is required to comply.
Implantation Implantation
ActFinancialTransactionCode
ActMedicalServiceCode General category of medical service provided to the patient during their encounter.
ObservationInterpretationExpectation Observation interpretation codes for expected results based on additional information (contraindicators) about the patient's situation.
ActPrivacyPolicy ActPrivacyPolicyType codes support the designation of the 1..\* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..\* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.
SnodentPosteriorInterarchDeviationTypeInternational The SNODENT identifiers for dental posterior inter-arch deviations utilized to calculate the Salzmann Malocclusion Severity Index. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
EntityDeterminer EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.
ObservationHealthStatusValue Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.
ActRelationshipStartsConcurrentWith
ActClassPolypeptide **Description:**A polypeptide resulting from the translation of a gene.
ActMoodRisk **Definition:**An act that may occur in the future and which is regarded as undesirable. The essential feature of a risk is that if it occurs this would be regarded as a marker of a negative outcome or of deterioration towards a negative outcome. Recording a risk indicates that it is seen as more likely to occur in the subject than in a general member of the population but does not mean it is expected to occur. **Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis. **Discussion:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.
ActClassDiagnosticImage Class for holding attributes unique to diagnostic images.
MucosalAbsorptionRoute Mucosal absorption
Muskogean
ActRelationshipCheckpointEnd Condition is tested at the end of a repeated service execution. The service is repeated only if the condition is true (DO service WHILE condition).
ActClassCondition An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness
ActClassSubjectBodyPosition **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
RectalRoute Rectal
x_ActRelationshipRelatedAuthorizations
ActClassPolicy **Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: * The activity of another party * The behavior of another party * The manner in which an act is executed
OccupationalTherapistHIPAA An occupational therapist is a person qualified by completion of an approved program in occupational therapy, licensed by the state and practicing within the scope of that license, or where licensure does not exist, certified by the American Occupational Therapy Certification Board. An occupational therapist evaluates the self-care, work and leisure performance skills of well and disabled clients and plans and implements programs to restore, develop or maintain the task performance skills necessary for daily living and for the client's particular occupational role.
AddressRepresentationUse **Description:**Identifies the different representations of a Address. The representation may affect how the address is used. (E.g. use of Ideographic for formal communications.)
ActRelationshipStartsAfterOrConcurrentWithStartOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
ParticipationTargetSubject The principle target that the service acts on. E.g. the patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). Note: not all direct targets are subjects, consumables, and devices used as tools for a service are not subjects. However, a device may be a subject of a maintenance service.
ActRelationshipHasQualifier
RoleClassCitizen Citizen of apolitical entity
x_ActRelationshipExternalReference Used to enumerate the relationships between a CDA entry and an externally referenced act.
RoleStatusNormal The 'typical' state. Excludes "nullified" which represents the termination state of a Role instance that was created in error.
ActRelationshipHasControlVariable 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.
AbstractHealthcareProviderAgencyHIPAA A non-facility provider that renders outpatient outreach services that are not provided at a specific location. The licensure or registration is assigned to the agency rather than to the individual practitioners as would be the case in a group practice.
AdministrativeContactRoleType A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClassCommissioningParty.
ContextControlOverridingPropagating The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated.
TriggerEventID
AuthorizationIssueManagementCode
StreetAddressLine
RoleClassContactCode
VaginalGel
ActRelationshipConcurrentWith
ExtendedReleaseSuspension
ProvenanceEventCurrentState-AS Specifies the state change of a target Act, using ActStatus codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
LOINCObservationActContextAgeType **Definition:**The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
ObservationDetectedIssueCode Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
RoleStatus Codes representing the defined possible states of an Role, as defined by the Role class state machine.
ActRelationshipTemporallyPertainsApproximates Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
SocialWorkerHIPAA A clinical social worker is a person who is qualified by a master of Social Work (M.S.W.) degree, licensed, certified or registered by the state as a social worker and practicing within the scope of that license. A social worker provides assistance and counseling to patients and their families and dealing with social, emotional and environmental problems.
IntracardiacRoute Intracardiac
ParticipationCustodian An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.).
USEncounterReferralSource
ActClassBoundedRoi A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).
ParticipationHolder Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.
OilDrugForm An unctuous, combustible substance which is liquid, or easily liquefiable, on warming, and is soluble in ether but insoluble in water. Such substances, depending on their origin, are classified as animal, mineral, or vegetable oils.
PlasticBottleEntityType A bottle made of plastic
SecurityIntegrityProvenanceObservationValue
ActRelationshipRecovery **Definition:** The source act is performed to recover from the effects of the target act.
CitizenRoleType A role type used to qualify a person's legal status within a country or nation. **Examples:** * Full citizen * Asylum seeker * Permit card holder
x_ActMoodDocumentObservation Used to enumerate the moods that an observation can take within the body of a clinical document.
ERPracticeSetting The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.
RaceAmericanIndianGrosVentres
Yuman
ValidationIssue
ActClassLeftLateralDecubitus **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
Pomoan
RaceAmericanIndianAssiniboineSioux
ActIneligibilityReason Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy. Examples are client deceased & adopted client has been given a new policy identifier.
RaceAmericanIndianCoushatta
IdentifierScope **Description:** Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.
RaceAsian
SuppositoryDrugForm A solid body of various weights and shapes, adapted for introduction into the rectal, vaginal, or urethral orifice of the human body; they usually melt, soften, or dissolve at body temperature.
ActStatusObsolete This Act instance has been replaced by a new instance.
SecurityTrustAccreditationObservationType Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
ParticipationAncillary Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events.
TransdermalPatch
ActRelationshipJoinWait Wait for this branch to terminate.
RoleClassGuardian Guardian of a ward
ActRelationshipHasCharge 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.
RoleClassQualifiedEntity An entity (player) that has been recognized as having certain training/experience or other characteristics that would make said entity an appropriate performer for a certain activity. The scoper is an organization that educates or qualifies entities.
EntityStatus Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.
IntrapleuralRoute Intrapleural
Ethnicity In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.
ParticipationDischarger The practitioner who is responsible for the discharge of a patient from a patient encounter.
NutritionistHIPAA A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
GingivalRoute Gingival
RoleLinkType A code specifying the meaning and purpose of every RoleLink instance. Each of its values implies specific constraints to what kinds of Role objects can be related and in which way.
DedicatedClinicalLocationRoleType A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter.
InteractionDetectedIssueCode
ActTaskPatientDocumentationCode A person enters documentation about a given patient.
PedsPracticeSetting
ConsenterParticipationFunction This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.
ResponseLevel Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include
GeneticObservationMethod A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array
RoleClassPatient **Description:**A Role of a LivingSubject (player) as a recipient of health care services from a healthcare provider (scoper).
SecurityIntegrityObservationType Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
InvoiceElementAdjudicated Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
VaginalCream
ActMoodAppointment A planned Act for a specific time and place.
BehavioralHealthAndOrSocialServiceCounselorHIPAA A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
RoleClassStoredEntity Relates an entity (player) (e.g. a device) to a location (scoper) at which it is normally found or stored when not used.
RoleClassHealthcareProvider An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper).
ActSuppliedItemDetectedIssueCode Identifies types of detected issues regarding the administration or supply of an item to a patient.
ActClassFinancialContract A contract whose value is measured in monetary terms.
ActClassObservationSeries Container for Correlated Observation Sequences sharing a common frame of reference. All Observations of the same cd must be comparable and relative to the common frame of reference. For example, a 3-channel ECG device records a 12-lead ECG in 4 steps (3 leads at a time). Each of the separate 3-channel recordings would be in their own "OBSCOR". And, all 4 OBSCOR would be contained in one OBSSER because all the times are relative to the same origin (beginning of the recording) and all the ECG signals were from a fixed set of electrodes.
IntrapulmonaryRoute Intrapulmonary
ActMoodActRequest
InjectionMedicalDevice A device intended to administer liquid into a subject via a
SecurityObservationType Type of security metadata observation made about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used in security labels. According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator’s clearance to the target’s security label. All of the following must be true for authorization to be granted: * The security policy identifiers shall be identical, * The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and * For each security category in the target label, there shall be a security category of the same type in the initiator’s clearance and the initiator’s classification level shall dominate that of the target.
_0275a
SupplyAppropriateManagementCode Confirmed supply action appropriate
SecurityCategoryObservationValue Security observation values used to indicate security category metadata. V:SecurityCategoryObservationValue is the union of V:PrivacyPolicyType, V:ActPrivacyLaw, V:ActConsentDirective, V:InformationSensitivityPolicy, V:ActInformationSensitivityPolicy, V:RoleInformationSensitivityPolicy, V:EntityInformationSensitivityPolicy, and the V:ActConsentType value used to populate the SecurityCategoryObservationValue attribute in order to convey one or more nonhierarchical categories of sensitivity metadata, which are used to control access to data more finely than with hierarchical security classification alone. Could be bound R1 to a V:ActUSPrivacyPolicy in a future US Realm.
x_AccommodationRequestorRole
ParticipationUgentNotificationContact An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill).
Algonquian
ContactRoleType Types of contact for Role code "CON"
Coosan
ActBillableModifierCode **Definition:**An identifying modifier code for healthcare interventions or procedures.
ActRelationshipAccounting Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
CUI Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls. Purpose: Supports the selection of the entire ControlledUnclassifiedInformation value set for e.g., rules engine policy set purposes.
ActClassCoverage When used in the EVN mood, this concept means with respect to a covered party: 1. A health care insurance policy or plan that is contractually binding between two or more parties; or 2. A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program. * When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. * The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.
ActTaskMicrobiologyResultsReviewCode A person reviews a list of microbiology results of a given patient.
ActObservationVerificationType Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. **Examples:** 1. Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program 2. Verification of record - e.g., person has record in an immunization registry 3. Verification of enumeration - e.g. NPI 4. Verification of Board Certification - provider specific 5. Verification of Certification - e.g. JAHCO, NCQA, URAC 6. Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria 7. Verification of Provider Credentials 8. Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)
x_ActReplaceOrRevise
PrescriptionDispenseFilterCode A "helper" vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed.
GeneralPurposeOfUse Supports communication of purpose of use at a general level.
PatientProfileQueryReasonCode
ContextControlPropagating The association propagates to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).
OrderableDrugForm
ActTherapyDurationWorkingListCode Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
KnowledgeSubjectObservationValue Observation values used to indicate a knowledge subject of interest for which knowledge content is requested (e.g., a medication, a laboratory test, a medical condition).
ActMoodOption An option is an alternative set of property-value bindings. Options specify alternative sets of values, typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. Historical note: in HL7 v2.x option existed in the special case for alternative medication routes (RXR segment).
ActEmergencyEncounterCode **Definition:**A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
RoleClassAssignedEntity An agent role in which the agent is an Entity acting in the employ of an organization. The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization.
x_ActClassDocumentEntryAct The set of Act class codes allowed for the ACT class clone in the CDA Clinical Statement model. The scope of this value set are those Act class codes not otherwise covered by specific classes in the CDA Clinical Statement model and required to enable representation of Clinical Statement in CDA.
NaturalSibling The player of the role has both biological parents in common with the scoping entity.
ActAdministrativeDetectedIssueCode Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
RoleClassCoverageSponsor A role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law. A sponsor can be an employer, union, government agency, or association. Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan. Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators. Program sponsors designate services to be covered in accordance with statute. Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become 1. a policy holder of the plan; 2. where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or 3. where the sponsor is a government agency, who may become program eligibles under a program. The sponsor role may be further qualified by the SponsorRole.code. Entities playing the sponsor role may also play the role of a Coverage Administrator. *Example:* An employer, union, government agency, or association.
Allergy Status The clinical status of an allergy disposition (Clinical Focus) Used in Program: C-CDA, C-CDA R2.1 2017-06-09 using this value set
ManagedParticipationStatusNullified The state representing the termination of a Participation instance that was created in error.
ActRelationshipRefersTo 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.
