Ontology
imports: vocab codeSystem.owl
imports: vocab conceptDomain.owl
imports: vocab valueSet.owl
version info: 0.1 (30.05.2010 21:51:26)
imports: CSO.owl

AcknowledgementCondition-CodeSystem
type: Class
comment: The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness
subclass of: codeSystem

AcknowledgementCondition-CodeSystem.AL
type: Class
comment: Always send an acknowledgement.
subclass of: AcknowledgementCondition-CodeSystem

AcknowledgementCondition-CodeSystem.ER
type: Class
comment: Send an acknowledgement for error/reject conditions only.
subclass of: AcknowledgementCondition-CodeSystem

AcknowledgementCondition-CodeSystem.NE
type: Class
comment: Never send an acknowledgement.
subclass of: AcknowledgementCondition-CodeSystem

AcknowledgementCondition-CodeSystem.SU
type: Class
comment: Send an acknowledgement for successful completions only.
subclass of: AcknowledgementCondition-CodeSystem

AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode
type: Class
comment: Refelects rejections because elements of the communication are not supported in the current context.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailSyntaxErrorCode
type: Class
comment: Reflects errors in the syntax or structure of the communication.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.INTERR
type: Class
comment: An internal software component (database, application, queue mechanism, etc.) has failed, leading to inability to process the message.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.NOSTORE
type: Class
comment: Rejection: The message can't be stored by the receiver due to an unspecified internal application issue. The message was neither processed nor stored by the receiving application.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.RTEDEST
type: Class
comment: Error: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is unavailable.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.RTUDEST
type: Class
comment: The destination of this message is unknown to the receiving application. The receiving application in the message does not match the application which received the message. The message was neither routed, processed nor stored by the receiving application.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.RTWDEST
type: Class
comment: Warning: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is (temporarily) unavailable. The receiving application will forward the message as soon as the destination can be reached again.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.SYN
type: Class
comment: Reflects errors in the syntax or structure of the communication.
subclass of: AcknowledgementDetailCode-CodeSystem

AcknowledgementDetailCode-CodeSystem.NS200
type: Class
comment: The interaction (or: this version of the interaction) is not supported.
subclass of: AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode

AcknowledgementDetailCode-CodeSystem.NS202
type: Class
comment: The Processing ID is not supported.
subclass of: AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode

AcknowledgementDetailCode-CodeSystem.NS203
type: Class
comment: The Version ID is not supported.
subclass of: AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode

AcknowledgementDetailCode-CodeSystem.NS250
type: Class
comment: The processing mode is not supported.
subclass of: AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode

AcknowledgementDetailCode-CodeSystem.NS260
type: Class
comment: The Device.id of the sender is unknown.
subclass of: AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode

AcknowledgementDetailCode-CodeSystem.NS261
type: Class
comment: The receiver requires information in the attentionLine classes for routing purposes.
subclass of: AcknowledgementDetailCode-CodeSystem. AcknowledgementDetailNotSupportedCode

AcknowledgementDetailCode-CodeSystem.SYN100
type: Class
comment: Required association missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

AcknowledgementDetailCode-CodeSystem.SYN101
type: Class
comment: A required attribute is missing in a class.
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

AcknowledgementDetailCode-CodeSystem.SYN102
type: Class
comment: The attribute contained data of the wrong data type, e.g. a numeric attribute contained "FOO".
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

AcknowledgementDetailCode-CodeSystem.SYN103
type: Class
comment: An attribute value was compared against the corresponding code system, and no match was found.
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

AcknowledgementDetailCode-CodeSystem.SYN104
type: Class
comment: An attribute value referenced a code system that is not valid for an attribute constrained to CNE.
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

AcknowledgementDetailCode-CodeSystem.SYN110
type: Class
comment: The number of repetitions of a (group of) association(s) exceeds the limits of the standard or of one of the conformance profiles identified in the message.
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

AcknowledgementDetailCode-CodeSystem.SYN112
type: Class
comment: The number of repetitions of an attribute exceeds the limits of the standard or of one of the conformance profiles identified in the message.
subclass of: AcknowledgementDetailCode-CodeSystem.SYN

ActClass-CodeSystem.ACT
type: Class
comment: 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 t…
subclass of: ActClass-CodeSystem

ActClass-CodeSystem.COMPOSITION
type: Class
comment: 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.
subclass of: ActClass-CodeSystem. ActClassContainer
subclass of: ActClass-CodeSystem. ActContainer

ActClass-CodeSystem.ENTRY
type: Class
comment: This context represents the information acquired and recorded for an observation, a clinical statement such as a portion of the patient's history or an inference or assertion, or an action that might be intended or has actually been performed. This class may represent both the actual data describing the observation, inference, or action, and optionally the details supporting the clinical reasoning process such as a reference to an electronic guideline, decision support system, or other knowledge reference.
subclass of: ActClass-CodeSystem. ActClassContainer
subclass of: ActClass-CodeSystem. ActContainer

ActClass-CodeSystem.EXTRACT
type: Class
comment: 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.
subclass of: ActClass-CodeSystem. ActClassContainer
subclass of: ActClass-CodeSystem. ActContainer

ActClass-CodeSystem.FOLDER
type: Class
comment: A context representing the high-level organization of an extract e.g. to group parts of the record by episode, care team, clinical specialty, clinical condition, or source application. Internationally, this kind of organizing structure is used variably: in some centers and systems the folder is treated as an informal compartmentalization of the overall health record; in others it might represent a significant legal portion of the EHR relating to the originating enterprise or team. A folder contains compositions. Folders may be nested within folders.
subclass of: ActClass-CodeSystem. ActClassContainer
subclass of: ActClass-CodeSystem. ActContainer

ActClass-CodeSystem.ORGANIZER
type: Class
comment: Organizer of entries. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "organizer tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
subclass of: ActClass-CodeSystem. ActClassContainer
subclass of: ActClass-CodeSystem. ActContainer

ActClass-CodeSystem.ROIBND
type: Class
comment: 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).
subclass of: ActClass-CodeSystem. ActClassROI

ActClass-CodeSystem. ActClassROI
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.ROIOVL
type: Class
comment: 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.
subclass of: ActClass-CodeSystem. ActClassROI

ActClass-CodeSystem.LLD
type: Class
comment: Lying on the left side.
subclass of: ActClass-CodeSystem. SubjectBodyPosition

ActClass-CodeSystem. SubjectBodyPosition
type: Class
comment: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.
subclass of: ActClass-CodeSystem. SubjectPhysicalPosition

ActClass-CodeSystem.PRN
type: Class
comment: Lying with the front or ventral surface downward; lying face down.
subclass of: ActClass-CodeSystem. SubjectBodyPosition

ActClass-CodeSystem.RLD
type: Class
comment: Lying on the right side.
subclass of: ActClass-CodeSystem. SubjectBodyPosition

ActClass-CodeSystem.SFWL
type: Class
comment: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.
subclass of: ActClass-CodeSystem. SubjectBodyPosition

ActClass-CodeSystem.SIT
type: Class
comment: Resting the body on the buttocks, typically with upper torso erect or semi erect.
subclass of: ActClass-CodeSystem. SubjectBodyPosition

ActClass-CodeSystem.STN
type: Class
comment: To be stationary, upright, vertical, on oneaTMs legs.
subclass of: ActClass-CodeSystem. SubjectBodyPosition

ActClass-CodeSystem. ImagingSubjectOrientation
type: Class
comment: A code specifying qualitatively the spatial relation between imaged object and imaging film or detector.
subclass of: ActClass-CodeSystem. SubjectPhysicalPosition

ActClass-CodeSystem. SubjectPhysicalPosition
type: Class
comment: The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.ACCM
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.ACCT
type: Class
comment: A financial account established to track the net result of financial acts.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.ACSN
type: Class
comment: 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).
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.ADJUD
type: Class
comment: 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
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.CACT
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.CNTRCT
type: Class
comment: An agreement of obligation between two or more parties that is subject to contractual law and enforcement.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.CONS
type: Class
comment: 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 after the consent has been completed.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.CONTREG
type: Class
comment: An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.CTTEVENT
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.DISPACT
type: Class
comment: 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:
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.EXPOS
type: Class
comment: 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 m…
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.INC
type: Class
comment: An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.INFRM
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.INVE
type: Class
comment: Represents concepts related to invoice processing in health care
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.LIST
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.MPROT
type: Class
comment: An officially or unofficially instituted program to track acts of a particular type or categorization.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.OBS
type: Class
comment: 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-observation…
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.PCPR
type: Class
comment: 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: Referral from GP to a specialist. Assignment of a patient or group of patients to the case list of a health professional. Assignment of inpatients to the care of particular nurses for a working shift.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.POLICY
type: Class
comment: 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
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.PROC
type: Class
comment: ################
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.REG
type: Class
comment: 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:
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.REV
type: Class
comment: The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.SBADM
type: Class
comment: The act of introducing or otherwise applying a substance to the subject. Discussion: The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area. Examples: Chemotherapy protocol; Drug prescription; Vaccination record
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.SPCTRT
type: Class
comment: A procedure or treatment performed on a specimen to prepare it for analysis
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.SPLY
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.SUBST
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.TRFR
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.TRNS
type: Class
comment: 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.)
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.XACT
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ACT

ActClass-CodeSystem.ACTN
type: Class
comment: 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).
subclass of: ActClass-CodeSystem.CACT

ActClass-CodeSystem.INFO
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.CACT

ActClass-CodeSystem.STC
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.CACT

ActClass-CodeSystem.OUTB
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.CASE

ActClass-CodeSystem.CASE
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.COND

ActClass-CodeSystem.FCNTRCT
type: Class
comment: A contract whose value is measured in monetary terms.
subclass of: ActClass-CodeSystem.CNTRCT

ActClass-CodeSystem.DOC
type: Class
comment: The notion of a document comes particularly from the paper world, where it corresponds to the contents recorded on discrete pieces of paper. In the electronic world, a document is a kind of composition that bears resemblance to their paper world counter-parts. Documents typically are meant to be human-readable. HL7's notion of document differs from that described in the W3C XML Recommendation, in which a document refers specifically to the contents that fall between the root element's start-tag and end-tag. Not all XML documents are HL7 documents.
subclass of: ActClass-CodeSystem.COMPOSITION

ActClass-CodeSystem.COND
type: Class
comment: 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
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.DOCCLIN
type: Class
comment: A clinical document is a documentation of clinical observations and services, with the following characteristics: Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; Stewardship - A clinical document is maintained by a person or organization entrusted with its care; Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; 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; Human readability - A clinical document is human readable.
subclass of: ActClass-CodeSystem.DOC

ActClass-CodeSystem.CDALVLONE
type: Class
comment: A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)
subclass of: ActClass-CodeSystem.DOCCLIN

ActClass-CodeSystem.BATTERY
type: Class
comment: 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".
subclass of: ActClass-CodeSystem.ENTRY

ActClass-CodeSystem.CLUSTER
type: Class
comment: 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
subclass of: ActClass-CodeSystem.ENTRY

ActClass-CodeSystem.AEXPOS
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.EXPOS

ActClass-CodeSystem.TEXPOS
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.EXPOS

ActClass-CodeSystem.EHR
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.EXTRACT

ActClass-CodeSystem.COV
type: Class
comment: When used in the EVN mood, this concept means with respect to a covered party: A health care insurance policy or plan that is contractually binding between two or more parties; or 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.
subclass of: ActClass-CodeSystem.FCNTRCT

ActClass-CodeSystem.DETPOL
type: Class
comment: Description:A determinant peptide in a polypeptide as described by polypeptide.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.GEN
type: Class
comment: Description:An observation of genomic phenomena.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.EXP
type: Class
comment: Description:An expression level of genes/proteins or other expressed genomic entities.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.LOC
type: Class
comment: Description:The position of a gene (or other significant sequence) on the genome.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.PHN
type: Class
comment: Description:A genomic phenomenon that is expressed externally in the organism.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.POL
type: Class
comment: Description:A polypeptide resulting from the translation of a gene.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.SEQ
type: Class
comment: Description:A sequence of biomolecule like the DNA, RNA, protein and the like.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.SEQVAR
type: Class
comment: Description:A variation in a sequence as described by BioSequence.
subclass of: ActClass-CodeSystem.GEN

ActClass-CodeSystem.ALRT
type: Class
comment: 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).
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.CLNTRL
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.CNOD
type: Class
comment: An instance of Observation of a Condition at a point in time that includes any Observations or Procedures associated with that Condition as well as links to previous instances of Condition Node for the same Condition
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.DGIMG
type: Class
comment: Class for holding attributes unique to diagnostic images.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.INVSTG
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.OBSSER
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.POS
type: Class
comment: An observation denoting the physical location of a person or thing based on a reference coordinate system.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.SPCOBS
type: Class
comment: An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.VERIF
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.OBS

ActClass-CodeSystem.OBSCOR
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.OBSSER

ActClass-CodeSystem.CATEGORY
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ORGANIZER

ActClass-CodeSystem.DOCBODY
type: Class
comment: A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete and elements.
subclass of: ActClass-CodeSystem.ORGANIZER

ActClass-CodeSystem.DOCSECT
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ORGANIZER

ActClass-CodeSystem.TOPIC
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.ORGANIZER

ActClass-CodeSystem.ENC
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.PCPR

ActClass-CodeSystem.JURISPOL
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.POLICY

ActClass-CodeSystem.ORGPOL
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.POLICY

ActClass-CodeSystem.SCOPOL
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.POLICY

ActClass-CodeSystem.STDPOL
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.POLICY

ActClass-CodeSystem.POSACC
type: Class
comment: Description:An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.
subclass of: ActClass-CodeSystem.POS

ActClass-CodeSystem.POSCOORD
type: Class
comment: 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.
subclass of: ActClass-CodeSystem.POS

ActClass-CodeSystem.SPECCOLLECT
type: Class
comment: A procedure for obtaining a specimen from a source entity.
subclass of: ActClass-CodeSystem.PROC

ActClass-CodeSystem.DIET
type: Class
comment: Diet services are supply services, with some aspects resembling Medication services: the detail of the diet is given as a description of the Material associated via Participation.typeCode="product". Medically relevant diet types may be communicated in the Diet.code attribute using domain ActDietCode, however, the detail of the food supplied and the various combinations of dishes should be communicated as Material instances.
subclass of: ActClass-CodeSystem.SPLY

ActClass-CodeSystem.RTRD
type: Class
comment: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.
subclass of: ActClass-CodeSystem.SUP

ActClass-CodeSystem.TRD
type: Class
comment: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.
subclass of: ActClass-CodeSystem.SUP

ActCode-CodeSystem
type: Class
comment: A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
subclass of: codeSystem

ActCode-CodeSystem. ActCareProvisionCode
type: Class
comment: Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActCognitiveProfessionalServiceCode
type: Class
comment: Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActConsentType
type: Class
comment: 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.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActIdentityDocumentCode
type: Class
comment: Code identifying the type of identification document (e.g. passport, drivers license) Implementation Note:The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActInformationAccessCode
type: Class
comment: Definition: The type of personal health information to which the subject of the information or the subjectaTMs delegate consents or dissents to authorize access.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActInformationCategoryCode
type: Class
comment: Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActNonObservationIndicationCode
type: Class
comment: Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActSpecimenTransportCode
type: Class
comment: Transportation of a specimen.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActTransportationModeCode
type: Class
comment: Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. CPT4
type: Class
comment: Description:Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. HL7DefinedActCodes
type: Class
comment: Domain provides the root for HL7-defined detailed or rich codes for the Act classes.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. IndividualCaseSafetyReportCriteria
type: Class
comment: Description: Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. IndividualCaseSafetyReportProductCharacteristic
type: Class
comment: Description: Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports. Examples:Weight, color, dimensions.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. LOINCObservationActContextAgeType
type: Class
comment: 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.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ObservationActAgeGroupType
type: Class
comment: Description:To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ObservationType
type: Class
comment: Identifies the kinds of observations that can be performed
subclass of: ActCode-CodeSystem

ActCode-CodeSystem.DRUGPRG
type: Class
comment: Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem.STORE
type: Class
comment: The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem.SUBSIDFFS
type: Class
comment: Definition: A government health program that provides coverage on a fee for service basis 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. Discussion: The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem.UDE
type: Class
comment: A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem.WRKCOMP
type: Class
comment: 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.
subclass of: ActCode-CodeSystem

ActCode-CodeSystem. ActAccountCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.ACCTRECEIVABLE
type: Class
comment: An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.
subclass of: ActCode-CodeSystem. ActAccountCode

ActCode-CodeSystem.PBILLACCT
type: Class
comment: An account representing charges and credits (financial transactions) for a patient's encounter.
subclass of: ActCode-CodeSystem. ActAccountCode

ActCode-CodeSystem.AA
type: Class
comment: 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).
subclass of: ActCode-CodeSystem. ActAdjudicationCode

ActCode-CodeSystem. ActAdjudicationCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.AR
type: Class
comment: The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).
subclass of: ActCode-CodeSystem. ActAdjudicationCode

ActCode-CodeSystem.AS
type: Class
comment: The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
subclass of: ActCode-CodeSystem. ActAdjudicationCode

ActCode-CodeSystem.CONT
type: Class
comment: Transaction counts and value totals by Contract Identifier.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem. ActAdjudicationGroupCode
type: Class
comment: Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentCode

ActCode-CodeSystem.DAY
type: Class
comment: Transaction counts and value totals for each calendar day within the date range specified.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.LOC
type: Class
comment: Transaction counts and value totals by service location (e.g clinic).
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.MONTH
type: Class
comment: Transaction counts and value totals for each calendar month within the date range specified.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.PERIOD
type: Class
comment: Transaction counts and value totals for the date range specified.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.PROV
type: Class
comment: Transaction counts and value totals by Provider Identifier.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.WEEK
type: Class
comment: Transaction counts and value totals for each calendar week within the date range specified.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.YEAR
type: Class
comment: Transaction counts and value totals for each calendar year within the date range specified.
subclass of: ActCode-CodeSystem. ActAdjudicationGroupCode
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.DISPLAY
type: Class
comment: The adjudication result associated is to be displayed to the receiver of the adjudication result.
subclass of: ActCode-CodeSystem. ActAdjudicationResultActionCode

ActCode-CodeSystem. ActAdjudicationResultActionCode
type: Class
comment: Actions to be carried out by the recipient of the Adjudication Result information.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.FORM
type: Class
comment: The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
subclass of: ActCode-CodeSystem. ActAdjudicationResultActionCode

ActCode-CodeSystem.NAT
type: Class
comment: The requesting party has insufficient authorization to invoke the interaction.
subclass of: ActCode-CodeSystem. ActAdministrativeAuthorizationDetectedIssueCode

ActCode-CodeSystem.VALIDAT
type: Class
comment: Description:The specified element did not pass business-rule validation.
subclass of: ActCode-CodeSystem. ActAdministrativeAuthorizationDetectedIssueCode

ActCode-CodeSystem. ActAdministrativeDetectedIssueCode
type: Class
comment: Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
subclass of: ActCode-CodeSystem.ISSUE

ActCode-CodeSystem. ActAdministrativeDetectedIssueManagementCode
type: Class
comment: Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
subclass of: ActCode-CodeSystem. ActDetectedIssueManagementCode

ActCode-CodeSystem.KEY204
type: Class
comment: The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
subclass of: ActCode-CodeSystem. ActAdministrativeRuleDetectedIssueCode
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.KEY205
type: Class
comment: The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
subclass of: ActCode-CodeSystem. ActAdministrativeRuleDetectedIssueCode
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.CPTM
type: Class
comment: Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
subclass of: ActCode-CodeSystem. ActBillableModifierCode

ActCode-CodeSystem. ActBillableModifierCode
type: Class
comment: Definition:An identifying modifier code for healthcare interventions or procedures.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.HCPCSA
type: Class
comment: Description:HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.
subclass of: ActCode-CodeSystem. ActBillableModifierCode

ActCode-CodeSystem. ActMedicalBillableServiceCode
type: Class
comment: Definition: An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.
subclass of: ActCode-CodeSystem. ActBillableServiceCode

ActCode-CodeSystem. ActBillableServiceCode
type: Class
comment: Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.
subclass of: ActCode-CodeSystem. ActProcedureCode

ActCode-CodeSystem. ActNonMedicalBillableServiceCode
type: Class
comment: Definition: An identifying code for billable services that are not medical procedures, such as social services or governmental program services. Example: Building a wheelchair ramp, help with groceries, giving someone a ride, etc.
subclass of: ActCode-CodeSystem. ActBillableServiceCode

ActCode-CodeSystem.BLK
type: Class
comment: A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.
subclass of: ActCode-CodeSystem. ActBillingArrangementCode

ActCode-CodeSystem. ActBillingArrangementCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.CAP
type: Class
comment: A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).
subclass of: ActCode-CodeSystem. ActBillingArrangementCode

ActCode-CodeSystem.CONTF
type: Class
comment: A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.
subclass of: ActCode-CodeSystem. ActBillingArrangementCode

ActCode-CodeSystem.FFS
type: Class
comment: A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.
subclass of: ActCode-CodeSystem. ActBillingArrangementCode
subclass of: ActCode-CodeSystem.FF

ActCode-CodeSystem.FF
type: Class
comment: The initial fill against an order. (This includes initial fills against refill orders.)
subclass of: ActCode-CodeSystem. ActPharmacySupplyType

ActCode-CodeSystem.FINBILL
type: Class
comment: A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.
subclass of: ActCode-CodeSystem. ActBillingArrangementCode

ActCode-CodeSystem.ROST
type: Class
comment: A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
subclass of: ActCode-CodeSystem. ActBillingArrangementCode

ActCode-CodeSystem.SESS
type: Class
comment: A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.
subclass of: ActCode-CodeSystem. ActBillingArrangementCode

ActCode-CodeSystem.ROIFS
type: Class
comment: A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.
subclass of: ActCode-CodeSystem. ActBoundedROICode

ActCode-CodeSystem. ActBoundedROICode
type: Class
comment: Type of bounded ROI.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.ROIPS
type: Class
comment: A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.
subclass of: ActCode-CodeSystem. ActBoundedROICode

ActCode-CodeSystem. ActCredentialedCareCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActCareProvisionCode

ActCode-CodeSystem. ActEncounterCode
type: Class
comment: Domain provides codes that qualify the ActEncounterClass (ENC)
subclass of: ActCode-CodeSystem. ActCareProvisionCode

ActCode-CodeSystem.ICOL
type: Class
comment: Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.
subclass of: ActCode-CodeSystem. ActConsentType

ActCode-CodeSystem.IDSCL
type: Class
comment: Definition: Consent to have collected healthcare information disclosed.
subclass of: ActCode-CodeSystem. ActConsentType

ActCode-CodeSystem.INFA
type: Class
comment: Definition: Consent to access healthcare information.
subclass of: ActCode-CodeSystem. ActConsentType

ActCode-CodeSystem.IRDSCL
type: Class
comment: Definition: Information re-disclosed without the patient's consent.
subclass of: ActCode-CodeSystem. ActConsentType

ActCode-CodeSystem.RESEARCH
type: Class
comment: Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
subclass of: ActCode-CodeSystem. ActConsentType

ActCode-CodeSystem.ID
type: Class
comment: Used by one system to inform another that it has received a container.
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem. ActContainerRegistrationCode
type: Class
comment: Constrains the ActCode to the domain of Container Registration
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.IP
type: Class
comment: Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem.L
type: Class
comment: Used by one system to inform another that the container has been released from that system.
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem.M
type: Class
comment: Used by one system to inform another that the container did not arrive at its next expected location.
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem.O
type: Class
comment: Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem.R
type: Class
comment: Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem.X
type: Class
comment: Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).
subclass of: ActCode-CodeSystem. ActContainerRegistrationCode