PodiatricMedicineAndOrSurgeryServiceProviderHIPAA Broad category grouping licensed providers who renders services related to the human foot.
QueryStatusCode A code specifying the state of the Query.
ActBillingArrangementCode The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
x_DocumentActMood Used to enumerate the moods that an act can take within the body of a clinical document.
GasDrugForm Any elastic aeriform fluid in which the molecules are separated from one another and have free paths.
ActRelationshipAdjunctCurativeIndication
Takelman
Swish Swish
ActInformationSensitivityPolicy ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
ActClassControlAct An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.
HL7AccommodationCode **Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
RoleClassAdministerableMaterial A material (player) that can be administered to an Entity (scoper).
ActClassFinancialAdjudication A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused. Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim
ParticipationOrigin The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship).
ActMoodRecommendation A non-mandated intent to perform an act where a level of professional responsibility is being accepted by making the proposal.
RoleClassProgramEligible **Description:** A role played by a party that meets the eligibility criteria for coverage under a program. A program eligible may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations. **Discussion:** A program as typically government administered coverage for parties determined eligible under the terms of the program. **Note:** The party playing a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants. In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits. **Example:** A party meeting eligibility criteria related to health or financial status, e.g., in the U.S., persons meeting health, demographic, or financial criteria established by state and federal law are eligible for Medicaid.
PerianalRoute Perianal
ActRelationshipCheckpointThrough Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop). The service must be interruptible.
LivingSubjectProductionClass Code indicating the primary use for which a living subject is bred or grown
IndustryClassificationSystem
DiagnosisICD9CM
ActRelationshipHasExplanation This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.
RelatedReactionDetectedIssueCode Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
ActPatientTransportationModeCode Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. *Examples:* Via ambulance, via public transit, on foot.
_0272 Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.
RoleClassContinuity
RaceAlaskanNativeAleutAlutiiq
SecurityIntegrityProvenanceReportedByObservationType Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource.
RoleClassGuarantor A person or organization (player) that serves as a financial guarantor for another person or organization (scoper).
RaceAmericanIndianPugetSoundSalish
ParticipationVerifier A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.
ActInvoiceRootGroupCode Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.
x_EncounterAdmissionUrgency The urgency for starting a patient encounter. *Example:*Routine, urgent, emergency, and elective.
SnodentDentalPeriodontalProbingPositionInternational The SNODENT identifiers for the relative positions around the tooth that are probed and measured in assessing a patient's periodontal health. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
RoleLinkReplaces This relationship indicates that the source Role replaces (or subsumes) the target Role. Allows for new identifiers and/or new effective time for a registry entry or a certification, etc.
ActInvoiceGroupCode Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
ParticipationDataEntryPerson A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.
SirenikskiYupik
ActRelationshipPertains 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.
Cree
ConfidentialityModifiers Modifiers of role based access rights (multiple allowed) *Usage Note:* All codes that are referenced by this value set were retired as of the November 2013 Harmonization cycle. Guidance for what to use instead of the v:ConfidentialityModifers leaf concepts: celebrity, sensitive, and taboo: These codes have been revised and are now included under v:ActCode at: * V:ActInformationSensitivityPolicy:2.16.840.1.113883.1.11.20429 - taboo * V:InformationSensitivityPolicy:2.16.840.1.113883.1.11.20428 - celebrity/VIP and patient requested sensitivity
ActClassSubjectPhysicalPosition The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.
ActRelationshipCurativeIndication
Numic
EntityClassPlace A physicial place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant.
ActInvoiceDetailDrugProductCode An identifying data string for A substance used as a medication or in the preparation of medication.
EntityNamePartType
ActCredentialedCareCode **Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. **Example:**Hospital license; physician license; clinic accreditation.
ActRelationshipSplit A code specifying how branches in an action plan are selected among other branches. *Discussion:* This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. The splitCode specifies whether a branch is executed exclusively (case-switch) or inclusively, i.e., in parallel with other branches. In addition to exlusive and inclusive split the splitCode specifies how the pre-condition (also known as "guard conditions" on the branch) are evaluated. A guard condition may be evaluated once when the branching step is entered and if the conditions do not hold at that time, the branch is abandoned. Conversely execution of a branch may wait until the guard condition turns true. In exclusive wait branches, the first branch whose guard conditions turn true will be executed and all other branches abandoned. In inclusive wait branches some branches may already be executed while other branches still wait for their guard conditions to turn true.
ActClassFinancialTransaction A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms. In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts. In the "event" mood, communicates the posting of a transaction to an account.
LotionDrugForm The term "lotion" has been used to categorize many topical suspensions, solutions and emulsions intended for application to the skin.
ActInvoiceDetailCode Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
ParticipationFunction This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).
MultipartMediaType Multipart Media Type
ActClassMonitoringProgram An officially or unofficially instituted program to track acts of a particular type or categorization.
RoleClassHasGeneric A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player).
ParticipationParticipation Indicates that the target of the participation is involved in some manner in the act, but does not qualify how. This should **not** be used except when no more specific participation type is known or when the participation type is further clarified elsewhere. It should not be used lightly, and should never be used as a "placeholder" when a more appropriate specific type does not yet exist.
Diegueno
RoleClassBirthplace Relates a place (playing Entity) as the location where a living subject (scoping Entity) was born.
UNSPSC **Description:**United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
MedicationOrderReleaseReasonCode **Definition:**A collection of concepts that indicate why the prescription should be released from suspended state.
RoleLinkStatusNullified
ParticipationRemote Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation). The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered "remote."
PlaceEntityType Types of places for EntityClass "PLC"
LoincDocumentOntologyInternational The LOINC Document Ontology constrained for usage in the Universal Realm by removal of "regional" Document Types such as the "VA Compensation and Pension" codes.
ActRelationshipEndsBeforeStartOf
ObservationActContextAgeType **Definition:**The ways the age of an entity involved in an act can be measured, calculated or otherwise expressed in order to provide context for another act.
ActClassOrganizationalPolicy **Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed by an organization on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.
IntrapericardialRoute Intrapericardial
Injection Injection
x_ParticipationPrfEntVrf A person that performed, contributed in recording or validating the act.
ActRelationshipConditional Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred
SnodentDentitionStateInternational The SNODENT identifiers for the stages of dentition an individual progresses through during a lifetime. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
OtherPhysicianOsteopathHIPAA A physician is a person qualified by a doctorate in medicine (M.D.) or osteopathy (D.O.), licensed by the state, and practicing within the scope of that license. A physician generally has primary responsibility for the health care of the patient. While M.D.s and D.O.s may use all accepted methods of treatment, including drugs and surgery, D.O.s place special emphasis on the body's musculoskeletal systems.
PulmonaryRoute Pulmonary
Nebulization Nebulization
Kalapuyan
ObservationType Identifies the kinds of observations that can be performed
RoleClassServiceDeliveryLocation A role played by a place at which services may be provided.
ParticipationWitness Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.
x_ActStatusActiveSuspended
ActBoundedROICode Type of bounded ROI.
EndocrinologyClinic
GTSAbbreviationHolidaysChristianRoman Christian Holidays (Roman/Gregorian "Western" Tradition.)
EntityNamePartQualifier
IntraarticularRoute Intraarticular
RoleClassAccess A role in which the playing entity (material) provides access to another entity. The principal use case is intravenous (or other bodily) access lines that preexist and need to be referred to for medication routing instructions.
GastricRoute Gastric
RaceAmericanIndianSeminole
TableRuleStyle (abstract) Defines table cell rendering characteristics
ResourceGroupEntityType Codes to characterize a Resource Group using categories that typify its membership and/or function . *Example:* PractitionerGroup
Pidgin
RoleClassActiveIngredientReferenceBasis
NameLegalUse
CalendarCycleOneLetter One letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)
RoleClassStabilizer A stabilizer (player) added to a mixture (scoper) in order to prevent the molecular disintegration of the main substance.
RaceBlackOrAfricanAmerican
Tanana
Arapahoan
IntravitrealRoute Intravitreal
OphthalmicRoute Ophthalmic
ActRelationshipEndsAfterOrConcurrentWithStartOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
RoleClassUsedEntity **Description:**An entity (player) that is used by another entity (scoper)
ActCoverageQuantityLimitCode Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
SecurityTrustCertificateObservationType Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]
ActRelationshipSchedulesRequest Associates a specific time (and associated resources) with a scheduling request or other intent.
SecurityTrustObservationType Type of security metadata observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain’s trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\] *Usage Note:* SecurityTrustObservationType may be used as a trust attribute in a computable trust policy, trust credential, trust assertion, or trust label field in a security label and populated with trust observation values. The valued trust attributes may be used for used for authentication, authorization, and access control decisions. These may also be used to negotiate trust relationships, adjudicate or bridge trust policies, and to specify requirements for participation in a Trust Domain or for asserting compliance with a Trust Framework.
SnodentDentalFrenumRegionInternational The SNODENT identifiers for the regions of the human frenum within the mouth. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
ActHomeHealthEncounterCode **Definition:**Healthcare encounter that takes place in the residence of the patient or a designee
ActClassBioSequence **Description:**A sequence of biomolecule like the DNA, RNA, protein and the like.
ActRelationshipActProvenance Used to convey the relationship between two or more Acts for purpose of tracking provenance relationships such as the following: * A predecessor Act and a successor Act (e.g., a predecessor Lab Result from which a successor Lab Result in derived) * A ProvenanceEvent Act and a target Act for which it records the Provenance (e.g., a target Act is an update of a predecessor Act) * A predecessor ProvenanceEvent Act and a successor ProvenanceEvent Act *UsageConstraint:* The v:ActRelationshipActProvenance is intended to limit the types of relationships that could be conveyed by the ActRelationshipType codes to a subset that pertains to these provenance relations.
EntityClassManufacturedMaterial Corresponds to the ManufacturedMaterial class
ParticipationSecondaryPerformer A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.
PacificCoastAthapaskan
NationEntityType Codes identifying nation states. Allows for finer grained specification of Entity with classcode <= NAT *Example:*ISO3166 country codes.
ParticipationInformationRecipient A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood." Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used.
EmergencyMedicalServiceProviderHIPAA Broad category for individuals who complete additional training and education in the area of pre-hospital emergency services and are licensed and/or practice within the scope of that training.
PharmacySupplyEventAbortReason **Definition:**Identifies why the dispense event was not completed
URLScheme A Universal Resource Locator (URL) is a type of telecommunications address specified as Internet standard RFC 1738 \[http://www.ietf.org/rfc/rfc1738.txt\]. The URL specifies the protocol and the contact point defined by that protocol for the resource.
ActConsentDirectiveType ActConsentDirective and ActConsentType codes are used to specify the type of Consent Directive or Consent Type to which, for example, a Consent Act conforms, to which a Security Observation (Security Label) refers to, or to which a Privacy or Security Act refers. > *Steward:* Security WG
SecurityLabelMark Codes used for displayed Security Label tags. Supports selection of SecurityLabelMark value set with head code for e.g., rules engine policy set purposes.
ActClassTransportation Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)
EntityInformationSensitivityPolicy EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
ArapahoGrosVentre
BarSoapDrugForm
ActRelationshipDocuments The source act documents the target act.
ActRelationshipICSRInvestigation **Description:** The ways that product safety Investigations, about which information is captured in an Individual Case Safety Report, are related to each other. One investigation may be performed at a patient care institution, and the second by a manufacturer, a third by a regulatory agency. They may all investigate the same case and are thus related. Other kinds of relationships are replacement (if the mode of the Investigation is changed).
RaceAmericanIndianUmpqua
CodeIsNotValid
SurgClinPracticeSetting
ObservationMeasureCountableItems A collection of items that can be counted by a quality measure (e.g., patients, encounters, procedures, etc.) for Observation.value used in the HQMF R2 MeasureAttribute class.
ActRelationshipDocumentHQMF The reasons that may be used when relating a Quality Measure Document to other document types.
ObservationInterpretationProtocolInclusion The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. **Example:** A positive result on a Hepatitis screening test. *Open Issue:* We are not deprecating this value set at this time, but instead are leaving open the consideration of deprecation in the future. \[Note: The concepts included in this value set have also been suggested for future deprecation, and there are no associated concept subdomains or bindings.\]
ActClassExtract This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system. An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date). An extract contains folders or compositions. An extract cannot contain another extract.
ParanasalSinusesRoute Paranasal sinuses
ActSubstanceAdministrationImmunizationCode The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
ActClassContainerRegistration An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt
ObservationFoodIntoleranceType Hypersensitivity resulting in an adverse reaction upon exposure to food.
ActMoodEventCriterion A criterion or condition over service events that must apply for an associated service to be considered.
RaceAmericanIndianWampanoag
ParticipationReceiver The person (or organization) who receives the product of an Act.
ActStatusAbortedCancelledCompleted **Description:** The status of an assessment for indications of an abnormal condition.
ContextControlOverridingNon-propagating The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Non-Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated.
RoleClassInvoicePayor The role of an organization that undertakes to accept claims invoices, assess the coverage or payments due for those invoices and pay to the designated payees for those invoices. This role may be either the underwriter or a third-party organization authorized by the underwriter. The scoping entity is the organization that underwrites the claimed coverage.
RoleClassClinicalResearchSponsor A role played by an entity, usually an organization, that is the sponsor of a clinical research trial or study. The sponsor commissions the study, bears the expenses, is responsible for satisfying all legal requirements concerning subject safety and privacy, and is generally responsible for collection, storage and analysis of the data generated during the trial. No scoper is necessary, as a clinical research sponsor undertakes the role on its own authority and declaration. Clinical research sponsors are usually educational or other research organizations, government agencies or biopharmaceutical companies.
NursingServiceRelatedProviderHIPAA Providers who are trained and educated to perform and administer services related to health promotion, disease prevention, acute and chronic care, spiritual guidance and comfort for healing and health, restoration of health and health maintenance across the life span.
RoleLinkIdentification **Definition:** The source role provides identification for the target role. The source role must be IDENT. The player entity of the source role is constrained to be the same as the player of the target role if present. If the player is absent from the source role, then it is assumed to be the same as the player of the target role.
ActRelationshipItemsLocated Items located
RoleStatusTerminated The state representing the successful termination of the Role.
EntityClassPlant A living subject from the order of plants.
CaseTransmissionMode Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.
ActInvoiceAdjudicationPaymentCode Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
RoleClassOwnedEntity An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material.
IntracoronaryInjection Injection, intracoronary
ActRelationshipEndsConcurrentWithStart 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).
ActRelationshipStartsBeforeEnd The source Act starts after 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).
ActAdjudicationCode Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
ActInformationTransferCode **Description:** Conveyance of the type of information transfer protocol.
AlgorithmicDecisionObservationMethod Reaching a decision through the application of an algorithm designed to weigh the different factors involved.
OrthoClinPracticeSetting
TableCellScope These values are defined within the XHTML 4.0 Table Model
ActClassInvestigation An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.
RaceAmericanIndianMicmac
ObservationDiagnosisTypes An observation about the presence (or absence) of a particular disease state in a subject.
ActInformationAccess **Definition:** Consent to access healthcare information.
ActRelationshipOccurrence 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).
ActClassPublicHealthCase A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
ActClassPosition An observation denoting the physical location of a person or thing based on a reference coordinate system.
ActInvoiceDetailTaxCode The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
ContextControlNonPropagating The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).
ActRelationshipSummarizedBy 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.
SwabDrugForm A wad of absorbent material usually wound around one end of a small stick and used for applying medication or for removing material from an area.
RoleClassMaintainedEntity An entity (player) that is maintained by another entity (scoper). This is typical role held by durable equipment. The scoper assumes responsibility for proper operation, quality, and safety.
ActRelationshipTransformation 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.)
DeviceAlertLevel Domain values for the Device.Alert\_levelCode
RaceAmericanIndianLuiseno
EntityClassLivingSubject Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject.)
RaceAmericanIndianChoctaw
Dissolve Dissolve
RaceAlaskanNativeAleutBristolBay
ActPharmacySupplyType Identifies types of dispensing events
RaceAmericanIndianHoopa
x_ActFinancialProductAcquisitionCode The method that a product is obtained for use by the subject of the supply act (e.g. patient), with financial compensation. Product examples are consumable or durable goods.
Transdermal Transdermal
DropsDrugForm
EntityClassImagingModality Class to contain unique attributes of diagnostic imaging equipment.
EntityNameUse
OropharyngealRoute Oropharyngeal
RoleClassPolicyHolder A role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity. *Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder. A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.
GenderStatus A value representing whether the primary reproductive organs of NonPersonLivingSubject are present.
IntraocularRoute Intraocular
ActRelationshipType A code specifying the meaning and purpose of every ActRelationship instance. Each of its values implies specific constraints to what kinds of Act objects can be related and in which way. *Discussion:* The types of act relationships fall under one of 5 categories: 1.) (De)-composition, with composite (source) and component (target) 2.) Sequel which includes follow-up, fulfillment, instantiation, replacement, transformation, etc. that all have in common that source and target are Acts of essentially the same kind but with variances in mood and other attributes, and where the target exists before the source and the source refers to the target that it links back to. 3.) Pre-condition, trigger, reason, contraindication, with the conditioned Act at the source and the condition or reason at the target. 4.) Post-condition, outcome, goal and risk, with the Act at the source having the outcome or goal at the target. 5.) A host of functional relationships including support, cause, derivation, etc. generalized under the notion of "pertinence".
IntratesticularRoute Intratesticular
CommunicationFunctionType Describes the type of communication function that the associated entity plays in the associated transmission.
EntityClassCountyOrParish The territory of a county, parish or other division of a state or province.
ActRelationshipJoinDetached Detach this branch from the other branches so it will not be resynchronized with the other branches.
PlateauPenutian
ActRelationshipJoinKill When all other concurrent branches are terminated, interrupt and discontinue this branch.
x_ActRelationshipPatientTransport Relates a patient encounter act (source) to the transportation act (target) representing the patient"s arrival at or departure from the site of a patient encounter.
IntraluminalRoute Intraluminal
CVDiagTherPracticeSetting A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)
DedicatedNonClinicalLocationRoleType A role of a place that further classifies a setting that is intended to house the provision of non-clinical services.
x_ActStatusActiveComplete
Other The actual value is not an element in the value domain of a variable. (e.g., concept not provided by required code system).
ActRelationshipOverlapsWith
RaceSoutheastAlaskanIndian
Algic
RaceAmericanIndianChickahominy
IntracardiacInjection Injection, intracardiac
LabSpecimenCollectionProviders
UnorderedListStyle Defines rendering characteristics for unordered lists
ServiceDeliveryLocationRoleType A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.
Rinse Rinse
IncidentalServiceDeliveryLocationRoleType
ActStatusActiveAborted \*\* none supplied \*\*
ActStatusSuspended An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled. No further action should be taken against it until it is released
ObservationIssueTriggerCodedObservationType Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
LabResultReportingProcessStepCode
ComplianceDetectedIssueCode There may be an issue with the patient complying with the intentions of the proposed therapy
ActRelationshipEndsNearEnd Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
LabResultTriggerEvents **Description:**Trigger Event ID as published in the standard.
RaceWhiteEuropean
ActMoodPotential
AuthorizedParticipationFunction This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.
ActClassTopic A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services. A topic may contain categories and entries.
EmployeeJobClass A code qualifying the employment in various ways, such as, full-time vs. part time, etc.
ActRelationshipMatchesTrigger 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.
PodiatristHIPAA A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
RespiratoryTractRoute Respiratory tract
RaceAlaskanNativeSiberianEskimo
IntrathecalRoute Intrathecal
ActClassReverseTrendelenburg **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
ActConsentInformationAccessOverrideReason **Definition:** Use to convey the reason that a provider may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
ControlActReason Identifies why a specific query, request, or other trigger event occurred.
ParticipationAuthenticator A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication.
NursingServiceRelatedProviderTechnicianHIPAA (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
RacePacificIslandPolynesian
ActRelationshipStartsWithEndsBeforeEndOf
RaceAlaskanNativeAleut
ActMedicationTherapyDurationWorkingListCode
EntityClassAnimal A living subject from the animal kingdom.
ActStatus Contains the names (codes) for each of the states in the state-machine of the RIM Act class.
ManagedParticipationStatusActive The state representing the fact that the Participation is in progress.
FontStyle (abstract) Defines font rendering characteristics
UpperChinook
ActRelationshipHasTrigger 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.
VideoMediaType Video media type.
RacePacificIslandMicronesian
QueryRequestLimit **Definition:** The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.
EntityClassPublicInstitution An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations.
AutomobileInsurancePolicy **Definition:** An insurance policy for losses sustained in an automobile accident that typically covers losses incurred by the named insured and parties who may be claimants for losses, such as pedestrians and passengers.
SubcutaneousRoute Subcutaneous
IntratumorRoute Intratumor
RaceAmericanIndianMiami
ActInvoiceElementModifier Processing consideration and clarification codes.
ActObservationList
ActMoodResourceSlot Periods of time on a schedule for a resource. Appointments occupy sets of one or more booked slots. A slot that is open for appointments is considered available and a slot that is held back for administrative purposes is considered blocked. A Resource slot that is "tentatively" booked is referred to as reserved.
ClaimantCoveredPartyRoleType **Description**A role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.
RoleClassPart An association between two Entities where the playing Entity is considered in some way "part" of the scoping Entity, e.g., as a member, component, ingredient, or content. Being "part" in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity.
x_EncounterPerformerParticipation Used to enumerate the ways in which a clinician can directly participate during an encounter which generates a clinical document.
IntravenousInfusion Infusion, intravenous
AdjudicatedWithAdjustments The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
HealthInformationTechnicianHIPAA Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers.
MilitaryRoleType **Definition:** A person playing the role of program eligible under a program based on military status. **Discussion:** This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria
RoleLinkStatus
ActInformationCategoryCode **Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
ActRelationshipHasStep
UnitsOfMeasureCaseSensitive **Description:** All units of measure.
PasteDrugForm A semisolid dosage form that contains one or more drug substances intended for topical application.
HL7UpdateMode The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.
PhysicianHIPAA A broad category grouping state licensed providers in allopathic or osteopathic medicine whose scope of practice is determined by education.
RaceAmericanIndianPomo
ActRelationshipPassiveImmunizationAgainst
HealthcareProviderTaxonomyHIPAA
ParticipationDonor In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service.
HalfSibling The player of the role is related to the scoping entity by sharing only one biological parent.
CervicalRoute Cervix of the uterus
x_ActMoodDefEvn A grouping of Definition, Event. These specific moods are used in control wrapper override acts. The domain is restricted to acts that are possible to occur or have already occurred.
ActRelationshipHasBoundedSupport 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.
_0280 Test methods designed to determine a microorganismaTMs susceptibility to being killed by an antibiotic.
LiquidSolidSuspension A liquid preparation which consists of solid particles dispersed throughout a liquid phase in which the particles are not soluble.
Chinookan
Abenakian
Athapaskan
SnodentOrthodonticDiagnosticFeatureInternational The SNODENT identifiers for gross patient findings that inform the course of orthodontic treatment to be performed. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
SecurityLabelMarkLabel Codes used for displayed Security Label tags. Supports the selection of SecurityLabelMark leaf concepts for use, e.g., in security labels.
SubstanceAdminSubstitutionNotAllowedReason Reasons why substitution of a substance administration request is not permitted.
ConditionDetectedIssueCode Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
ActDetectedIssueCode Identifies types of detected issues for Act class "ALRT"
TelecommunicationCapabilities **Description:** Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address.