ActCode-CodeSystem. ActControlVariable
type: Class
comment: 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).
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.AUTO
type: Class
comment: Specifies whether or not automatic repeat testing is to be initiated on specimens.
subclass of: ActCode-CodeSystem. ActControlVariable

ActCode-CodeSystem.ENDC
type: Class
comment: A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.
subclass of: ActCode-CodeSystem. ActControlVariable

ActCode-CodeSystem.REFLEX
type: Class
comment: Specifies whether or not further testing may be automatically or manually initiated on specimens.
subclass of: ActCode-CodeSystem. ActControlVariable

ActCode-CodeSystem.AUTH
type: Class
comment: Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
subclass of: ActCode-CodeSystem. ActCoverageAuthorizationConfirmationCode

ActCode-CodeSystem. ActCoverageAuthorizationConfirmationCode
type: Class
comment: Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
subclass of: ActCode-CodeSystem. ActCoverageConfirmationCode

ActCode-CodeSystem.NAUTH
type: Class
comment: Authorization for specified healthcare service(s) and/or product(s) denied.
subclass of: ActCode-CodeSystem. ActCoverageAuthorizationConfirmationCode

ActCode-CodeSystem. ActCoverageConfirmationCode
type: Class
comment: Response to an insurance coverage eligibility query or authorization request.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActCoverageEligibilityConfirmationCode
type: Class
comment: Indication of eligibility coverage for healthcare service(s) and/or product(s).
subclass of: ActCode-CodeSystem. ActCoverageConfirmationCode

ActCode-CodeSystem.ELG
type: Class
comment: Insurance coverage is in effect for healthcare service(s) and/or product(s).
subclass of: ActCode-CodeSystem. ActCoverageEligibilityConfirmationCode

ActCode-CodeSystem.NELG
type: Class
comment: Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
subclass of: ActCode-CodeSystem. ActCoverageEligibilityConfirmationCode

ActCode-CodeSystem. ActCoverageQuantityLimitCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActCoverageLimitCode

ActCode-CodeSystem. ActCoverageLimitCode
type: Class
comment: Criteria that are applicable to the authorized coverage.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActCoveredPartyLimitCode
type: Class
comment: Codes representing the types of covered parties that may receive covered benefits under a policy or program.
subclass of: ActCode-CodeSystem. ActCoverageLimitCode

ActCode-CodeSystem.COVMX
type: Class
comment: Definition: Codes representing the maximum coverate or financial participation requirements.
subclass of: ActCode-CodeSystem. ActCoverageLimitCode

ActCode-CodeSystem.COVPRD
type: Class
comment: Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
subclass of: ActCode-CodeSystem. ActCoverageQuantityLimitCode

ActCode-CodeSystem.LFEMX
type: Class
comment: Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
subclass of: ActCode-CodeSystem. ActCoverageQuantityLimitCode
subclass of: ActCode-CodeSystem.COVMX

ActCode-CodeSystem.NETAMT
type: Class
comment: Maximum net amount that will be covered for the product or service specified.
subclass of: ActCode-CodeSystem. ActCoverageQuantityLimitCode

ActCode-CodeSystem.PRDMX
type: Class
comment: Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.
subclass of: ActCode-CodeSystem. ActCoverageQuantityLimitCode
subclass of: ActCode-CodeSystem.COVMX

ActCode-CodeSystem.UNITPRICE
type: Class
comment: Maximum unit price that will be covered for the authorized product or service.
subclass of: ActCode-CodeSystem. ActCoverageQuantityLimitCode

ActCode-CodeSystem.UNITQTY
type: Class
comment: Maximum number of items that will be covered of the product or service specified.
subclass of: ActCode-CodeSystem. ActCoverageQuantityLimitCode

ActCode-CodeSystem. ActInsurancePolicyCode
type: Class
comment: Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
subclass of: ActCode-CodeSystem. ActCoverageTypeCode

ActCode-CodeSystem. ActCoverageTypeCode
type: Class
comment: Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActInsuranceTypeCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActCoverageTypeCode

ActCode-CodeSystem. ActProgramTypeCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActCoverageTypeCode

ActCode-CodeSystem. ActCoveragePartyLimitGroupCode
type: Class
comment: Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.
subclass of: ActCode-CodeSystem. ActCoveredPartyLimitCode

ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActCredentialedCareCode

ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode
type: Class
comment: 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 programs within organizations.
subclass of: ActCode-CodeSystem. ActCredentialedCareCode

ActCode-CodeSystem.CACC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CAIC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CAMC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CANC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CAPC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CBGC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CCCC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CCGC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CCPC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CCSC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CDEC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CDRC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CEMC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CFPC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CIMC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CMGC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CNEC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CNMC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CNQC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CNSC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.COGC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.COMC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.COPC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.COSC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.COTC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CPEC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CPGC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CPHC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CPRC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CPSC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CPYC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CROC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CRPC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CSUC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CTSC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CURC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.CVSC
type: Class
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.LGPC
type: Class
comment: Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionPersonCode

ActCode-CodeSystem.AALC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.AAMC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.ABHC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.ACAC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.ACHC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.AHOC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.ALTC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.AOSC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CACS
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CAMI
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CAST
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CBAR
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CCAD
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CCAR
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CDEP
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CDGD
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CDIA
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CEPI
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CFEL
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CHFC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CHRO
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CHYP
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CMIH
type: Class
comment: Description:.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CMSC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.COJR
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CONC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.COPD
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CORT
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CPAD
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CPND
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CPST
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CSDM
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CSIC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CSLD
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CSPT
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CTBU
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CVDC
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CWMA
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem.CWOH
type: Class
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
subclass of: ActCode-CodeSystem. ActCredentialedCareProvisionProgramCode

ActCode-CodeSystem. ActDetectedIssueManagementCode
type: Class
comment: Codes dealing with the management of Detected Issue observations
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActFinancialDetectedIssueManagementCode
type: Class
comment: Codes dealing with the management of Detected Issue observations for the financial acts domain.
subclass of: ActCode-CodeSystem. ActDetectedIssueManagementCode

ActCode-CodeSystem.1
type: Class
comment: Confirmed drug therapy appropriate
subclass of: ActCode-CodeSystem. ActDetectedIssueManagementCode

ActCode-CodeSystem.14
type: Class
comment: Confirmed supply action appropriate
subclass of: ActCode-CodeSystem. ActDetectedIssueManagementCode

ActCode-CodeSystem.8
type: Class
comment: Order is performed as issued, but other action taken to mitigate potential adverse effects
subclass of: ActCode-CodeSystem. ActDetectedIssueManagementCode

ActCode-CodeSystem. HCPCSAccommodationCode
type: Class
comment: Description:External value set for accommodation types used in the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.
subclass of: ActCode-CodeSystem. ActEncounterAccommodationCode

ActCode-CodeSystem. ActEncounterAccommodationCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceDetailPreferredAccommodationCode
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

…
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActEncounterAccommodationCode

ActCode-CodeSystem. ActMedicalServiceCode
type: Class
comment: General category of medical service provided to the patient during their encounter.
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.AMB
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.EMER
type: Class
comment: 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.)
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.FLD
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.HH
type: Class
comment: Healthcare encounter that takes place in the residence of the patient or a designee
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.IMP
type: Class
comment: A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.SS
type: Class
comment: An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.VR
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActEncounterCode

ActCode-CodeSystem.CHLDCARE
type: Class
comment: Description: Exposure participants' interaction occurred in a child care setting
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem. ActExposureCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.CONVEYNC
type: Class
comment: Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.HLTHCARE
type: Class
comment: Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.HOMECARE
type: Class
comment: Description: Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.HOSPPTNT
type: Class
comment: Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.HOSPVSTR
type: Class
comment: Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.HOUSEHLD
type: Class
comment: Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.INMATE
type: Class
comment: Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.INTIMATE
type: Class
comment: Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.LTRMCARE
type: Class
comment: Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.PLACE
type: Class
comment: Description: An interaction where the exposure participants were both present in the same location/place/space.
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.PTNTCARE
type: Class
comment: Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.SCHOOL2
type: Class
comment: Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.SOCIAL2
type: Class
comment: Description: An interaction where the exposure participants are social associates or members of the same extended family
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.SUBSTNCE
type: Class
comment: Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.TRAVINT
type: Class
comment: Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.WORK2
type: Class
comment: Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.
subclass of: ActCode-CodeSystem. ActExposureCode

ActCode-CodeSystem.CHRG
type: Class
comment: A type of transaction that represents a charge for a service or product. Expressed in monetary terms.
subclass of: ActCode-CodeSystem. ActFinancialTransactionCode

ActCode-CodeSystem.REV
type: Class
comment: A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.
subclass of: ActCode-CodeSystem. ActFinancialTransactionCode

ActCode-CodeSystem.DENTAL
type: Class
comment: Definition: A health insurance policy that that covers benefits for dental services.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem. ActHealthInsuranceTypeCode
type: Class
comment: 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).
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.DISEASE
type: Class
comment: Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.DRUGPOL
type: Class
comment: Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.EHCPOL
type: Class
comment: Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode
subclass of: ActCode-CodeSystem. ActInsurancePolicyCode

ActCode-CodeSystem.HIP
type: Class
comment: Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly 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: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.HSAPOL
type: Class
comment: Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode
subclass of: ActCode-CodeSystem. ActInsurancePolicyCode

ActCode-CodeSystem.LTC
type: Class
comment: Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including: Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing Care in the community, such as in an adult day care facility Supervised care provided in an assisted living facility Skilled care provided in a nursing home
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.MCPOL
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.MENTPOL
type: Class
comment: Definition: A health insurance policy that covers benefits for mental health services and prescriptions.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.POS
type: Class
comment: Definition: A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode
subclass of: ActCode-CodeSystem.MCPOL

ActCode-CodeSystem.SUBPOL
type: Class
comment: Definition: A health insurance policy that covers benefits for substance use services.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem.VISPOL
type: Class
comment: Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services. A health insurance policy that covers benefits for vision care services, prescriptions, and products.
subclass of: ActCode-CodeSystem. ActHealthInsuranceTypeCode

ActCode-CodeSystem. ActPatientSafetyIncidentCode
type: Class
comment: Definition: A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents. Examples:"Medication incident", "slips, trips and falls incident".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development
subclass of: ActCode-CodeSystem. ActIncidentCode

ActCode-CodeSystem. ActIncidentCode
type: Class
comment: Set of codes indicating the type of incident or accident.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.MVA
type: Class
comment: Incident or accident as the result of a motor vehicle accident
subclass of: ActCode-CodeSystem. ActIncidentCode

ActCode-CodeSystem.SCHOOL
type: Class
comment: Incident or accident is the result of a school place accident.
subclass of: ActCode-CodeSystem. ActIncidentCode

ActCode-CodeSystem.SPT
type: Class
comment: Incident or accident is the result of a sporting accident.
subclass of: ActCode-CodeSystem. ActIncidentCode

ActCode-CodeSystem.WPA
type: Class
comment: Incident or accident is the result of a work place accident
subclass of: ActCode-CodeSystem. ActIncidentCode

ActCode-CodeSystem.ACADR
type: Class
comment: Definition: Provide consent to view or access adverse drug reaction information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACALLG
type: Class
comment: Definition: Provide consent to view or access allergy information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACDEMO
type: Class
comment: Definition: Provide consent to view or access demographics information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACIMMUN
type: Class
comment: Definition: Provide consent to view or access immunization information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACLAB
type: Class
comment: Definition: Provide consent to view or access lab test result information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACMED
type: Class
comment: Definition: Provide consent to view or access medication information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACMEDC
type: Class
comment: Definition: Provide consent to view or access medical condition information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACOBS
type: Class
comment: Definition: Provide consent to view or access common observation information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACPOLPRG
type: Class
comment: Definition: Provide consent to view or access coverage policy or program information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACPROV
type: Class
comment: Definition: Provide consent to view or access provider information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.ACPSERV
type: Class
comment: Definition: Provide consent to view or access professional service information for a patient.
subclass of: ActCode-CodeSystem. ActInformationAccessCode