EntityClassCityOrTown The territory of a city, town or other municipality.
PathologyTechnicianHIPAA An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.
PopulationInclusionObservationType Observation types for specifying criteria used to assert that a subject is included in a particular population.
TopicalAbsorptionRoute Topical absorption
ProcessingID This attribute defines whether the message is part of a production, training, or debugging system.
RaceAmericanIndianCaddo
ActRelationshipStartsAfterOrConcurrentWithEndOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
RoleClassMechanicalIngredient
AcknowledgementDetailCode A site specific problem code
NursingOrCustodialCarePracticeSetting
RoleClassIncidentalServiceDeliveryLocation A role played by a place at which health care services may be provided without prior designation or authorization.
InhalantDrugForm
RaceAmericanIndianCheyenne
SetOperator
ReactionParticipant
RoleClassMolecularPart
ActRelationshipMaintenanceTreatment
IntraspinalRoute Intraspinal
QueryResponse A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.
SecurityAlterationIntegrityObservationType <pType of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.</p>
IndividualPackageEntityType Container intended to contain sufficient material for only one use.
RoleClassAffiliate Player of the Affiliate role has a business/professional relationship with scoper. Player and scoper may be persons or organization. The Affiliate relationship does not imply membership in a group, nor does it exist for resource scheduling purposes. *Example:* A healthcare provider is affiliated with another provider as a business associate.
ActRelationshipIsDerivedFrom 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.
BindingRealm **Description:** All coded binding realms for terminology constraint context binding.
RoleClassTerritoryOfAuthority Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory "Region 4 of Alberta" (player) in matters of health.
Tiwa
SnodentJawTypeInternational The SNODENT identifiers for the two jaws (mandible and maxilla). This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
ActSpecObsDilutionCode An observation that reports the dilution of a sample.
ActClassPhenotype **Description:**A genomic phenomenon that is expressed externally in the organism.
IDClinPracticeSetting
IntracartilaginousRoute Intracartilaginous
RaceAlaskanNativeAleutChugach
ParticipationVia For services, an intermediate location that specifies a path between origin an destination.
ActRelationshipStartsAfterStartofEndsAfterEndOf
ActRelationshipExcerptVerbatim The source is a direct quote from the target.
ModifyIndicator Indicates whether the subscription to a query is new or is being modified.
ObservationCoordinateAxisType
HumanLanguage Codes for the representation of the names of human languages.
x_RoleClassCredentialedEntity A role played by an entity that receives credentials from the scoping entity.
ExtracorporealCirculationRoute Extracorporeal circulation
ActClassContainer Used to group a set of acts sharing a common context. Container structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract. **Open issue:** There is a clear conflict between this act and the use of the more general "component" ActRelationship. The question that must be resolved is what should be the class code of the parent (or containing) Act.
TracheostomyRoute Tracheostomy
ContentProcessingMode **Description:**Identifies the order in which content should be processed.
PayorRoleType **Description:**PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set. **Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk.
ParenteralRoute Parenteral
Catawba
ActStatusNullified This Act instance was created in error and has been 'removed' and is treated as though it never existed. A record is retained for audit purposes only.
MedicationOrderAbortReasonCode
IntraventricularRoute Intraventricular
IntraduodenalRoute Intraduodenal
NaturalChild A child as determined by birth.
VerificationOutcomeValue Values for observations of verification act results **Examples:** Verified, not verified, verified with warning.
ActRelationshipActiveImmunizationAgainst
RoleClassMolecularFeatures
ReligiousAffiliation Assigment of spiritual faith affiliation
ActRelationshipHasContra-indication 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.
KiowaTanoan
Tsimshianic
ActProductAcquisitionCode The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.
HumanSubstanceAdministrationSite The set of body locations to or through which a drug product may be administered.
ObservationIntoleranceType Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
EntityDeterminerDescribedGroup A standard value set allowing reference to all EntityDeterminer codes that are equal to or specializations of GROUPKIND. This is the value set used when a model indicates that the binding is to "<= GROUPKIND".
IntracavernosalRoute Intracavernosal
RoleLinkStatusNormal
ActStatusNew An Act that is in the preparatory stages and may not yet be acted upon
ActHealthInsuranceTypeCode **Definition:** Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).
IntracisternalRoute Intracisternal
EthnicityHispanic
ActRelationshipCheckpointEntry Condition is tested once before the service is executed (IF condition THEN service).
GIClinicPracticeSetting
ActClassBioSequenceVariation **Description:**A variation in a sequence as described by BioSequence.
MaterialEntityClassType Types of Material for EntityClass "MAT"
CentralAlaskaYukon
IndividualHealthcareProviderHIPAA Broad classification aggregating providers who are individual people rather than an organization.
Maiduan
ObservationNonAllergyIntoleranceType Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
ManagedCareOrganizationHIPAA
ActTaskMedicationListReviewCode A person reviews a list of medication orders submitted to a given patient
ActRelationshipExacerbatredBy
ParticipationTargetDirect Target that is substantially present in the service and which is directly affected by the service action (includes consumed material, devices, etc.).
Pai
PrivateResidence **Definition:** A living arrangement within a private residence for single family.
ActRelationshipStartsWithEndsAfterEndOf
ActRelationshipStartsAfterEndOf **Description:**A relationship in which the target act takes place with a defined temporal relationship with respect to the time at which the source act terminates.
OrganizationNameUse
ActInvoiceDetailPreferredAccommodationCode An identifying data string for medical facility accommodations.
ActClassGenomicObservation **Description:**An observation of genomic phenomena.
ObservationMethod A code that provides additional detail about the means or technique used to ascertain the observation. *Examples:* Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc. *Constraints:* In all observations the method is already partially specified by the Act.code. In this case, the methodCode NEED NOT be used at all. The methodCode MAY still be used to identify this method more clearly in addition to what is implied from the Act.code. However, an information consumer system or process SHOULD NOT depend on this methodCode information for method detail that is implied by the Act.code. If the methodCode is used to express method detail that is also implied by the Act.code, the methodCode MUST NOT be in conflict with the implied method of the Act.code.
ActClassJurisdictionalPolicy **Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.
x_ActRelationshipDocument Used to enumerate the relationships between two clinical documents for document management.
TranstympanicRoute Transtympanic
ActCoverageConfirmationCode Response to an insurance coverage eligibility query or authorization request.
SecurityIntegrityProvenanceAssertedByObservationValue
PrivacyMark Codes used for human readable marks indicating, e.g., the level of confidentiality protection, an authorized compartment, the integrity, or the handling instruction required by applicable policy. Such markings must be displayed as directed by applicable policy on electronically rendered information content and any electronic transmittal envelope or container; or on hardcopy information and any physical transmittal envelope or container. Purpose: Supports the selection of the entire PrivacyMark value set with head code for e.g., rules engine policy set purposes.
ActRelationshipEndsBeforeEnd The source Act ends after 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).
SinusUnspecifiedRoute Sinus, unspecified
AmnioticFluidSacRoute Amniotic fluid sac
RetrobulbarRoute Retrobulbar
Instillation Instillation
Compartment A named tag set for metadata used to populate a security category label field that "segments" an IT resource per policy by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Privacy and Security Classification System) *Usage Note:* This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
MississippiValley
FamilyMember A relationship between two people characterizing their "familial" relationship
RoleClassPayee The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question.
RoleClassUnderwriter A role played by a person or an organization. It is the party that 1. accepts fiscal responsibility for insurance plans and the policies created under those plans; 2. administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or 3. has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk. If played by an organization, this role may be further specified by an appropriate RoleCode. *Example:* 1. A health insurer; 2. Medicaid Program; 3. Lloyd's of London
Ritwan
Delawaran
RoleClassColorAdditive A substance (player) influencing the optical aspect of material (scoper).
SecurityPolicy Types of security policies that further specify the ActClassPolicy value set. **Examples:** * encrypt * prohibit redisclosure without consent directive
ActProcedureCodeCCI
ActClassDocument Specialization of Act to add the characteristics unique to document management services.
ActSubstanceAdminSubstitutionCode
Loan Temporary supply of a product without transfer of ownership for the product.
MissouriRiver
CompliancePackageEntityType A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use. Often used to ensure that the proper type and amount of material is consumed/expended for each use.
TransferActReason The explanation for why a patient is moved from one location to another within the organization
ResponseModality Defines the timing and grouping of the response instances.
ActRelationshipStartsDuring
AcknowledgementDetailNotSupportedCode Refelects rejections because elements of the communication are not supported in the current context.
RoleClassSubscriber **Description:** A role played by a person covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage. **Discussion:** The policy holder holds the contract with the policy or program underwriter. The subscriber holds a certificate of coverage under the contract. In legal proceedings concerning the policy or program, the terms of the contract takes precedence over the terms of the certificate of coverage if there are any inconsistencies. **Note:** The party playing the role of a subscriber is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a subscriber may make a claim under a policy, e.g., a subscriber under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a subscriber making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed a claim for services covered under the health insurance policy. **Example:** An employee or a member of an association.
DiseaseProgram **Definition:** A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. **Example:** Reproductive health, sexually transmitted disease, and end renal disease programs.
ActMoodGoal **Definition:**An observation that is considered to be desirable to occur in the future. The essential feature of a goal is that if it occurs it would be considered as a marker of a positive outcome or of progress towards a positive outcome. **Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction. **Discussion:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. "I will reduce the dose of drug x to 20mg" is an intent. "I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.
RaceAmericanIndianPassamaquoddy
ActMonitoringProtocolCode Identifies types of monitoring programs
CoverageLimitObservationValue **Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.
NieceNephew The player of the role is a child of scoping person's brother or sister or of the brother or sister of the scoping person's spouse.
CreditCard
HealthcareServiceLocation A comprehensive classification of locations and settings where healthcare services are provided. This value set is based on the NHSN location code system that has been developed over a number of years through CDCaTMs interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required. This valu set is aavailalbe from VSAC at https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20275/expansion/Latest
PatchDrugForm A drug delivery system that contains an adhesived backing and that permits its ingredients to diffuse from some portion of it (e.g., the backing itself, a reservoir, the adhesive, or some other component) into the body from the external site where it is applied.
ActMoodExpectation **Definition:**An act that is considered likely to occur in the future. The essential feature of an act expressed in expectation mood is that it is likely to occur. An expectation may be desirable, undesirable or neutral in effect. **Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning. **Discussion:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.
IontophoresisRoute Iontophoresis
ParticipationExposuresource **Description:**The entity playing the associated role is the source of exposure.
SaukFoxKickapoo
RoleClassResearchSubject **Definition:**Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. **Examples:** Screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the experimental portion of the design.
ActClassObservation **Description:**An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The **code** attribute of Observation and the **value** attribute of Observation must be considered in combination to determine the semantics of the observation. **Discussion:** Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observations for the counts of the various granulocytes, lymphocytes and other normal or abnormal blood cells (e.g., blasts). The overall white blood cell count Observation itself may therefore not have a value by itself (even though it could have one, e.g., the sum total of white blood cells). Thus, as long as an Act is essentially an Act of recognizing and noting information about a subject, it is an Observation, regardless of whether it has a simple value by itself or whether it has sub-observations. Even though observations are professional acts (see Act) and as such are intentional actions, this does not require that every possible outcome of an observation be pondered in advance of it being actually made. For instance, differential white blood cell counts (WBC) rarely show blasts, but if they do, this is part of the WBC observation even though blasts might not be predefined in the structure of a normal WBC. Clinical documents commonly have Subjective and Objective findings, both of which are kinds of Observations. In addition, clinical documents commonly contain Assessments, which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation. **Examples:** * Recording the results of a Family History Assessment * Laboratory test and associated result * Physical exam test and associated result * Device temperature * Soil lead level
ActRelationshipUpdatesCondition 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.
RaceAmericanIndianApache
OralCapsule
RespiratoryAndOrRehabilitativeAndOrRestorativeProviderHIPAA A provider who is trained and educated to perform services related to respiratory care, physical therapy, occupational therapy, rehabilitation and restorative services and may be licensed, certified or practice within the scope of training.
SouthernAlaska
ActClassCategory A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan. The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter. A CATEGORY MAY CONTAIN ENTRIES.
ActRelationshipOutcome An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-condition".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute
RadiologicTechnologistHIPAA An individual who is trained and qualified in the \[art and science of\] use of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
ActStatusNormal Encompasses the expected states of an Act, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.
CUILabel Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls Purpose: Supports the selection of ControlledUnclassifiedInformation leaf concepts for use, e.g., in security labels.
DoseIntervalDetectedIssueCode Proposed dosage interval/timing differs from standard practice
RoleClassNamedInsured **Description:** A role played by a party to an insurance policy to which the insurer agrees to indemnify for losses, provides benefits for, or renders services. A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations. **Discussion:** The coded concept NAMED should not be used where a more specific child concept in this Specializable value set applies. In some cases, the named insured may not be the policy holder, e.g., where a policy holder purchases life insurance policy in which another party is the named insured and the policy holder is the beneficiary of the policy. **Note:** The party playing the role of a named insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy e.g., if injured in an automobile accident and there is no liable third party. In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that a named insured has filed a claim for a loss. **Example:** The named insured under a comprehensive automobile, disability, or property and casualty policy that is the named insured and may or may not be the policy holder.
NailRoute Nail
RaceAmericanIndianUte
Audiologist
x_ActStatusPrevious **Description:**Cancelled, nullified and obsolete .
EasternAlgonquin
IntraesophagealRoute Intraesophageal
StepSibling The player of the role is a child of the scoping person's stepparent.
Ambulance
QualityMeasureSectionType A type of document section within a health quality measure (aka eMeasure), used to cluster the various parts of the eMeasure into a more human navigable format.
ObservationAssetValue Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.
ActClassDisciplinaryAction An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*
ActInvoiceDetailClinicalProductCode An identifying data string for healthcare products.
SubstanceAdminGenericSubstitution Substitution occurred or is permitted with another product in the same generic ingredient.
RaceAmericanIndianShoshonePaiute
RaceAlaskanNativeEskimo
ActClassWorkingList Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.
JejunumRoute Jejunum
ActRelationshipAuthorizedBy A relationship in which the target act authorizes or certifies the source act.
Chimakuan
IntramuscularRoute Intramuscular
RoleClassPhysician
IntrauterineRoute Intrauterine
ContainerSeparator A material in a blood collection container that facilites the separation of of blood cells from serum or plasma
x_PhysicalVerbalParticipationMode Restricts participation to either physical or verbal
ActMoodRequest A request or order for a service is an intent directed from a placer (request author) to a fulfiller (service performer). *Rationale:* The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request." Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.
ObservationAlert
GelDrugForm A semisolid system consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid.
RaceAmericanIndianCherokee
RoleClassDedicatedServiceDeliveryLocation A role of a place (player) that is intended to house the provision of services. Scoper is the Entity (typically Organization) that provides these services. This is not synonymous with "ownership."
TableCellVerticalAlign These values are defined within the XHTML 4.0 Table Model
SecurityObservationValue Observation values used to indicate security observation metadata.
UnderwriterParticipationFunction **Definition:** Set of codes indicating the manner in which underwriters participate in a policy or program.
LivingArrangement A code depicting the living arrangements of a person
IntrathoracicRoute Intrathoracic
AskedButUnknown Information was sought but not found (e.g., patient was asked but didn't know)
ActRelationshipInterferedBy
ObservationCategory High level observation categories for the general type of observation being made. *Steward:* OO WG
USEncounterDischargeDisposition
ObservationLivingSituationValue Code specifying observations related to living situation for a person in a private residence.
RoleClassSigningAuthorityOrOfficer The role of a person (player) who is the officer or signature authority for of a scoping entity, usually an organization (scoper).
ActClassSpecimenCollection A procedure for obtaining a specimen from a source entity.
SnodentCraniofacialAnomalyInternational The SNODENT identifiers for the most common craniofacial anomalies that may influence the course of orthodontic treatment to be performed. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
AcknowledgementDetailType A code identifying the specific message to be provided. A textual value may be specified as the print name, or for non-coded messages, as the original text.*Discussion:* 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'*Examples:*
ActMoodCriterion A criterion or condition over actual and potential services that must apply for an associated service to be considered. Matches records any ActMoodCompletionTrack moods.
NasalRoute Nasal
ActRelationshipStartsBeforeStartOfEndsWith
RoleClassNurse
GregorianCalendarCycle
UPC **Description:**Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.
Irrigation Irrigation
OtherServiceProviderSpecialistHIPAA An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
MedOncClinPracticeSetting
ActCodeProcessStep
RoleClassExposedEntity A role played by an entity that has been exposed to a person or animal suffering a contagious disease, or with a location from which a toxin has been distributed. The player of the role is normally a person or animal, but it is possible that other entity types could become exposed. The role is scoped by the source of the exposure, and it is quite possible for a person playing the role of exposed party to also become the scoper a role played by another person. That is to say, once a person has become infected, it is possible, perhaps likely, for that person to infect others. Management of exposures and tracking exposed parties is a key function within public health, and within most public health contexts - exposed parties are known as "contacts."
IntrabronchialRoute Intrabronchial
RoleClassEmployee A relationship between a person or organization and a person or organization formed for the purpose of exchanging work for compensation. The purpose of the role is to identify the type of relationship the employee has to the employer, rather than the nature of the work actually performed. (Contrast with AssignedEntity.)
VeterinarianHIPAA A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
StatusRevisionRefusalReasonCode Indicates why the act revision (status update) is being refused.
ExposureMode Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.
SecurityIntegrityObservationValue
SkinRoute Skin
ParticipationInformationGenerator Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness).
EntityClassChemicalSubstance A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes.
SpeechAndOrLanguageAndOrHearingServiceSpecialistOrTechnologistHIPAA General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
x_DocumentProcedureMood Used to enumerate the moods that a procedure can take within the body of a clinical document.
x_RoleClassCoverageInvoice An abstract domain that encompasses the roles involved in submitting, responding to and managing invoices or claims for health care coverage.
Prosthodontics
Hokan
PowderDrugForm An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use.
MaterialDangerInflammable Material is highly inflammable and in certain mixtures (with air) may lead to explosions. Keep away from fire, sparks and excessive heat.
RaceAmericanIndianChinook
ActClassSpecimenTreatment A procedure or treatment performed on a specimen to prepare it for analysis
ActRelationshipRelievedBy
Country2 Countries of the world. ISO 3166, part 1, alpha-2 set.
ActPriorityCallback Filler should contact the placer (or target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)
EducationLevel
x_ParticipationEntVrf A person that contributed to recording or validating the act.
BodySurfaceRoute Body surface
ActRelationshipImmunizationAgainst
ActCredentialedCareProvisionPersonCode **Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
SusceptibilityObservationMethodType **Description:**Test methods designed to determine a microorganism’s susceptibility to an antibiotic.
EntityDeterminerDetermined The described determiner is used to indicate that the given Entity is taken as a general description of a kind of thing that can be taken in whole, in part, or in multiples.
IntragastricRoute Intragastric
RaceAmericanIndianPeoria
x_ActInvoiceDetailPreferredAccommodationCode The billable codes selected for use for Preferred Accommodation Invoices. Steward is Financial Management.
Infusion Infusion
ActUSPrivacyLaw ***Deprecation Comment:*** Content moved to ActCode, and is now represented in value set ActPrivacyLaw.
VaginalOintment
Conditional Some conditions may be attached to an allowable substitution. An allowable substitution is based on a match to any other attributes that may be specified.
HL7ITSVersionCode HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS.
OrganizationIndustryClassNAICS
RaceSoutheastAlaskanIndianTlingit
Confidentiality Set of codes used to value Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain "Confidentiality".
PostalAddressUse
RoleClassLicensedEntity A relationship in which the scoper certifies the player ( e. g. a medical care giver, a medical device or a provider organization) to perform certain activities that fall under the jurisdiction of the scoper (e.g., a health authority licensing healthcare prlviders, a medical quality authority certifying healthcare professionals,)
RoleClassMolecularBond
ActClassCdaLevelOneClinicalDocument A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)
ActRelationshipEndsBeforeOrConcurrentWithEndOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
ObservationLivingExpenseValue Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.
EntityStatusInactive **Definition:** The state representing the fact that the entity is inactive.
RaceHawaiianOrPacificIsland
RaceAmericanIndianCupeno
GeneticObservationType **Description:** Identifies the kinds of genetic observations that can be performed.
ActInvoiceAdjudicationPaymentSummaryCode Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
EntityStatusActive The state representing the fact that the Entity record is currently active.
RoleClassCaseSubject A person, non-person living subject, or place that is the subject of an investigation related to a notifiable condition (health circumstance that is reportable within the applicable public health jurisdiction)
Cahitan
SnodentDentalToothFurcationSiteInternational The SNODENT identifiers for the relative location of a human tooth root that is being observed for furcation. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
Inhalation Inhalation
SecurityTrustMechanismObservationType Type of security metadata observation made about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
RoleClassHealthChart The role of a material (player) that is the physical health chart belonging to an organization (scoper).
x_BasicConfidentialityKind **Description:** Used to enumerate the typical confidentiality constraints placed upon a clinical document. *Usage Note:*x\_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization; that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject; or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.
RelationalOperator Identifies common relational operators used in selection criteria.
ActInvoiceOverrideCode Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
DocumentStorageActive A storage status in which a document is available on-line.
ExtendedReleaseTablet A solid dosage form containing a drug which allows at least a reduction in dosing frequency as compared to that drug presented in conventional dosage form.
CardiologySpecialistOrTechnologistHIPAA An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs.
InhalerMedicalDevice A small device used for inhaling medicine in the form of a vapour or gas in order to ease a respiratory condition such as asthma or to relieve nasal congestion.
AudioMediaType Audio media type.
ActRelationshipJoin A code specifying how concurrent Acts are resynchronized in a parallel branch construct. *Discussion:* This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. Branches are parallel if the splitCode specifies that more than one branch can be executed at the same time. The joinCode then specifies if and how the braches are resynchronized. The principal re-synchronization actions are (1) the control flow waits for a branch to terminate (wait-branch), (2) the branch that is not yet terminated is aborted (kill-branch), (3) the branch is not re-synchronized at all and continues in parallel (detached branch). A kill branch is only executed if there is at least one active wait (or exclusive wait) branch. If there is no other wait branch active, a kill branch is not started at all (rather than being aborted shortly after it is started.) Since a detached branch is unrelated to all other branches, active detached branches do not protect a kill-branch from being aborted.
UrinaryBladderRoute Urinary bladder
GTSAbbreviationHolidays Holidays
PsychologistHIPAA An individual who specializes in psychological research, testing, and/or therapy. Psychology is the branch of science that deals with mental processes and behavior, composed of the following major fields: abnormal, clinical, comparative, counseling, developmental, educational, engineering, experimental, industrial, learning, motivation, perception, personality, physiological, psychometrics, school, and social psychology.
ActSpecObsVolumeCode An observation that reports the volume of a sample.
Flush Flush
Charset Internet Assigned Numbers Authority (IANA) Charset Types
InteriorSalish
ActRelationshipCheckpointExit Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit.
LogicalObservationIdentifierNamesAndCodes The LOINC database provides a set of universal names and ID codes for identifying laboratory and clinical test results. The purpose is to facilitate the exchange and pooling of results, such as blood hemoglobin, serum potassium, or vital signs, for clinical care, outcomes management, and research. The LOINC codes are not intended to transmit all possible information about a test or observation. They are only intended to identify the test result or clinical observation. http://www.regenstrief.org/LOINC/LOINC.htm
RaceAmericanIndianComanche
x_ClinicalStatementObservationMood
ParticipationBeneficiary Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act. Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service.
x_ActRelationshipEntryRelationship Used to enumerate the relationships between two CDA entries.