ActCode-CodeSystem.INFCON
type: Class
comment: Consent to collect, access, use, or disclose specified patient health information only after explicit consent.
subclass of: ActCode-CodeSystem. ActInformationAccessContextCode

ActCode-CodeSystem. ActInformationAccessContextCode
type: Class
comment: Concepts conveying the context in which consent to transfer specified patient health information for collection, access, use or disclosure applies.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.INFCRT
type: Class
comment: Consent to collect, access, use, or disclose specified patient health information only in response to a court order.
subclass of: ActCode-CodeSystem. ActInformationAccessContextCode

ActCode-CodeSystem.INFDNG
type: Class
comment: Consent to collect, access, use, or disclose specified patient health information only if necessary to avert potential danger to other persons.
subclass of: ActCode-CodeSystem. ActInformationAccessContextCode

ActCode-CodeSystem.INFEMER
type: Class
comment: Consent to collect, access, use, or disclose specified patient health information only in an emergency.
subclass of: ActCode-CodeSystem. ActInformationAccessContextCode

ActCode-CodeSystem.INFPWR
type: Class
comment: Consent to collect, access, use, or disclose specified patient health information only if necessary to avert potential public welfare risk.
subclass of: ActCode-CodeSystem. ActInformationAccessContextCode

ActCode-CodeSystem.ALLGCAT
type: Class
comment: Definition:All information pertaining to a patient's allergy and intolerance records.
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.COBSCAT
type: Class
comment: Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.DEMOCAT
type: Class
comment: Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.DICAT
type: Class
comment: Definition:All information pertaining to a patient's diagnostic image records (orders & results).
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.IMMUCAT
type: Class
comment: Definition:All information pertaining to a patient's vaccination records.
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.LABCAT
type: Class
comment: Definition:
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.MEDCCAT
type: Class
comment: Definition:All information pertaining to a patient's medical condition records.
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.PSVCCAT
type: Class
comment: Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.RXCAT
type: Class
comment: Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
subclass of: ActCode-CodeSystem. ActInformationCategoryCode

ActCode-CodeSystem.AUTOPOL
type: Class
comment: Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
subclass of: ActCode-CodeSystem. ActInsurancePolicyCode
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.PUBLICPOL
type: Class
comment: Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).
subclass of: ActCode-CodeSystem. ActInsurancePolicyCode
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.WCBPOL
type: Class
comment: Insurance policy for injuries sustained in the work place or in the course of employment.
subclass of: ActCode-CodeSystem. ActInsurancePolicyCode
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.DIS
type: Class
comment: Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.EWB
type: Class
comment: Definition: An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.FLEXP
type: Class
comment: Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan. Discussion: See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.LIFE
type: Class
comment: 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).
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.PNC
type: Class
comment: Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms "casualty" and "liability" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.REI
type: Class
comment: Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company. Discussion: Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies. For example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called risk control insurance or stop-loss insurance.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.SURPL
type: Class
comment: Definition: A risk or part of a risk for which there is no normal insurance market available. Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem.UMBRL
type: Class
comment: Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.
subclass of: ActCode-CodeSystem. ActInsuranceTypeCode

ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
type: Class
comment: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentCode

ActCode-CodeSystem. ActInvoiceAdjudicationPaymentCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceElementCode

ActCode-CodeSystem. ActInvoicePaymentCode
type: Class
comment: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentCode
equivalent class of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode

ActCode-CodeSystem.BONUS
type: Class
comment: Bonus payments based on performance, volume, etc. as agreed to by the payor.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.CFWD
type: Class
comment: An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.EDU
type: Class
comment: Fees deducted on behalf of a payee for tuition and continuing education.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.EPYMT
type: Class
comment: Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.GARN
type: Class
comment: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.INVOICE
type: Class
comment: Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.PINV
type: Class
comment: Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.PPRD
type: Class
comment: An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.PROA
type: Class
comment: Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.RECOV
type: Class
comment: Retroactive adjustment such as fee rate adjustment due to contract negotiations.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.RETRO
type: Class
comment: Bonus payments based on performance, volume, etc. as agreed to by the payor.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.TRAN
type: Class
comment: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentGroupCode
subclass of: ActCode-CodeSystem. ActInvoicePaymentCode

ActCode-CodeSystem.INVTYPE
type: Class
comment: Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.PAYEE
type: Class
comment: Transaction counts and value totals by each instance of an invoice payee.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.PAYOR
type: Class
comment: Transaction counts and value totals by each instance of an invoice payor.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.SENDAPP
type: Class
comment: Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.
subclass of: ActCode-CodeSystem. ActInvoiceAdjudicationPaymentSummaryCode

ActCode-CodeSystem.UNSPSC
type: Class
comment: Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
subclass of: ActCode-CodeSystem. ActInvoiceDetailClinicalProductCode

ActCode-CodeSystem. ActInvoiceDetailClinicalProductCode
type: Class
comment: An identifying data string for healthcare products.
subclass of: ActCode-CodeSystem. ActInvoiceDetailCode

ActCode-CodeSystem. CPT5
type: Class
comment: Description:Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).
subclass of: ActCode-CodeSystem. ActInvoiceDetailClinicalServiceCode
subclass of: ActCode-CodeSystem. ActProcedureCode

ActCode-CodeSystem. ActInvoiceDetailClinicalServiceCode
type: Class
comment: An identifying data string for healthcare procedures.
subclass of: ActCode-CodeSystem. ActInvoiceDetailCode

ActCode-CodeSystem. ActProcedureCode
type: Class
comment: An identifying code for healthcare interventions/procedures.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. HCPCS
type: Class
comment: Description:Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance AdministrationaTMs (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.
subclass of: ActCode-CodeSystem. ActInvoiceDetailClinicalServiceCode
subclass of: ActCode-CodeSystem. ActProcedureCode

ActCode-CodeSystem. ICD10PCS
type: Class
comment: Description:International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes.
subclass of: ActCode-CodeSystem. ActInvoiceDetailClinicalServiceCode
subclass of: ActCode-CodeSystem. ActProcedureCode

ActCode-CodeSystem. ICD9PCS
type: Class
comment: Description:International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes.
subclass of: ActCode-CodeSystem. ActInvoiceDetailClinicalServiceCode
subclass of: ActCode-CodeSystem. ActProcedureCode

ActCode-CodeSystem. ActInvoiceDetailCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceElementCode

ActCode-CodeSystem. ActInvoiceDetailDrugProductCode
type: Class
comment: An identifying data string for A substance used as a medication or in the preparation of medication.
subclass of: ActCode-CodeSystem. ActInvoiceDetailCode

ActCode-CodeSystem. ActInvoiceDetailGenericCode
type: Class
comment: The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
subclass of: ActCode-CodeSystem. ActInvoiceDetailCode

ActCode-CodeSystem. ActInvoiceDetailOralHealthProcedureCode
type: Class
comment: An identifying data string for oral health procedure codes, e.g. extract tooth.
subclass of: ActCode-CodeSystem. ActInvoiceDetailCode

ActCode-CodeSystem. ActInvoiceDetailPreferredAccommodationCode
type: Class
comment: An identifying data string for medical facility accommodations.
subclass of: ActCode-CodeSystem. ActInvoiceDetailCode

ActCode-CodeSystem.GTIN
type: Class
comment: Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
subclass of: ActCode-CodeSystem. ActInvoiceDetailDrugProductCode

ActCode-CodeSystem.UPC
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceDetailDrugProductCode

ActCode-CodeSystem.COIN
type: Class
comment: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode

ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode
type: Class
comment: The billable item codes to identify adjudicator specified components to the total billing of a claim.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericCode

ActCode-CodeSystem.COINS
type: Class
comment: The covered party pays a percentage of the cost of covered services.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode

ActCode-CodeSystem.COPAYMENT
type: Class
comment: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode

ActCode-CodeSystem.DEDUCTIBLE
type: Class
comment: That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode

ActCode-CodeSystem.PAY
type: Class
comment: The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode

ActCode-CodeSystem.SPEND
type: Class
comment: That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericAdjudicatorCode

ActCode-CodeSystem. ActInvoiceDetailGenericModifierCode
type: Class
comment: The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericCode

ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode
type: Class
comment: The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericCode

ActCode-CodeSystem. ActInvoiceDetailTaxCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericCode

ActCode-CodeSystem.AFTHRS
type: Class
comment: Premium paid on service fees in compensation for practicing outside of normal working hours.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericModifierCode

ActCode-CodeSystem.ISOL
type: Class
comment: Premium paid on service fees in compensation for practicing in a remote location.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericModifierCode

ActCode-CodeSystem.OOO
type: Class
comment: Premium paid on service fees in compensation for practicing at a location other than normal working location.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericModifierCode

ActCode-CodeSystem.CANCAPT
type: Class
comment: A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.DSC
type: Class
comment: A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.ESA
type: Class
comment: A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.FFSTOP
type: Class
comment: Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.FNLFEE
type: Class
comment: Anticipated or actual final fee associated with treating a patient.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.FRSTFEE
type: Class
comment: Anticipated or actual initial fee associated with treating a patient.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.MARKUP
type: Class
comment: An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.MISSAPT
type: Class
comment: A charge to compensate the provider when a patient does not show for an appointment.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.PERFEE
type: Class
comment: Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.PERMBNS
type: Class
comment: The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.RESTOCK
type: Class
comment: A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.TRAVEL
type: Class
comment: A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.URGENT
type: Class
comment: Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
subclass of: ActCode-CodeSystem. ActInvoiceDetailGenericProviderCode

ActCode-CodeSystem.FST
type: Class
comment: Federal tax on transactions such as the Goods and Services Tax (GST)
subclass of: ActCode-CodeSystem. ActInvoiceDetailTaxCode

ActCode-CodeSystem.HST
type: Class
comment: Joint Federal/Provincial Sales Tax
subclass of: ActCode-CodeSystem. ActInvoiceDetailTaxCode

ActCode-CodeSystem.PST
type: Class
comment: Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
subclass of: ActCode-CodeSystem. ActInvoiceDetailTaxCode

ActCode-CodeSystem. ActInvoiceElementCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActInvoiceGroupCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceElementCode

ActCode-CodeSystem. InvoiceElementAdjudicated
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceElementSummaryCode

ActCode-CodeSystem. ActInvoiceElementSummaryCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. InvoiceElementPaid
type: Class
comment: Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
subclass of: ActCode-CodeSystem. ActInvoiceElementSummaryCode

ActCode-CodeSystem. InvoiceElementSubmitted
type: Class
comment: Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. ActInvoiceElementSummaryCode

ActCode-CodeSystem. ActInvoiceInterGroupCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceGroupCode

ActCode-CodeSystem. ActInvoiceRootGroupCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActInvoiceGroupCode

ActCode-CodeSystem.CPNDDRGING
type: Class
comment: A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.CPNDINDING
type: Class
comment: A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.CPNDSUPING
type: Class
comment: A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.DRUGING
type: Class
comment: A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.FRAMEING
type: Class
comment: A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.LENSING
type: Class
comment: A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.PRDING
type: Class
comment: A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.
subclass of: ActCode-CodeSystem. ActInvoiceInterGroupCode

ActCode-CodeSystem.COVGE
type: Class
comment: Insurance coverage problems have been encountered. Additional explanation information to be supplied.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem. ActInvoiceOverrideCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.EFORM
type: Class
comment: Electronic form with supporting or additional information to follow.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.FAX
type: Class
comment: Fax with supporting or additional information to follow.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.GFTH
type: Class
comment: The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.LATE
type: Class
comment: Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.MANUAL
type: Class
comment: Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.OOJ
type: Class
comment: The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.ORTHO
type: Class
comment: The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.PAPER
type: Class
comment: Paper documentation (or other physical format) with supporting or additional information to follow.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.PIE
type: Class
comment: Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.PYRDELAY
type: Class
comment: Allows provider to explain lateness of invoice to a subsequent payor.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.REFNR
type: Class
comment: Rules of practice do not require a physician's referral for the provider to perform a billable service.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.REPSERV
type: Class
comment: The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.UNRELAT
type: Class
comment: The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.VERBAUTH
type: Class
comment: The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
subclass of: ActCode-CodeSystem. ActInvoiceOverrideCode