SublesionalRoute Sublesional
InuitInupiaq
x_ActOrderableOrBillable
PartialCompletionScale
ActClassScopeOfPracticePolicy **Description:**An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.
ActRelationshipEndsNearStarts Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
ActClassOverlayRoi A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
RheumClinPracticeSetting
DoseDurationLowDetectedIssueCode Proposed length of therapy is shorter than that necessary for therapeutic effect
SecurityTrustCertificateObservationValue Values for security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]
ActRelationshipAdjunctiveTreatment
ActConsentType **Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
VerificationMethod
x_ActMoodDefEvnRqoPrmsPrp
ScalpRoute Scalp
RoleClassIsSpeciesEntity Relates a specialized material concept (player) to its generalization (scoper).
NasalInhalation Inhalation, nasal
IntratubularRoute Intratubular
EthnicityHispanicSouthAmerican
RoleLinkRelated An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*
AudiologistHIPAA (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
ActRelationshipReferencesOrder Relates either an appointment request or an appointment to the order for the service being scheduled.
AuthorizedReceiverParticipationFunction This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.
ActRelationshipHasBaseline
IntrasternalRoute Intrasternal
CodeSystemType How a code system is maintained by HL7
CompositeMeasureScoring Observation values that communicate the method used in a quality measure to combine the component measure results that are included in a composite measure. *Steward:* CQI WG
RaceAmericanIndianLongIsland
PhysicalTherapistHIPAA (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT's assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient's strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
ChiropractersHIPAA A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
ImmunizationObservationType **Description:** Indicates the valid antigen count.
IntraperitonealRoute Intraperitoneal
DocumentStorage Identifies the storage status of a document.
ActRelationshipDocumentProvenance Used to convey the relationship between two or more Documents for purpose of tracking provenance relationships such as a predecessor Document and a successor Document. For example, a predecessor Clinical Summary Document from which a successor Clinical Summary Document is derived.
x_MedicationOrImmunization
ManagedParticipationStatusNormal The 'typical' state. Excludes "nullified" which represents the termination state of a participation instance that was created in error.
RoleClassBase A base ingredient (player) is what comprises the major part of a mixture (scoper). E.g., Water in most i.v. solutions, or Vaseline in salves. Among all ingredients of a material, there should be only one base. A base substance can, in turn, be a mixture.
ApplicationMediaType Application specific media type.
HealthInformationSpecialistOrTechnologistHIPAA An individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services coding.
x_ActMoodRequestEvent
ActProgramTypeCode **Definition:** A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. *Discussion:* Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.
RaceAmericanIndianSacFox
ActCredentialedCareProvisionProgramCode **Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
ActRelationshipStartsNearEnd Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
ActTaskOrderEntryCode
ActInsuranceTypeCode **Definition:** Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. *Discussion:* In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.
RoleClassSubstancePresence The presence of an bio-chemical entity (substance) at a location or environment, such as an ingredient in a mixture, molecular part of a complex, a located entity at a cellular structure, or content of a container, such as a vesicle.
ParticipationTargetDevice Something used in delivering the service without being substantially affected by the service (i.e. durable or inert with respect to that particular service.) Examples are: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc.
TextMediaType For any text
ObservationSequenceType
CardiologyTechnicianHIPAA An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.
PathologySpecialistOrTechnologistHIPAA (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking.
Country Countries of the world. ISO 3166, part 1, alpha-3 set.
ParticipationSpecimen The subject of non-clinical (e.g. laboratory) observation services is a specimen.
ActRelationshipEndsAfterStartOf
ActCoverageAuthorizationConfirmationCode Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
ActStatusHeld An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.
ReactionDetectedIssueCode Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
IndividualInsuredCoveredPartyRoleType **Description**A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.
IrrigationSolution A sterile solution intended to bathe or flush open wounds or body cavities; they're used topically, never parenterally.
CardClinPracticeSetting
ActRelationshipFulfills 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.
Nadene
ReactivityObservationInterpretation Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test.
SecurityIntegrityStatusObservation Security observation values used to indicate security integrity status metadata.
RouteOfAdministration The path the administered medication takes to get into the body or into contact with the body.
RaceAlaskanIndianAthabascan
ObservationInterpretationOustsideThreshold The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. **Example:** A positive result on a Hepatitis screening test. *Open Issue:* We are not deprecating this value set at this time, but instead are leaving open the consideration of deprecation in the future. \[Note: The concepts included in this value set have also been suggested for future deprecation, and there are no associated concept subdomains or bindings. Note also that the name of the value set appears to have a typo in it from the old cycle when it was originally added.\]
RoleClassContent Relates a material as the content (player) to a container (scoper). Unlike ingredients, the content and a container remain separate (not mixed) and the content can be removed from the container. A content is not part of an empty container.
RaceAlaskanNativeAleutKoniag
SponsorParticipationFunction **Definition:** Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.
DurableMedicalEquipmentAndOrMedicalSupplySupplierHIPAA A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
PersonalRelationshipRoleType Types of personal relationships between two living subjects. *Example:*Parent, sibling, unrelated friend, neighbor
OralTablet
ActRelationshipHasGoal 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.
WesternMiwok
ActClassSupine **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
ActRelationshipEndsConcurrentWith
RoleClassNotaryPublic
AdministrableDrugForm Indicates the form in which the drug product should be administered. This element only needs to be specified when (a) the form in which the drug is measured for dispensing differs from the form in which the drug is administered; and (b) the form in which the quantity of the administered drug being administered is not expressed as a discrete measured mass or volume.*Usage:*
RoleClassSpecimen A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen.
ActRelationshipUses
RoleClassLocatedEntity Relates an entity (player) to a location (scoper) at which it is present in some way. This presence may be limited in time.
MemberRoleType A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClassMember.
ActClassInformation Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.
ParticipationLegalAuthenticator A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication.
ListStyle Defines list rendering characteristics
SpeechAndOrLanguageAndOrHearingServiceProviderHIPAA A provider who renders services to improve communicative skills of people with language, speech and hearing impairments.
ActClassStandardOfPracticePolicy **Description:**A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.
x_ClinicalStatementProcedureMood
BottleEntityType A container, typically rounded, either glass or plastic with a narrow neck and capable of storing liquid.
x_ActBillableCode
QueryPriority Identifies the time frame in which the response is expected.
ActClassInform The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ. **Discussion:** This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.
SecurityTrustFrameworkObservationValue Values for security metadata observation made about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
ActClassSupply Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.
CodingRationale Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.
AssignedNonPersonLivingSubjectRoleType **Description:**A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity
ObservationInterpretationExceptions Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity.
HumanActSite An anatomical location on a human which can be the focus of an act. *OpenIssue:* This value set was approved for **deletion** in November 2008, and was deleted at release \#762. Subsequently, however, it was found that this deletion caused the legacy software embedded in the RMIM Designer in Visio to fail to show appropriate options for concepts in the subject area of this value set. For that reason, the value set was **re-added in releasse 813 and DEPRECATED from general use** at the same time. This value set should be deleted as soon as it is no longer required to support of the legacy software.
ActRelationshipBlocks **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.
PeriduralRoute Peridural
AgeGroupObservationValue Observation values used to indicate the age group of a person in terms of age group concept codes.
CalendarCycle
SiblingInLaw The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse.
ActRelationshipDiagnosis
RoleClassChild The player of the role is a child of the scoping entity, in a generic sense.
GreatGrandparent The player of the role is a parent of the scoping person's grandparent.
RegisteredNurseHIPAA (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
ObservationCoordinateSystemType
ActRelationshipPosting Expresses values for describing the relationship between a FinancialTransaction and an Account.
ContextControlAdditivePropagating The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated.
DietaryAndOrNutritionalServiceProviderHIPAA Broad category defining practitioners who help prevent and treat illness by promoting healthy eating habits, scientifically evaluating diets and suggesting modifications. They may also assess the nutritional needs of patients, develop and implement nutritional care plans.
Caddoan
ActClassSitting **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
x_ActRelationshipEntry Used to enumerate the relationships between a CDA section and its contained entries.
SCDHEC-GISSpatialAccuracyTiers **Description:** The South Carolina Department of Health and Environmental Control GIS Spatial Data Accuracy Tiers have been derived from the National Standard for Spatial Data Accuracy as a means to categorize the accuracy of spatial data assignment utilizing a variety of tools for capturing coordinates including digitizers, geocoding software and global positioning system devices.
ActMoodAppointmentRequest A request for the booking of an appointment.
EntityNamePartQualifierR2 **Description:**The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.
ActFieldEncounterCode **Definition:**A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
RaceAmericanIndianChippewa
PharmacySupplyEventStockReasonCode
ActClassExpressionLevel **Description:**An expression level of genes/proteins or other expressed genomic entities.
ContextControlAdditive The association adds to the existing context associated with the Act. Both this association and any associations propagated from ancestor Acts are interpreted as being related to this Act.
HospitalPracticeSetting An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured.
CecostomyRoute Cecostomy
x_ClinicalStatementActMood
ActMoodPermissionRequest A request for authorization to perform a kind of service. This is distinct from RQO which is a request for an actual act. PERMRQ is merely a request for permission to perform an act.*Discussion:*
ActRelationshipHasValue
LacrimalPunctaRoute Lacrimal puncta
RoleLinkStatusCompleted
ImageMediaType Image media type.
ActRelationshipCoveredBy 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.
ActClassProne **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
EyeAndVisionServiceProviderTechnicianAndOrTechnologistHIPAA A broad category grouping different kinds of technologists and technicians. See individual definitions.
RaceAmericanIndianYurok
MultiUseContainerEntityType A container intended to contain sufficient material for more than one use. (I.e. Material is intended to be removed from the container at more than one discrete time period.)
EntityClassFood Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals.
PhysicianAssistantHIPAA A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
RoleClassPartitive An association between two Entities where the playing Entity is considered in some way "part" of the scoping Entity, e.g., as a member, component, ingredient, or content. Being "part" in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity.
ActRelationshipEndsBeforeOrConcurrentWithStartOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
ActRelationshipHasReferenceValues 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.
ActRelationshipSequel 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.
RaceAmericanIndianEasternTribes
RoleClassContact A person or an organization (player) which provides or receives information regarding another entity (scoper). Examples; patient NOK and emergency contacts; guarantor contact; employer contact.
EntityClassDevice A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity. The kind of device is identified by the code attribute inherited from Entity. *Usage:* This includes durable (reusable) medical equipment as well as disposable equipment.
ActRelationshipTemporallyPertainsStart
RaceAmericanIndianTohonoOOdham
ActRelationshipHasGeneralization 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).
UrinaryBladderIrrigation Irrigation, urinary bladder
TherapyAppropriateManagementCode Confirmed drug therapy appropriate
Douche Douche
RoleClassPersonalRelationship Links two people in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well.
BlisterPackEntityType A bubblepack. Medications sealed individually, separated into doses.
EncounterSpecialCourtesy A code identifying special courtesies extended to the patient. For example, no courtesies, extended courtesies, professional courtesy, VIP courtesies.
x_ActMoodRqoPrpAptArq
DoseHighDetectedIssueCode Proposed dosage exceeds standard practice
x_AdverseEventCausalityAssessmentMethods Value set provides methods used to assess the causality of adverse events. New codes should not be added to the domain without first checking with its steward - the Regulated Clinical Research Information Management (RCRIM) technical committee.
RoleLinkStatusActive
RoleClassCredentialedEntity A role played by an entity that receives credentials from the scoping entity.
TabletDrugForm A solid dosage form containing medicinal substances with or without suitable diluents.
ParticipationDestination The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship).
ActRelationshipReason 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. *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.
VaccineManufacturer The manufacturer of a vaccine.
HealthCareCommonProcedureCodingSystem
ProvenanceEventCurrentState-DC Specifies the state change of a target Act using DocuymentCompletion codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
EmploymentStatusUB92
ActInsurancePolicyCode Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
Iroquoian
OtherTechnologistOrTechnicianHIPAA General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Unknown A proper value is applicable, but not known.
ActRelationshipDuring
RoleClassOntological A relationship in which the scoping Entity defines or specifies what the playing Entity is. Thus, the player's "being" (Greek: ontos) is specified.
x_ActClassDocumentEntryOrganizer
ManagedParticipationStatusCompleted The terminal state representing the successful completion of the Participation.
RoleClassRetailedMaterial Material (player) sold by a retailer (scoper), who also give advice to prospective buyers.
RectalInstillation Instillation, rectal
HairRoute Hair
ActRelationshipRe-challenge **Description:**A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.
IntracaudalRoute Intracaudal
RaceAmericanIndianPueblo
ActClassTransfer **Definition:** The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.
ActClassDocumentBody A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete <head> and <body> elements.
x_EntityClassDocumentReceiving
ActAmbulatoryEncounterCode **Definition:**A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
IntraosseousRoute Intraosseous
EthnicityHispanicMexican
WorkClassificationODH Provide the concepts for the value element of the C-CDA Work Classification Observation entry template.
RoleClassAssociative A general association between two entities that is neither partitive nor ontological.
SubstitutionCondition Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided.
SecurityIntegrityProvenanceObservationType Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness or workflow status of an IT resource, such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness.
Shasta
ActAccommodationReason Identifies the reason the patient is assigned to this accommodation type
CreamDrugForm A semisolid dosage form containing one or more drug substances dissolved or dispersed in a suitable base; more recently, the term has been restricted to products consisting of oil-in-water emulsions or aqueous microcrystalline dispersions of long chain fatty acids or alcohols that are water washable and more cosmetically and aesthetically acceptable.
RaceWhiteArab
ActMoodPermission A kind of service which is authorized to be performed.
SpecimenAdditiveEntity Set of codes related to specimen additives
ActClassSubstanceExtraction
HealthcareProviderAgencyHIPAA A non-facility provider that renders outpatient outreach services that are not provided at a specific location. The licensure or registration is assigned to the agency rather than to the individual practitioners as would be the case in a group practice.
ActRelationshipEndsDuring
LaboratoryHIPAA A room or building equipped for scientific experimentation, research, testing, or clinical studies of materials, fluids, or tissues obtained from patients.
ActHealthInformationManagementReason The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.
PatientImportance Patient VIP code
WeightAlert Proposed therapy may be inappropriate based on the patient's weight
RoleLinkHasIndirectAuthorityOver The source Role has indirect authority over the target role in a chain of authority.
ParticipationTracker A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist).
RoleClassMilitaryPerson A role played by a member of a military service. Scoper is the military service (e.g. Army, Navy, Air Force, etc.) or, more specifically, the unit (e.g. Company C, 3rd Battalion, 4th Division, etc.)
x_ActMoodPermPermrq Enumerates the moods that an Act can take when describing privileges.
ActAdministrativeDetectedIssueManagementCode Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
ActRelationshipContainsEndOf
OrganizationNamePartQualifier
SpecimenEntityType
IntraepithelialRoute Intraepithelial
RaceCanadianLatinIndian
ActRelationshipAssignsName Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.
SnodentSalzmannInterarchDeviationMaxillaryToothInternational The SNODENT identifiers for the teeth in the maxilla assessed for tooth-specific inter-arch deviations as part of calculating the Salzmann Malocclusion Severity Index. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
MapRelationship The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy
RelationshipConjunction A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or.) *Constraints:* All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion.) To overcome this ordering, Act criteria can be nested in any way necessary.
ActRelationshipReverses 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.
ActClassDocumentSection A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.
Dakotan
AdditionalLocator This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342".) This can also be a designator pointing away from the location (e.g. Across the street from).
ObservationAllergyType Hypersensitivity to an agent caused by an immunologic response to an initial exposure.
employmentStatusODH Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.
PillDrugForm A small, round solid dosage form containing a medicinal agent intended for oral administration.
ObservationQualityMeasureAttribute Codes used to define various metadata aspects of a health quality measure.
ActConsentDirective ActConsentDirective codes are used to specify the type of Consent Directive to which a Consent Directive Act conforms.
UreteralRoute Ureteral
RoleClassRoot Corresponds to the Role class
ChildInLaw The player of the role is the spouse of scoping person's child.
PermanentDentition Permanent dentition, the natural teeth of adulthood that replace or are added to the deciduous teeth
ActRelationshipStartsNearStart Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
TranstrachealRoute Transtracheal
DuplicateTherapyAlert
RaceAmericanIndianPequot
ParticipationGuarantorParty The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account *Example:*The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed.
VitreousHumourRoute Vitreous humour
TargetAwareness A code specifying the extent to which the Entity playing the participating Role (usually as a target Participation) is aware of the associated Act. *Examples:* For diagnostic observations, is the patient, family member or other participant aware of his terminal illness? *Discussion:* If the awareness, denial, unconsciousness, etc. is the subject of medical considerations (e.g., part of the problem list), one should use explicit observations in these matters as well, and should not solely rely on this simple attribute in the Participation.
EntityHandling Special handling requirements for an Entity. *Example:*Keep at room temperature; Keep frozen below 0 C; Keep in a dry environment; Keep upright, do not turn upside down.
TableFrame These values are defined within the XHTML 4.0 Table Model
ResearchSubjectRoleBasis Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design.
ActClassConcern
ObservationInterpretationDetected Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the "meaning" of the quantitative value for the same observation.
ActSpecObsCode Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
PharmacyServiceProviderTechnicianHIPAA (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
ActClassAcquisitionExposure **Description:** An acquisition exposure act describes the proximity (location and time) through which the participating entity was potentially exposed to a physical (including energy), chemical or biological agent from another entity. The acquisition exposure act is used in conjunction with transmission exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. **Constraints:** The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.
AmbulatoryClinicOrCenterHIPAA A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/center" is irregularly defined, either including or excluding physician's offices and allied health professionals, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, public health).
ObservationInterpretationNormalityAbnormal Interpretation of degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.
ParticipationInformationTranscriber An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form.
ParticipationReusableDevice A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked.
x_ParticipationAuthorPerformer One who initiates the control act event, either as its author or its physical performer.
SecurityIntegrityConfidenceObservationValue
RaceAmericanIndianDelaware
ActClassRegistration Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment. The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.*Usage notes:*
x_RoleClassAccommodationRequestor The requestor for the accommodation. Steward is Financial Management Technical Committee
ObservationPopulationInclusion Observation values used to assert various populations that a subject falls into.
ObservationActContextAgeGroupType Identifies a type of observation that captures the age of a person in terms of age group concept codes.
ActRelationshipUpdate **Description:** **Deprecation Comment:** Was mis-named, and a proper representation has been provided. Replaced by value set ActRelationshipCompliesWith.
RoleClass This table includes codes for the Role class hierarchy. The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role. Roles names are derived from the name of the playing entity in that role. The role hierarchy stems from three core concepts, or abstract domains: * **RoleClassOntological** is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity. * **RoleClassPartitive** collects roles in which the playing entity is in some sense a "part" of the scoping entity. * **RoleClassAssociative** collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between: * **RoleClassPassive** which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity. * **RoleClassMutualRelationship** which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may be *de facto* behavior. Thus, this sub-domain is further divided into: * **RoleClassRelationshipFormal** in which the relationship is formally defined, frequently by a contract or agreement. * **Personal relationship** which inks two people in a personal relationship. The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the "Personal relationship" which is a leaf concept.
Institution Institution
AcknowledgementType Acknowledgement code as described in HL7 message processing rules.
MobileUnit Location (mobile) where healthcare service was delivered.
EndocervicalRoute Endocervical
ActRelationshipSplitExclusiveWait A branch is selected as soon as the pre-condition associated with the branch evaluates to true. If the condition is false, the branch may be entered later, when the condition turns true. All other exclusive branches compete with each other and only one will be selected. Each waiting branch executes in parallel with the default join code wait (see below). The order in which the branches are considered may be specified in the Service\_relationship.priority\_nmb.
EntityDeterminerDescribedQuantified The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED\_KIND of syringe (quantity = 3,) stands for exactly three syringes.
ActClassOutbreak An outbreak represents a series of public health cases. The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak, and its ending date is the last date of onset among the cases assigned to the outbreak.
AdministrativeGender The gender of a person used for adminstrative purposes (as opposed to clinical gender)
Parent one that begets or brings forth offspring or a person who brings up and cares for another (Webster's Collegiate Dictionary)
ActRelationshipIsEtiologyFor An assertion that a new observation was assumed to be the cause for another existing observation. The assumption is attributed to the same actor who asserts the observation. This is stronger and more specific than the support link. For example, a growth of Staphylococcus aureus may be considered the cause of an abscess. The source (cause) is typically an observation, but may be any service, while the target must be an observation.
RaceAmericanIndianKiowa
EmergencyPharmacySupplyType A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)
ParticipationReferredTo The person who receives the patient
SecurityTrustFrameworkObservationType Type of security metadata observation made about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
ContextControlAdditiveNon-propagating The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Non-Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated.
Child The player of the role is a child of the scoping entity.
SupplyDetectedIssueCode Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
ActRelationshipCompliesWith
ActRelationshipEpisodelink 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.
IntrasynovialRoute Intrasynovial
MediaType Internet Assigned Numbers Authority (IANA) Mime Media Types
AllergyTestValue Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe
LanguageAbilityMode A value representing the method of expression of the language. *Example:*Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.
ActRelationshipEndsAfterOrConcurrentWithEndOf Pro-forma value set for each head code in the ActRelationshipType code system; all codes present and future below the head code.
NUCCProviderCodes In the absence of an all-encompassing Provider Classification System, both X12N and the National Provider System Workgroup from the Centers for Medicare and Medicaid Services (CMS) commenced work on identifying and coding an external provider table that would be able to codify provider type and provider area of specialization for all medical related providers. CMS' intent was to provide a single coding structure to support work on the National Provider System, while X12N needed a single common table for trading partner use. The two projects worked independently to some extent until April 1996 when the lists were coordinated and a single taxonomy was proposed. A sub-group of the X12N TG2 WG 15 was charged with resolving differences in the two proposed taxonomies. Their work resulted in a single taxonomy that both CMS and members of X12N found meaningful, easy to use, and functional for electronic transactions. The sub-group initially started with the CMS draft taxonomy. This list incorporated all types of providers associated with medical care in various ways. Many of the providers listed, such as technologists or technicians, support or repair equipment/machinery. A number of the providers offer medical services, in concert with others, and do not or cannot bill independently for their portion. The amount of research to validate and classify all providers using the proposed hierarchical structure was enormous. The X12N sub-group focused on medical providers who are licensed practitioners, those who bill for health-related services rendered, and those who appeared on the Medicare CMS Provider Specialty listing. This included providers who were licensed to practice medicine via state licensure agencies. In addition, a very broad definition of "areas of specialization" was used, which included nationally recognized specialties, provider self-designated specialties, areas of practice focus, and any request by any agency or trading partner submitted before the first taxonomy release. This level of detail captured specialty information in categories detailed enough to support those trading credentialing information, yet broad enough to support those wishing to trade directory level specialization information. In 2001, ANSI ASC X12N asked the NUCC to become the official maintainer of the Health Care Provider Taxonomy List. The NUCC has a formal operating protocol and its membership includes representation from key provider and payer organizations, as well as state and federal agencies, standard development organizations and the National Uniform Billing Committee (NUBC). Criteria for membership includes a national scope and representation of a unique constituency affected by health care electronic commerce, with an emphasis on maintaining a provider/payer balance.