ActCode-CodeSystem.CP
type: Class
comment: Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.CPINV
type: Class
comment: Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode
equivalent class of: ActCode-CodeSystem.CP

ActCode-CodeSystem.CS
type: Class
comment: Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.CSINV
type: Class
comment: Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode
equivalent class of: ActCode-CodeSystem.CS

ActCode-CodeSystem.CSPINV
type: Class
comment: A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service).
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.FININV
type: Class
comment: Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.OHSINV
type: Class
comment: A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.PA
type: Class
comment: HealthCare facility preferred accommodation invoice.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.PAINV
type: Class
comment: HealthCare facility preferred accommodation invoice.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode
equivalent class of: ActCode-CodeSystem.PA

ActCode-CodeSystem.RXC
type: Class
comment: Pharmacy dispense invoice for a compound.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.RXCINV
type: Class
comment: Pharmacy dispense invoice for a compound.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode
equivalent class of: ActCode-CodeSystem.RXC

ActCode-CodeSystem.RXD
type: Class
comment: Pharmacy dispense invoice not involving a compound
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.RXDINV
type: Class
comment: Pharmacy dispense invoice not involving a compound
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode
equivalent class of: ActCode-CodeSystem.RXD

ActCode-CodeSystem.SBFINV
type: Class
comment: Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem.VRXINV
type: Class
comment: Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.
subclass of: ActCode-CodeSystem. ActInvoiceRootGroupCode

ActCode-CodeSystem. ActListCode
type: Class
comment: Provides codes associated with ActClass value of LIST (working list)
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActProcedureCategoryList
type: Class
comment: Description:Describes the high level classification of professional services for grouping. Examples:Education, Counseling, Surgery, etc.
subclass of: ActCode-CodeSystem. ActListCode

ActCode-CodeSystem. ActTherapyDurationWorkingListCode
type: Class
comment: Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
subclass of: ActCode-CodeSystem. ActListCode

ActCode-CodeSystem.MEDLIST
type: Class
comment: List of medications.
subclass of: ActCode-CodeSystem. ActListCode

ActCode-CodeSystem.ALC
type: Class
comment: Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.CARD
type: Class
comment: Provision of diagnosis and treatment of diseases and disorders affecting the heart
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.CHR
type: Class
comment: Provision of recurring care for chronic illness.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.DNTL
type: Class
comment: Provision of treatment for oral health and/or dental surgery.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.DRGRHB
type: Class
comment: Provision of treatment for drug abuse.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.GENRL
type: Class
comment: General care performed by a general practitioner or family doctor as a responsible provider for a patient.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.MED
type: Class
comment: Provision of diagnostic and/or therapeutic treatment.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.OBS
type: Class
comment: Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.ONC
type: Class
comment: Provision of treatment and/or diagnosis related to tumors and/or cancer.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.PALL
type: Class
comment: Provision of care for patients who are living or dying from an advanced illness.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.PED
type: Class
comment: Provision of diagnosis and treatment of diseases and disorders affecting children.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.PHAR
type: Class
comment: Pharmaceutical care performed by a pharmacist.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.PHYRHB
type: Class
comment: Provision of treatment for physical injury.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.PSYCH
type: Class
comment: Provision of treatment of psychiatric disorder relating to mental illness.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.SURG
type: Class
comment: Provision of surgical treatment.
subclass of: ActCode-CodeSystem. ActMedicalServiceCode

ActCode-CodeSystem.ACU
type: Class
comment: Definition:A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.
subclass of: ActCode-CodeSystem. ActMedicationTherapyDurationWorkingListCode

ActCode-CodeSystem. ActMedicationTherapyDurationWorkingListCode
type: Class
comment: Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists. Examples:"Continuous/Chronic" "Short-Term" and "As Needed"
subclass of: ActCode-CodeSystem. ActTherapyDurationWorkingListCode

ActCode-CodeSystem.CHRON
type: Class
comment: Definition:A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.
subclass of: ActCode-CodeSystem. ActMedicationTherapyDurationWorkingListCode

ActCode-CodeSystem.ONET
type: Class
comment: Definition:A list of medications which the patient is intended to be administered only once.
subclass of: ActCode-CodeSystem. ActMedicationTherapyDurationWorkingListCode

ActCode-CodeSystem.PRN
type: Class
comment: Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.
subclass of: ActCode-CodeSystem. ActMedicationTherapyDurationWorkingListCode

ActCode-CodeSystem.CTLSUB
type: Class
comment: A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
subclass of: ActCode-CodeSystem. ActMonitoringProtocolCode

ActCode-CodeSystem. ActMonitoringProtocolCode
type: Class
comment: Identifies types of monitoring programs
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.LU
type: Class
comment: Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
subclass of: ActCode-CodeSystem. ActMonitoringProtocolCode

ActCode-CodeSystem.SAC
type: Class
comment: Description:A drug that requires special access permission to be prescribed and dispensed.
subclass of: ActCode-CodeSystem. ActMonitoringProtocolCode

ActCode-CodeSystem.IND01
type: Class
comment: Description:Contrast agent required for imaging study.
subclass of: ActCode-CodeSystem. ActNonObservationIndicationCode

ActCode-CodeSystem.IND02
type: Class
comment: Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
subclass of: ActCode-CodeSystem. ActNonObservationIndicationCode

ActCode-CodeSystem.IND03
type: Class
comment: Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
subclass of: ActCode-CodeSystem. ActNonObservationIndicationCode

ActCode-CodeSystem.IND04
type: Class
comment: Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
subclass of: ActCode-CodeSystem. ActNonObservationIndicationCode

ActCode-CodeSystem.IND05
type: Class
comment: Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.
subclass of: ActCode-CodeSystem. ActNonObservationIndicationCode

ActCode-CodeSystem.CARELIST
type: Class
comment: List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.
subclass of: ActCode-CodeSystem. ActObservationList

ActCode-CodeSystem.CONDLIST
type: Class
comment: List of condition observations.
subclass of: ActCode-CodeSystem. ActObservationList

ActCode-CodeSystem.GOALLIST
type: Class
comment: List of observations in goal mood.
subclass of: ActCode-CodeSystem. ActObservationList

ActCode-CodeSystem. ActPatientTransportationModeCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ActTransportationModeCode

ActCode-CodeSystem.ACH
type: Class
comment: Automated Clearing House (ACH).
subclass of: ActCode-CodeSystem. ActPaymentCode

ActCode-CodeSystem. ActPaymentCode
type: Class
comment: Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.CHK
type: Class
comment: A written order to a bank to pay the amount specified from funds on deposit.
subclass of: ActCode-CodeSystem. ActPaymentCode

ActCode-CodeSystem.DDP
type: Class
comment: Electronic Funds Transfer (EFT) deposit into the payee's bank account
subclass of: ActCode-CodeSystem. ActPaymentCode

ActCode-CodeSystem.NON
type: Class
comment: Non-Payment Data.
subclass of: ActCode-CodeSystem. ActPaymentCode

ActCode-CodeSystem.DF
type: Class
comment: A fill providing sufficient supply for one day
subclass of: ActCode-CodeSystem. ActPharmacySupplyType
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem. ActPharmacySupplyType
type: Class
comment: Identifies types of dispensing events
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.RF
type: Class
comment: A fill against an order that has already been filled (or partially filled) at least once.
subclass of: ActCode-CodeSystem. ActPharmacySupplyType

ActCode-CodeSystem.EM
type: Class
comment: 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)
subclass of: ActCode-CodeSystem. ActPharmacySupplyType

ActCode-CodeSystem.FS
type: Class
comment: A supply action to restock a smaller more local dispensary.
subclass of: ActCode-CodeSystem. ActPharmacySupplyType

ActCode-CodeSystem.MS
type: Class
comment: A supply of a manufacturer sample
subclass of: ActCode-CodeSystem. ActPharmacySupplyType

ActCode-CodeSystem.UD
type: Class
comment: A supply action that provides sufficient material for a single dose.
subclass of: ActCode-CodeSystem. ActPharmacySupplyType
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem.COVPOL
type: Class
comment: Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.
subclass of: ActCode-CodeSystem. ActPolicyType

ActCode-CodeSystem. ActPolicyType
type: Class
comment: Description:Types of policies that further specify the ActClassPolicy value set.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActOralHealthProcedureCode
type: Class
comment: Description:An identifying code for oral health interventions/procedures.
subclass of: ActCode-CodeSystem. ActProcedureCode

ActCode-CodeSystem.LOAN
type: Class
comment: Temporary supply of a product without transfer of ownership for the product.
subclass of: ActCode-CodeSystem. ActProductAcquisitionCode

ActCode-CodeSystem. ActProductAcquisitionCode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.TRANSFER
type: Class
comment: Transfer of ownership for a product.
subclass of: ActCode-CodeSystem. ActProductAcquisitionCode

ActCode-CodeSystem.CHAR
type: Class
comment: Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.CRIME
type: Class
comment: Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.EAP
type: Class
comment: Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.GOVEMP
type: Class
comment: Definition: A set of codes used to indicate a government program that is 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. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates 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 is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.HIRISK
type: Class
comment: Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.IND
type: Class
comment: Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.MILITARY
type: Class
comment: Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.RETIRE
type: Class
comment: Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.SOCIAL
type: Class
comment: Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.VET
type: Class
comment: Definition: Services provided directly and through contracted and operated veteran health programs.
subclass of: ActCode-CodeSystem. ActProgramTypeCode

ActCode-CodeSystem.SREC
type: Class
comment: Description:Specimen has been received by the participating organization/department.
subclass of: ActCode-CodeSystem. ActSpecimenTransportCode

ActCode-CodeSystem.SSTOR
type: Class
comment: Description:Specimen has been placed into storage at a participating location.
subclass of: ActCode-CodeSystem. ActSpecimenTransportCode

ActCode-CodeSystem.STRAN
type: Class
comment: Description:Specimen has been put in transit to a participating receiver.
subclass of: ActCode-CodeSystem. ActSpecimenTransportCode

ActCode-CodeSystem.ACID
type: Class
comment: The lowering of specimen pH through the addition of an acid
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem. ActSpecimenTreatmentCode
type: Class
comment: Set of codes related to specimen treatments
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.ALK
type: Class
comment: The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem.DEFB
type: Class
comment: The removal of fibrin from whole blood or plasma through physical or chemical means
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem.FILT
type: Class
comment: The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem.NEUT
type: Class
comment: The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem.RECA
type: Class
comment: The addition of calcium back to a specimen after it was removed by chelating agents
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem.UFIL
type: Class
comment: The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
subclass of: ActCode-CodeSystem. ActSpecimenTreatmentCode

ActCode-CodeSystem.ARTBLD
type: Class
comment: Describes the artificial blood identifier that is associated with the specimen.
subclass of: ActCode-CodeSystem. ActSpecObsCode

ActCode-CodeSystem. ActSpecObsCode
type: Class
comment: Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.DILUTION
type: Class
comment: An observation that reports the dilution of a sample.
subclass of: ActCode-CodeSystem. ActSpecObsCode

ActCode-CodeSystem.EVNFCTS
type: Class
comment: Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)
subclass of: ActCode-CodeSystem. ActSpecObsCode

ActCode-CodeSystem.INTFR
type: Class
comment: An observation that relates to factors that may potentially cause interference with the observation
subclass of: ActCode-CodeSystem. ActSpecObsCode

ActCode-CodeSystem.VOLUME
type: Class
comment: An observation that reports the volume of a sample.
subclass of: ActCode-CodeSystem. ActSpecObsCode

ActCode-CodeSystem.DRUG
type: Class
comment: The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
subclass of: ActCode-CodeSystem. ActSubstanceAdministrationCode

ActCode-CodeSystem. ActSubstanceAdministrationCode
type: Class
comment: Describes the type of substance administration being performed.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.IMMUNIZ
type: Class
comment: The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
subclass of: ActCode-CodeSystem. ActSubstanceAdministrationCode

ActCode-CodeSystem. AdministrationDetectedIssueCode
type: Class
comment: Administration of the proposed therapy may be inappropriate or contraindicated as proposed
subclass of: ActCode-CodeSystem. ActSuppliedItemDetectedIssueCode

ActCode-CodeSystem. ActSuppliedItemDetectedIssueCode
type: Class
comment: Identifies types of detected issues regarding the administration or supply of an item to a patient.
subclass of: ActCode-CodeSystem.ISSUE

ActCode-CodeSystem. SupplyDetectedIssueCode
type: Class
comment: Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
subclass of: ActCode-CodeSystem. ActSuppliedItemDetectedIssueCode

ActCode-CodeSystem.OE
type: Class
comment: A clinician creates a request for a service to be performed for a given patient.
subclass of: ActCode-CodeSystem. ActTaskCode

ActCode-CodeSystem.PATDOC
type: Class
comment: A person enters documentation about a given patient.
subclass of: ActCode-CodeSystem. ActTaskCode

ActCode-CodeSystem.PATINFO
type: Class
comment: A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
subclass of: ActCode-CodeSystem. ActTaskCode

ActCode-CodeSystem. DrugActionDetectedIssueCode
type: Class
comment: Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode

ActCode-CodeSystem. TimingDetectedIssueCode
type: Class
comment: Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode

ActCode-CodeSystem.COMPLY
type: Class
comment: There may be an issue with the patient complying with the intentions of the proposed therapy
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.DACT
type: Class
comment: Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode

ActCode-CodeSystem.DOSE
type: Class
comment: Proposed dosage instructions for therapy differ from standard practice.
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.DUPTHPY
type: Class
comment: The proposed therapy appears to duplicate an existing therapy
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode
subclass of: ActCode-CodeSystem.COMPLY

ActCode-CodeSystem.TIME
type: Class
comment: Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
subclass of: ActCode-CodeSystem. AdministrationDetectedIssueCode

ActCode-CodeSystem.OBSA
type: Class
comment: Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
subclass of: ActCode-CodeSystem. AppropriatenessDetectedIssueCode
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.EMAUTH
type: Class
comment: Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
subclass of: ActCode-CodeSystem. AuthorizationIssueManagementCode

ActCode-CodeSystem.AIRTRNS
type: Class
comment: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem. CaseTransmissionMode
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ObservationIssueTriggerCodedObservationType

ActCode-CodeSystem.ANANTRNS
type: Class
comment: Communication of an agent from one animal to another proximate animal.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.ANHUMTRNS
type: Class
comment: Communication of an agent from an animal to a proximate person.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.BDYFLDTRNS
type: Class
comment: Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.BLDTRNS
type: Class
comment: Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.DERMTRNS
type: Class
comment: Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.ENVTRNS
type: Class
comment: Communication of an agent from an environmental surface or source to a living subject by direct contact.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.FECTRNS
type: Class
comment: Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.FOMTRNS
type: Class
comment: Communication of an agent from an non-living material to a living subject through direct contact.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.FOODTRNS
type: Class
comment: Communication of an agent from a food source to a living subject via oral consumption.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.HUMHUMTRNS
type: Class
comment: Communication of an agent from a person to a proximate person.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.INDTRNS
type: Class
comment: Communication of an agent to a living subject via an undetermined route.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.LACTTRNS
type: Class
comment: Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.NOSTRNS
type: Class
comment: Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.PARTRNS
type: Class
comment: Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.PLACTRNS
type: Class
comment: Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.SEXTRNS
type: Class
comment: Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.TRNSFTRNS
type: Class
comment: Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.VECTRNS
type: Class
comment: Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.WATTRNS
type: Class
comment: Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.
subclass of: ActCode-CodeSystem. CaseTransmissionMode

ActCode-CodeSystem.REPRESENTATIVE BEAT
type: Class
comment: This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.
subclass of: ActCode-CodeSystem. ECGObservationSeriesType

ActCode-CodeSystem.RHYTHM
type: Class
comment: This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.
subclass of: ActCode-CodeSystem. ECGObservationSeriesType

ActCode-CodeSystem.FDACOATING
type: Class
comment: FDA label coating
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem. FDALabelData
type: Class
comment: FDA label data
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.FDACOLOR
type: Class
comment: FDA label color
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem.FDAIMPRINTCD
type: Class
comment: FDA label imprint code
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem.FDALOGO
type: Class
comment: FDA label logo
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem.FDASCORING
type: Class
comment: FDA label scoring
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem.FDASHAPE
type: Class
comment: FDA label shape
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem.FDASIZE
type: Class
comment: FDA label size
subclass of: ActCode-CodeSystem. FDALabelData

ActCode-CodeSystem.I
type: Class
comment: Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.

ActCode-CodeSystem.P
type: Class
comment: Accommodations in which there is only 1 bed.

ActCode-CodeSystem.S
type: Class
comment: Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.

ActCode-CodeSystem.SP
type: Class
comment: Accommodations in which there are 2 beds.

ActCode-CodeSystem.W
type: Class
comment: Accommodations in which there are 3 or more beds.

ActCode-CodeSystem. ActAdjudicationInformationCode
type: Class
comment: Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice. Codes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim). Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActClaimAttachmentCode
type: Class
comment: Identifies the type of attachment (document, XRAY, bit map image, etc.) included to support a healthcare claim. It will be a specification for the type of document (i.e. WCB First Report of Acccident - Form 8).
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActDetectedIssueCode
type: Class
comment: Identifies types of detected issues for Act class "ALRT"
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActObservationVerificationType
type: Class
comment: Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. Examples: Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program Verification of record - e.g., person has record in an immunization registry Verification of enumeration - e.g. NPI Verification of Board Certification - provider specific Verification of Certification - e.g. JAHCO, NCQA, URAC Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria Verification of Provider Credentials Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActOrderCode
type: Class
comment: The type of order that was fulfilled by the clinical service
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActPrivilegeCategorization
type: Class
comment: An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ActRegistryCode
type: Class
comment: This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. AdvanceBeneficiaryNoticeType
type: Class
comment: Description: Represents types of consent that patient must sign prior to receipt of service, which is required for billing purposes. Examples: Advanced beneficiary medically necessity notice. Advanced beneficiary agreement to pay notice. Advanced beneficiary requests payer billed.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. HL7TriggerEventCode
type: Class
comment: The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. ROIOverlayShape
type: Class
comment: Shape of the region on the object being referenced
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem. SubstanceAdministrationActCode
type: Class
comment: The specific chemical or radiological substance administered or to be administered into the body for therapeutic effect.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.DIET
type: Class
comment: Code set to define specialized/allowed diets
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.ISSUE
type: Class
comment: Description:There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.
subclass of: ActCode-CodeSystem. HL7DefinedActCodes

ActCode-CodeSystem.FOOD
type: Class
comment: Proposed therapy may interact with certain foods
subclass of: ActCode-CodeSystem. InteractionDetectedIssueCode

ActCode-CodeSystem.TPROD
type: Class
comment: Proposed therapy may interact with an existing or recent therapeutic product
subclass of: ActCode-CodeSystem. InteractionDetectedIssueCode

ActCode-CodeSystem.ADCNPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNPPELAT

ActCode-CodeSystem.ADCNPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNPPELCT

ActCode-CodeSystem.ADCNPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNPPMNAT

ActCode-CodeSystem.ADCNPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNPPMNCT

ActCode-CodeSystem.ADCNSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNSPELAT

ActCode-CodeSystem.ADCNSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNSPELCT

ActCode-CodeSystem.ADCNSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNSPMNAT

ActCode-CodeSystem.ADCNSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNFSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated
equivalent class of: ActCode-CodeSystem.ADCNSPMNCT

ActCode-CodeSystem.ADNPPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADNPSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADPPSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.ADRFSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementAdjudicated

ActCode-CodeSystem.PDCNPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNPPELAT

ActCode-CodeSystem.PDCNPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNPPELCT

ActCode-CodeSystem.PDCNPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNPPMNAT

ActCode-CodeSystem.PDCNPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNPPMNCT

ActCode-CodeSystem.PDCNSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNSPELAT

ActCode-CodeSystem.PDCNSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNSPELCT

ActCode-CodeSystem.PDCNSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNSPMNAT

ActCode-CodeSystem.PDCNSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNFSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid
equivalent class of: ActCode-CodeSystem.PDCNSPMNCT

ActCode-CodeSystem.PDNPPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDNPSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPPPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPPPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPPPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPPPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPSPELAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPSPELCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPSPMNAT
type: Class
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.PDPPSPMNCT
type: Class
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
subclass of: ActCode-CodeSystem. InvoiceElementPaid

ActCode-CodeSystem.SBBLAT
type: Class
comment: Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted

ActCode-CodeSystem.SBBLELAT
type: Class
comment: Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted
equivalent class of: ActCode-CodeSystem.SBBLAT

ActCode-CodeSystem.SBBLCT
type: Class
comment: Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted

ActCode-CodeSystem.SBBLELCT
type: Class
comment: Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted
equivalent class of: ActCode-CodeSystem.SBBLCT

ActCode-CodeSystem.SBCNAT
type: Class
comment: Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted

ActCode-CodeSystem.SBNFELAT
type: Class
comment: Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted
equivalent class of: ActCode-CodeSystem.SBCNAT

ActCode-CodeSystem.SBCNCT
type: Class
comment: Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted

ActCode-CodeSystem.SBNFELCT
type: Class
comment: Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted
equivalent class of: ActCode-CodeSystem.SBCNCT

ActCode-CodeSystem.SBPDAT
type: Class
comment: Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted

ActCode-CodeSystem.SBPDELAT
type: Class
comment: Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted
equivalent class of: ActCode-CodeSystem.SBPDAT

ActCode-CodeSystem.SBPDCT
type: Class
comment: Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted

ActCode-CodeSystem.SBPDELCT
type: Class
comment: Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
subclass of: ActCode-CodeSystem. InvoiceElementSubmitted
equivalent class of: ActCode-CodeSystem.SBPDCT

ActCode-CodeSystem.21611-9
type: Class
comment: Definition:Estimated age.
subclass of: ActCode-CodeSystem. LOINCObservationActContextAgeType

ActCode-CodeSystem.21612-7
type: Class
comment: Definition:Reported age.
subclass of: ActCode-CodeSystem. LOINCObservationActContextAgeType

ActCode-CodeSystem.29553-5
type: Class
comment: Definition:Calculated age.
subclass of: ActCode-CodeSystem. LOINCObservationActContextAgeType

ActCode-CodeSystem.30525-0
type: Class
comment: Definition:General specification of age with no implied method of determination.
subclass of: ActCode-CodeSystem. LOINCObservationActContextAgeType

ActCode-CodeSystem.30972-4
type: Class
comment: Definition:Age at onset of associated adverse event; no implied method of determination.
subclass of: ActCode-CodeSystem. LOINCObservationActContextAgeType

ActCode-CodeSystem.REP HALF LIFE
type: Class
comment: Description:This observation represents an 'average' or 'expected' half-life typical of the product.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLCOATING
type: Class
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLCOLOR
type: Class
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLIMAGE
type: Class
comment: Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLIMPRINT
type: Class
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLSCORING
type: Class
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLSHAPE
type: Class
comment: Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLSIZE
type: Class
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.SPLSYMBOL
type: Class
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with true indicating the presence and false for the absence of marks or symbols. Example:
subclass of: ActCode-CodeSystem. MedicationObservationType

ActCode-CodeSystem.ADMDX
type: Class
comment: Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
subclass of: ActCode-CodeSystem. ObservationDiagnosisTypes
subclass of: ActCode-CodeSystem.DX

ActCode-CodeSystem. ObservationDiagnosisTypes
type: Class
comment: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.DX
type: Class
comment: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
subclass of: ActCode-CodeSystem. ObservationType
equivalent class of: ActCode-CodeSystem. ObservationDiagnosisTypes

ActCode-CodeSystem.DISDX
type: Class
comment: Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
subclass of: ActCode-CodeSystem. ObservationDiagnosisTypes
subclass of: ActCode-CodeSystem.DX