SupernumeraryTooth Supernumerary tooth, any tooth in addition to the normal permanent and primary dentition
IntraovarianRoute Intraovarian
x_DocumentSubject
CombinedPharmacyOrderSuspendReasonCode **Description:**Indicates why the prescription should be suspended.
TransmucosalRoute Transmucosal
RoleClassNextOfKin An individual designated for notification as the next of kin for a given entity.
Homeless **Definition:** Living arrangements lacking a permanent residence.
Takic
ActRelationshipStartsBeforeStartOf
ConceptPropertyId Property identifiers for a concept code
RoleClassEventLocation
ManagedParticipationStatusPending The state representing that fact that the Participation has not yet become active.
SecurityIntegrityProvenanceReportedByObservationValue
ActInjuryCodeCSA
IntraarterialRoute Intra-arterial
ParticipationMode Identifies the primary means by which an Entity participates in an Act.
SubarachnoidRoute Subarachnoid
TransmissionRelationshipTypeCode **Description:**A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way.
Insertion Insertion
ParticipationInformant A source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject.
IndividualCaseSafetyReportType All codes from code system ActCode.\_IndividualCaseSafetyReportType
SuspensionDrugForm
RaceAmericanIndianDiegueno
OrderedListStyle Defines rendering characteristics for ordered lists
ActClassFolder
x_DocumentStatus Status of a clinical document.
TimingEvent
TananaTutchone
Sequencing Specifies sequence of sort order.
RaceAmericanIndianKickapoo
HtmlLinkType HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link
ParticipationIndirectTarget Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act.
DosageProblem
ObservationDrugIntoleranceType Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
CriticalityObservationValue Recommended values for criticality observations > *Steward:* Security WG
GrandChild The player of the role is a child of the scoping person's son or daughter.
KnowledgeSubjectObservationCode
ActMoodDesire
ParticipationSubset Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act. Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.
ActCoverageTypeCode **Definition:** Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
PersonNameUse A code indicating the type of name (e.g. nickname, alias, maiden name, legal, adopted)
StyleType (abstract) Used within an instance to give the author some control over various aspects of rendering
GTSAbbreviationHolidaysUSNational United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103.)
MessageWaitingPriority Indicates the highest importance level of the set of messages the acknowledging application has waiting on a queue for the receiving application. *Discussion:* These messages would need to be retrieved via a query. This facilitates receiving applications that cannot receive unsolicited messages (i.e. polling). The specific code specified identifies how important the most important waiting message is (and may govern how soon the receiving application is required to poll for the message). Priority may be used by local agreement to determine the timeframe in which the receiving application is expected to retrieve the messages from the queue.
InvoiceElementSubmitted Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
SupplyOrderAbortReasonCode **Definition:**A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).
AgeDetectedIssueCode Proposed therapy may be inappropriate or contraindicated due to patient age
ActRelationshipHasCredit 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.
Currency The currency unit as defined in ISO 4217
Enema Enema
ContainerCap The type of cap associated with a container
CaliforniaAthapaskan
Diffusion Diffusion
ResponseMode Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.
ActClassInvoiceElement Represents concepts related to invoice processing in health care
CreeMontagnais
Miwokan
IntraprostaticRoute Intraprostatic
ActRelationshipStartsBeforeStartOfEndsBeforeEndOf
RaceAmericanIndianPaiute
ActRelationshipReplaces 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.
ActCoverageMaximaCodes **Definition:** Codes representing the maximum coverate or financial participation requirements.
ActClassOutbreak2 An Outbreak is a concern resulting from a series of public health cases.
SecurityDataIntegrityObservationValue
x_InformationRecipientRole Used to represent the role(s) of those who should receive a copy of a document.
AddressPartType Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"
x_Medicine A type of Administered Substance that is manufactured from raw organic or inorganic ingredients and used in the course of a patient's therapy.
RoleLinkHasContact
ActDietCode Code set to define specialized/allowed diets
EntityClassState A politically organized body of people bonded by territory, culture, or ethnicity, having sovereignty (to a certain extent) granted by other states (enclosing or neighboring states). This includes countries (nations), provinces (e.g., one of the United States of America or a French departement), counties or municipalities. Refine using, e.g., ISO country codes, FIPS-PUB state codes, etc.
MedicationGeneralizationRoleType Identifies the specific hierarchical relationship between the playing and scoping medications. *Examples:* Generic, Generic Formulation, Therapeutic Class, etc.
RaceNativeAmerican
x_ParticipationVrfRespSprfWit One who oversees a control act event. Includes either a type of accountability, as in responsible party, verifier (and its children) and witness; or being an assistant to the control act event, as in secondary performer.
EntityClassRoot Corresponds to the Entity class
ActRelationshipHasSupport 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.)
GTIN **Description:**Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
ControlActNullificationRefusalReasonType
IntracervicalRoute Intracervical
ActAdjudicationGroupCode Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
ParticipationModeWritten Participation by human language recorded on a physical material
ActRelationshipHasMetadata
RoleClassSubsumedBy Relates a prevailing record of an Entity (scoper) with another record (player) that it subsumes. *Examples:* Show a correct new Person object (scoper) that subsumes one or more duplicate Person objects that had accidentally been created for the same physical person. *Constraints:* Both the player and scoper must have the same classCode.
Dhegiha
EntityNameUseR2 **Description:**A set of codes advising a system or user which name in a set of names to select for a given purpose.
ActClassClinicalDocument A clinical document is a documentation of clinical observations and services, with the following characteristics: (1) Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; (2) Stewardship - A clinical document is maintained by a person or organization entrusted with its care; (3) Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; (4) Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; (5) Human readability - A clinical document is human readable."
Wakashan
RoleClassActiveMoiety The molecule or ion that is responsible for the intended pharmacological action of the drug substance, excluding those appended or associated parts of the molecule that make the molecule an ester, salt (including a salt with hydrogen or coordination bonds), or other noncovalent derivative (such as a complex, chelate, or clathrate). Examples: heparin-sodium and heparin-potassium have the same active moiety, heparin; the active moiety of morphine-hydrochloride is morphine.
ActRelationshipHasComponent A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.
RoleClassManagedEntity **Description:**A value set of role classCodes related to entity management.
ActRelationshipContainsTimeOf
ParticipationAuthorOriginator **Definition:** A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act. **Example:** the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship. Examples of such policies might include: * The author and anyone they explicitly delegate may update the report; * All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic; A party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party.
ActStatusActive The Act can be performed or is being performed
ParticipationAdmitter The practitioner who is responsible for admitting a patient to a patient encounter.
Grandparent parent of a parent of the subject
GeneralAddressUse
PersonDisabilityType A code identifying a person's disability.
ActInformationAccessCode The type of personal health information to which the subject of the information, or the delegate of the subject, consents or dissents to authorize access.
ContextControlOverriding The association adds to the existing context associated with the Act, but replaces associations propagated from ancestor Acts whose typeCodes are the same.
ProgramEligibleCoveredPartyRoleType **Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.
RaceAmericanIndianPotawatomi
RoleClassNursePractitioner
ParticipationType A code specifying the meaning and purpose of every Participation instance. Each of its values implies specific constraints on the Roles undertaking the participation.
ActRelationshipSplitInclusiveWait A branch is executed as soon as its associated conditions permit. If the condition is false, the branch may be entered later, when the condition turns true. Inclusive branches are not suppressed and do not suppress other branches. Each waiting branch executes in parallel with the default join code wait (see below).
ActRelationshipCheckpointBeginning Condition is tested every time before execution of the service (WHILE condition DO service).
EntityDeterminerSpecific The specific determiner indicates that the given Entity is taken as one specific thing instance. For example, a human INSTANCE (quantity = 1,) stands for exactly one human being.
ActMoodPredicate Any of the above service moods (e.g., event, intent, or goal) can be turned into a predicate used as a criterion to express conditionals (or queries.) However, currently we allow only criteria on service events.
OralRoute Oral
ParticipationAnalyte
VaccineEntityType A Type of medicine that creates an immune protection without the recipient experiencing the disease.
ActStatusCancelled The Act has been abandoned before activation.
ActMood A code distinguishing whether an Act is conceived of as a factual statement or in some other manner as a command, possibility, goal, etc. *Constraints:* An Act-instance must have one and only one moodCode value. The moodCode of a single Act-instance never changes. Mood is not state. To describe the progression of a business activity from defined to planned to executed, etc. one must instantiate different Act-instances in the different moods and link them using ActRelationship of general type "sequel". (See ActRelationship.type.)
MaritalStatus The domestic partnership status of a person. *Example:*Married, separated, divorced, widowed, common-law marriage.
x_ServiceEventPerformer Clones using this x\_domain should have a name "performer".
ParticipationSignature A code specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed. *Examples:* A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)
Ojibwayan
ActClassROI Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
RoleClassActiveIngredientBasis
ActRelationshipModifies 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"
OtherTechnologistAndOrTechnicianHIPAA A broad category grouping providers who apply scientific knowledge in solving practical or theoretical problems or applies technical procedures in accordance with their training and experience.
SolutionDrugForm A liquid preparation that contains one or more chemical substances dissolved, i.e., molecularly dispersed, in a suitable solvent or mixture of mutually miscible solvents.
RoleClassDependent **Description:** A role played by a person covered under a policy or program based on an association with a subscriber, which is recognized by the policy holder. **Note:** The party playing the role of a dependent is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a dependent may make a claim under a policy, e.g., a dependent under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a dependent making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the dependent has filed a claim for services covered under the health insurance policy. **Example:** The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child. The policy holder may be required by law to recognize certain associations or may have discretion about the associations. For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents. Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently abled or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriberaTMs legal standing in the relationship with the dependent.
ActRelationshipContainsStartOfEndsBeforeEndOf
AmbulanceHIPAA An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
CalendarType
VaccineType The kind of vaccine.
ProbabilityDistributionType
ActRelationshipInstantiatesMaster 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.
x_ActRelationshipDocumentSPL
IntrasinalRoute Intrasinal
GTSAbbreviationBase **Description:**Basic abbreviations defined for the General timing Specification data type.
ActClassStanding **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
EntityClassNation A politically organized body of people bonded by territory and known as a nation.
MaterialDangerInfectious Material known to be infectious with human pathogenic microorganisms. Those who handle this material must take precautions for their protection.
DoseLowDetectedIssueCode Proposed dosage is below suggested therapeutic levels
ParticipationEntryLocation A location where data about an Act was entered.
Taracahitan
AdministrationDetectedIssueCode Administration of the proposed therapy may be inappropriate or contraindicated as proposed
ParticipationCausativeAgent Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition. Constraint: The use of this participation is limited to observations.
ActRelationshipStartsAfterStartOfEndsWith
ActClassRightLateralDecubitus **Deprecation Comment:** This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.
HomeAddress
x_ActInvoiceDetailPharmacyCode The billable codes selected for use for Pharmacy Invoices. Steward is Financial Management.
ActInvoiceElementSummaryCode Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.
ObservationInterpretationNormality Interpretation of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.
AppropriatenessDetectedIssueCode
NativeEntityAlaska NATIVE ENTITIES WITHIN THE STATE OF ALASKA RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS
TelecommunicationAddressUse
x_ActMoodOrdPrms A grouping of Order, Promise. These specific moods are used in orders.
IntegrityCheckAlgorithm
ActNoImmunizationReason A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy
x_EntityClassPersonOrOrgReceiving
ActVirtualEncounterCode **Definition:**A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.
RepetitionsOutOfRange
BuildingNumber The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
SubsidizedHealthProgram **Definition:** A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
SnodentDentalToothMobilityMillerClassificationInternational The SNODENT identifiers for the recognized grades of tooth mobility according to the Miller Classification system. This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA. http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent *Steward:* Attachments WG
ParticipationTargetLocation The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)
RaceAlaskanNative
ActTaskClinicalNoteEntryCode A clinician enters a clinical note about a given patient
IntrailealRoute Intraileal
KoyukonIngalik
ActClassConsent The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public. Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed aft