ActCode-CodeSystem.INTDX
type: Class
comment: Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
subclass of: ActCode-CodeSystem. ObservationDiagnosisTypes
subclass of: ActCode-CodeSystem.DX

ActCode-CodeSystem.NOI
type: Class
comment: The type of injury that the injury coding specifies.
subclass of: ActCode-CodeSystem. ObservationDiagnosisTypes
subclass of: ActCode-CodeSystem.DX

ActCode-CodeSystem. ObservationIssueTriggerCodedObservationType
type: Class
comment: 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.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.TIME ABSOLUTE
type: Class
comment: A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar
subclass of: ActCode-CodeSystem. ObservationSequenceType

ActCode-CodeSystem.TIME RELATIVE
type: Class
comment: A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.
subclass of: ActCode-CodeSystem. ObservationSequenceType

ActCode-CodeSystem. ActPrivilegeCategorizationType
type: Class
comment: This domain includes observations used to characterize a privilege, under which this additional information is classified. Examples:A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. AdverseSubstanceAdministrationEventActionTakenType
type: Class
comment: Definition: Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner's response to the patient's problem. Examples: Example values include dose withdrawn, dose reduced, dose not changed. NOTE: The concept domain is currently supported by a value set created by the International Conference on Harmonization
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. CommonClinicalObservationType
type: Class
comment: Used in a patient care message to report and query simple clinical (non-lab) observations.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. IndividualCaseSafetyReportType
type: Class
comment: A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report. Example concepts include: Spontaneous, Report from study, Other.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationAllergyTestCode
type: Class
comment: Description:Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities. Example:Skin tests and eosinophilia evaluations.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationAllergyTestType
type: Class
comment: Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationCausalityAssessmentType
type: Class
comment: Description:A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation Example:Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationDosageDefinitionPreconditionType
type: Class
comment: Definition: The set of observation type concepts that can be used to express pre-conditions to a particular dosage definition. Rationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationIndicationType
type: Class
comment: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationIssueTriggerMeasuredObservationType
type: Class
comment: Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationQueryMatchType
type: Class
comment: Definition: An observation related to a query response. Example:The degree of match or match weight returned by a matching algorithm in a response to a query.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. ObservationVisionPrescriptionType
type: Class
comment: Definition: Identifies the type of Vision Prescription Observation that is being described.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. PatientCharacteristicObservationType
type: Class
comment: Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem. SimpleMeasurableClinicalObservationType
type: Class
comment: Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.ADVERSE REACTION
type: Class
comment: Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.ASSERTION
type: Class
comment: Description:Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.OINT
type: Class
comment: Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.SEV
type: Class
comment: Indicates a subjective evaluation of the criticality associated with another observation.
subclass of: ActCode-CodeSystem. ObservationType

ActCode-CodeSystem.CIRCLE
type: Class
comment: A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.
subclass of: ActCode-CodeSystem. ROIOverlayShape

ActCode-CodeSystem.ELLIPSE
type: Class
comment: An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.
subclass of: ActCode-CodeSystem. ROIOverlayShape

ActCode-CodeSystem.POINT
type: Class
comment: A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
subclass of: ActCode-CodeSystem. ROIOverlayShape

ActCode-CodeSystem.POLY
type: Class
comment: A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.
subclass of: ActCode-CodeSystem. ROIOverlayShape

ActCode-CodeSystem.TOOLATE
type: Class
comment: The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
subclass of: ActCode-CodeSystem. SupplyDetectedIssueCode

ActCode-CodeSystem.TOOSOON
type: Class
comment: The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
subclass of: ActCode-CodeSystem. SupplyDetectedIssueCode

ActCode-CodeSystem.ENDLATE
type: Class
comment: Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
subclass of: ActCode-CodeSystem. TimingDetectedIssueCode

ActCode-CodeSystem.STRTLATE
type: Class
comment: Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
subclass of: ActCode-CodeSystem. TimingDetectedIssueCode

ActCode-CodeSystem.19
type: Class
comment: Consulted other supplier/pharmacy, therapy confirmed
subclass of: ActCode-CodeSystem.1

ActCode-CodeSystem.2
type: Class
comment: Assessed patient, therapy is appropriate
subclass of: ActCode-CodeSystem.1

ActCode-CodeSystem.3
type: Class
comment: Patient gave adequate explanation
subclass of: ActCode-CodeSystem.1

ActCode-CodeSystem.4
type: Class
comment: Consulted other supply source, therapy still appropriate
subclass of: ActCode-CodeSystem.1

ActCode-CodeSystem.5
type: Class
comment: Consulted prescriber, therapy confirmed
subclass of: ActCode-CodeSystem.1

ActCode-CodeSystem.7
type: Class
comment: Concurrent therapy triggering alert is no longer on-going or planned
subclass of: ActCode-CodeSystem.1

ActCode-CodeSystem.15
type: Class
comment: Patient's existing supply was lost/wasted
subclass of: ActCode-CodeSystem.14

ActCode-CodeSystem.16
type: Class
comment: Supply date is due to patient vacation
subclass of: ActCode-CodeSystem.14

ActCode-CodeSystem.17
type: Class
comment: Supply date is intended to carry patient over weekend
subclass of: ActCode-CodeSystem.14

ActCode-CodeSystem.18
type: Class
comment: Supply is intended for use during a leave of absence from an institution.
subclass of: ActCode-CodeSystem.14

ActCode-CodeSystem.6
type: Class
comment: Consulted prescriber and recommended change, prescriber declined
subclass of: ActCode-CodeSystem.5

ActCode-CodeSystem.10
type: Class
comment: Provided education or training to the patient on appropriate therapy use
subclass of: ActCode-CodeSystem.8

ActCode-CodeSystem.11
type: Class
comment: Instituted an additional therapy to mitigate potential negative effects
subclass of: ActCode-CodeSystem.8

ActCode-CodeSystem.12
type: Class
comment: Suspended existing therapy that triggered interaction for the duration of this therapy
subclass of: ActCode-CodeSystem.8

ActCode-CodeSystem.13
type: Class
comment: Aborted existing therapy that triggered interaction.
subclass of: ActCode-CodeSystem.8

ActCode-CodeSystem.9
type: Class
comment: Arranged to monitor patient for adverse effects
subclass of: ActCode-CodeSystem.8

ActCode-CodeSystem.ANF
type: Class
comment: 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) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
subclass of: ActCode-CodeSystem.AA

ActCode-CodeSystem.DOSEHINDA
type: Class
comment: Proposed dosage exceeds standard practice for the patient's age
subclass of: ActCode-CodeSystem.AGE
subclass of: ActCode-CodeSystem.DOSEH

ActCode-CodeSystem.AGE
type: Class
comment: Proposed therapy may be inappropriate or contraindicated due to patient age
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.DOSEH
type: Class
comment: Proposed dosage exceeds standard practice
subclass of: ActCode-CodeSystem.DOSE

ActCode-CodeSystem.DOSELINDA
type: Class
comment: Proposed dosage is below suggested therapeutic levels for the patient's age
subclass of: ActCode-CodeSystem.AGE
subclass of: ActCode-CodeSystem.DOSEL

ActCode-CodeSystem.DOSEL
type: Class
comment: Proposed dosage is below suggested therapeutic levels
subclass of: ActCode-CodeSystem.DOSE

ActCode-CodeSystem.DALG
type: Class
comment: An allergy to a pharmaceutical product.
subclass of: ActCode-CodeSystem.ALG
subclass of: ActCode-CodeSystem.DINT

ActCode-CodeSystem.ALG
type: Class
comment: Hypersensitivity to an agent caused by an immunologic response to an initial exposure
subclass of: ActCode-CodeSystem.OINT

ActCode-CodeSystem.DINT
type: Class
comment: Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
subclass of: ActCode-CodeSystem.OINT

ActCode-CodeSystem.EALG
type: Class
comment: An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
subclass of: ActCode-CodeSystem.ALG
subclass of: ActCode-CodeSystem.EINT

ActCode-CodeSystem.EINT
type: Class
comment: Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
subclass of: ActCode-CodeSystem.OINT

ActCode-CodeSystem.FALG
type: Class
comment: An allergy to a substance generally consumed for nutritional purposes.
subclass of: ActCode-CodeSystem.ALG
subclass of: ActCode-CodeSystem.FINT

ActCode-CodeSystem.FINT
type: Class
comment: Hypersensitivity resulting in an adverse reaction upon exposure to food.
subclass of: ActCode-CodeSystem.OINT

ActCode-CodeSystem.COL
type: Class
comment: Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.
subclass of: ActCode-CodeSystem.AUTOPOL

ActCode-CodeSystem.UNINSMOT
type: Class
comment: Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.
subclass of: ActCode-CodeSystem.AUTOPOL

ActCode-CodeSystem.DIAGLISTE
type: Class
comment: A clinician enters a diagnosis for a given patient.
subclass of: ActCode-CodeSystem.CLINNOTEE

ActCode-CodeSystem.CLINNOTEE
type: Class
comment: A clinician enters a clinical note about a given patient
subclass of: ActCode-CodeSystem.PATDOC

ActCode-CodeSystem.DISCHSUME
type: Class
comment: A clinician enters a discharge summary for a given patient.
subclass of: ActCode-CodeSystem.CLINNOTEE

ActCode-CodeSystem.PATREPE
type: Class
comment: A pathologist enters a report for a given patient.
subclass of: ActCode-CodeSystem.CLINNOTEE

ActCode-CodeSystem.PROBLISTE
type: Class
comment: A clinician enters a problem for a given patient.
subclass of: ActCode-CodeSystem.CLINNOTEE

ActCode-CodeSystem.RADREPE
type: Class
comment: A radiologist enters a report for a given patient.
subclass of: ActCode-CodeSystem.CLINNOTEE

ActCode-CodeSystem.DISCHSUMREV
type: Class
comment: A person reviews a discharge summary of a given patient.
subclass of: ActCode-CodeSystem.CLINNOTEREV

ActCode-CodeSystem.CLINNOTEREV
type: Class
comment: A person reviews a clinical note of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.CODE DEPREC
type: Class
comment: Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.
subclass of: ActCode-CodeSystem.CODE INVAL

ActCode-CodeSystem.CODE INVAL
type: Class
comment: Description:The specified code is not valid against the list of codes allowed for the element.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.ABUSE
type: Class
comment: Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
subclass of: ActCode-CodeSystem.COMPLY

ActCode-CodeSystem.FRAUD
type: Class
comment: Description:The request is suspected to have a fraudulent basis.
subclass of: ActCode-CodeSystem.COMPLY

ActCode-CodeSystem.PLYDOC
type: Class
comment: A similar or identical therapy was recently ordered by a different practitioner.
subclass of: ActCode-CodeSystem.COMPLY

ActCode-CodeSystem.PLYPHRM
type: Class
comment: This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
subclass of: ActCode-CodeSystem.COMPLY

ActCode-CodeSystem.COND
type: Class
comment: Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.LACT
type: Class
comment: Proposed therapy may be inappropriate or contraindicated when breast-feeding
subclass of: ActCode-CodeSystem.COND

ActCode-CodeSystem.PREG
type: Class
comment: Proposed therapy may be inappropriate or contraindicated during pregnancy
subclass of: ActCode-CodeSystem.COND

ActCode-CodeSystem.INTOLIST
type: Class
comment: List of intolerance observations.
subclass of: ActCode-CodeSystem.CONDLIST

ActCode-CodeSystem.PROBLIST
type: Class
comment: List of problem observations.
subclass of: ActCode-CodeSystem.CONDLIST

ActCode-CodeSystem.RISKLIST
type: Class
comment: List of risk factor observations.
subclass of: ActCode-CodeSystem.CONDLIST

ActCode-CodeSystem. DEADrugSchedule
type: Class
comment: DEA schedule for a drug.
subclass of: ActCode-CodeSystem.CTLSUB

ActCode-CodeSystem.BR
type: Class
comment: A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.DM
type: Class
comment: A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.FAST
type: Class
comment: No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.GF
type: Class
comment: Gluten free diet for celiac disease.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.LF
type: Class
comment: A diet low in fat, particularly to patients with hepatic diseases.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.LP
type: Class
comment: A low protein diet for patients with renal failure.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.LQ
type: Class
comment: A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.LS
type: Class
comment: A diet low in sodium for patients with congestive heart failure and/or renal failure.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.N
type: Class
comment: A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.NF
type: Class
comment: A no fat diet for acute hepatic diseases.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.PAF
type: Class
comment: Phenylketonuria diet.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.PAR
type: Class
comment: Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.RD
type: Class
comment: A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.SCH
type: Class
comment: A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.T
type: Class
comment: This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.VLI
type: Class
comment: Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."
subclass of: ActCode-CodeSystem.DIET

ActCode-CodeSystem.AUTO-HIGH
type: Class
comment: The dilution of a sample performed by automated equipment. The value is specified by the equipment
subclass of: ActCode-CodeSystem.DILUTION

ActCode-CodeSystem.AUTO-LOW
type: Class
comment: The dilution of a sample performed by automated equipment. The value is specified by the equipment
subclass of: ActCode-CodeSystem.DILUTION

ActCode-CodeSystem.PRE
type: Class
comment: The dilution of the specimen made prior to being loaded onto analytical equipment
subclass of: ActCode-CodeSystem.DILUTION

ActCode-CodeSystem.RERUN
type: Class
comment: The value of the dilution of a sample after it had been analyzed at a prior dilution value
subclass of: ActCode-CodeSystem.DILUTION

ActCode-CodeSystem.DNAINT
type: Class
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
subclass of: ActCode-CodeSystem.DINT
subclass of: ActCode-CodeSystem.NAINT

ActCode-CodeSystem.NAINT
type: Class
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
subclass of: ActCode-CodeSystem.OINT

ActCode-CodeSystem.CANPRG
type: Class
comment: Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages. Example: To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.
subclass of: ActCode-CodeSystem.DISEASEPRG

ActCode-CodeSystem.DISEASEPRG
type: Class
comment: 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.
subclass of: ActCode-CodeSystem.PUBLICPOL

ActCode-CodeSystem.ENDRENAL
type: Class
comment: Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services. Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.
subclass of: ActCode-CodeSystem.DISEASEPRG

ActCode-CodeSystem.HIVAIDS
type: Class
comment: Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.
subclass of: ActCode-CodeSystem.DISEASEPRG

ActCode-CodeSystem.DOSECOND
type: Class
comment: Description:Proposed dosage is inappropriate due to patient's medical condition.
subclass of: ActCode-CodeSystem.DOSE

ActCode-CodeSystem.DOSEDUR
type: Class
comment: Proposed length of therapy differs from standard practice.
subclass of: ActCode-CodeSystem.DOSE

ActCode-CodeSystem.DOSEIVL
type: Class
comment: Proposed dosage interval/timing differs from standard practice
subclass of: ActCode-CodeSystem.DOSE

ActCode-CodeSystem.MDOSE
type: Class
comment: Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.
subclass of: ActCode-CodeSystem.DOSE

ActCode-CodeSystem.DOSEDURH
type: Class
comment: Proposed length of therapy is longer than standard practice
subclass of: ActCode-CodeSystem.DOSEDUR

ActCode-CodeSystem.DOSEDURL
type: Class
comment: Proposed length of therapy is shorter than that necessary for therapeutic effect
subclass of: ActCode-CodeSystem.DOSEDUR

ActCode-CodeSystem.DOSEDURHIND
type: Class
comment: Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
subclass of: ActCode-CodeSystem.DOSEDURH

ActCode-CodeSystem.DOSEDURLIND
type: Class
comment: Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
subclass of: ActCode-CodeSystem.DOSEDURL

ActCode-CodeSystem.DOSEHINDSA
type: Class
comment: Proposed dosage exceeds standard practice for the patient's height or body surface area
subclass of: ActCode-CodeSystem.DOSEH

ActCode-CodeSystem.DOSEHINDW
type: Class
comment: Proposed dosage exceeds standard practice for the patient's weight
subclass of: ActCode-CodeSystem.DOSEH

ActCode-CodeSystem.DOSEIVLIND
type: Class
comment: Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
subclass of: ActCode-CodeSystem.DOSEIVL

ActCode-CodeSystem.DOSELINDSA
type: Class
comment: Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
subclass of: ActCode-CodeSystem.DOSEL

ActCode-CodeSystem.DOSELINDW
type: Class
comment: Proposed dosage is below suggested therapeutic levels for the patient's weight
subclass of: ActCode-CodeSystem.DOSEL

ActCode-CodeSystem.DUPTHPCLS
type: Class
comment: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
subclass of: ActCode-CodeSystem.DUPTHPY

ActCode-CodeSystem.DUPTHPGEN
type: Class
comment: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.
subclass of: ActCode-CodeSystem.DUPTHPY

ActCode-CodeSystem.ENAINT
type: Class
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
subclass of: ActCode-CodeSystem.EINT
subclass of: ActCode-CodeSystem.NAINT

ActCode-CodeSystem.SO
type: Class
comment: An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
subclass of: ActCode-CodeSystem.EM

ActCode-CodeSystem.FFC
type: Class
comment: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).
subclass of: ActCode-CodeSystem.FF

ActCode-CodeSystem.FFP
type: Class
comment: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
subclass of: ActCode-CodeSystem.FF

ActCode-CodeSystem.FFPS
type: Class
comment: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)
subclass of: ActCode-CodeSystem.FF
subclass of: ActCode-CodeSystem.FFS

ActCode-CodeSystem.TF
type: Class
comment: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
subclass of: ActCode-CodeSystem.FF

ActCode-CodeSystem.TFS
type: Class
comment: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.FF
subclass of: ActCode-CodeSystem.FFS

ActCode-CodeSystem.FFCS
type: Class
comment: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.FFC
subclass of: ActCode-CodeSystem.FFS

ActCode-CodeSystem.FNAINT
type: Class
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
subclass of: ActCode-CodeSystem.FINT
subclass of: ActCode-CodeSystem.NAINT

ActCode-CodeSystem.BOOSTER
type: Class
comment: An additional immunization administration within a series intended to bolster or enhance immunity.
subclass of: ActCode-CodeSystem.IMMUNIZ

ActCode-CodeSystem.INITIMMUNIZ
type: Class
comment: The first immunization administration in a series intended to produce immunity
subclass of: ActCode-CodeSystem.IMMUNIZ

ActCode-CodeSystem.ACUTE
type: Class
comment: An acute inpatient encounter.
subclass of: ActCode-CodeSystem.IMP

ActCode-CodeSystem.NONAC
type: Class
comment: Any category of inpatient encounter except 'acute'
subclass of: ActCode-CodeSystem.IMP

ActCode-CodeSystem.INFAO
type: Class
comment: Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be. Example: Opened and then emailed or screen printed for use outside of the consent directive purpose.
subclass of: ActCode-CodeSystem.INFA

ActCode-CodeSystem.INFASO
type: Class
comment: Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
subclass of: ActCode-CodeSystem.INFA

ActCode-CodeSystem.FIBRIN
type: Class
comment: The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1
subclass of: ActCode-CodeSystem.INTFR

ActCode-CodeSystem.HEMOLYSIS
type: Class
comment: An observation of the hemolysis index of the specimen in g/L
subclass of: ActCode-CodeSystem.INTFR

ActCode-CodeSystem.ICTERUS
type: Class
comment: An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin
subclass of: ActCode-CodeSystem.INTFR

ActCode-CodeSystem.LIPEMIA
type: Class
comment: An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).
subclass of: ActCode-CodeSystem.INTFR

ActCode-CodeSystem. ActFinancialDetectedIssueCode
type: Class
comment: Identifies types of detected issues for Act class "ALRT" for the financial acts domain.
subclass of: ActCode-CodeSystem.ISSUE

ActCode-CodeSystem. ClinicalActionDetectedIssueCode
type: Class
comment: Identifies types of issues detected regarding the performance of a clinical action on a patient.
subclass of: ActCode-CodeSystem.ISSUE

ActCode-CodeSystem.LEN LONG
type: Class
comment: Description:The length of the data specified is greater than the maximum length defined for the element.
subclass of: ActCode-CodeSystem.LEN RANGE

ActCode-CodeSystem.LEN RANGE
type: Class
comment: Description:The length of the data specified falls out of the range defined for the element.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.LEN SHORT
type: Class
comment: Description:The length of the data specified is less than the minimum length defined for the element.
subclass of: ActCode-CodeSystem.LEN RANGE

ActCode-CodeSystem.ANNU
type: Class
comment: Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals. For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.
subclass of: ActCode-CodeSystem.LIFE

ActCode-CodeSystem.TLIFE
type: Class
comment: Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.
subclass of: ActCode-CodeSystem.LIFE

ActCode-CodeSystem.ULIFE
type: Class
comment: Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing
subclass of: ActCode-CodeSystem.LIFE

ActCode-CodeSystem.RENT
type: Class
comment: Temporary supply of a product with financial compensation, without transfer of ownership for the product.
subclass of: ActCode-CodeSystem.LOAN

ActCode-CodeSystem.HMO
type: Class
comment: Definition: A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.
subclass of: ActCode-CodeSystem.MCPOL

ActCode-CodeSystem.PPO
type: Class
comment: Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.
subclass of: ActCode-CodeSystem.MCPOL

ActCode-CodeSystem.CURMEDLIST
type: Class
comment: List of current medications.
subclass of: ActCode-CodeSystem.MEDLIST

ActCode-CodeSystem.DISCMEDLIST
type: Class
comment: List of discharge medications.
subclass of: ActCode-CodeSystem.MEDLIST

ActCode-CodeSystem.HISTMEDLIST
type: Class
comment: Historical list of medications.
subclass of: ActCode-CodeSystem.MEDLIST

ActCode-CodeSystem.MICROORGRREV
type: Class
comment: A person reviews organisms of microbiology results of a given patient.
subclass of: ActCode-CodeSystem.MICRORREV

ActCode-CodeSystem.MICRORREV
type: Class
comment: A person reviews a list of microbiology results of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.MICROSENSRREV
type: Class
comment: A person reviews the sensitivity test of microbiology results of a given patient.
subclass of: ActCode-CodeSystem.MICRORREV

ActCode-CodeSystem.MARWLREV
type: Class
comment: A clinician reviews a work list of medications to be administered to a given patient.
subclass of: ActCode-CodeSystem.MLREV

ActCode-CodeSystem.MLREV
type: Class
comment: A person reviews a list of medication orders submitted to a given patient
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.CREACT
type: Class
comment: Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. Example:There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.GEN
type: Class
comment: Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.GEND
type: Class
comment: Proposed therapy may be inappropriate or contraindicated due to patient gender.
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.LAB
type: Class
comment: Proposed therapy may be inappropriate or contraindicated due to recent lab test results
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.REACT
type: Class
comment: Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.RREACT
type: Class
comment: Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
subclass of: ActCode-CodeSystem.OBSA

ActCode-CodeSystem.LABOE
type: Class
comment: A clinician creates a request for a laboratory test to be done for a given patient.
subclass of: ActCode-CodeSystem.OE

ActCode-CodeSystem.MEDOE
type: Class
comment: A clinician creates a request for the administration of one or more medications to a given patient.
subclass of: ActCode-CodeSystem.OE

ActCode-CodeSystem.DIAGLISTREV
type: Class
comment: A person reviews a list of diagnoses of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.LABRREV
type: Class
comment: A person reviews a list of laboratory results of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.OREV
type: Class
comment: A person reviews a list of orders submitted to a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.PATREPREV
type: Class
comment: A person reviews a pathology report of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.PROBLISTREV
type: Class
comment: A person reviews a list of problems of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.RADREPREV
type: Class
comment: A person reviews a radiology report of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.RISKASSESS
type: Class
comment: A person reviews a Risk Assessment Instrument report of a given patient.
subclass of: ActCode-CodeSystem.PATINFO

ActCode-CodeSystem.DENTPRG
type: Class
comment: Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.
subclass of: ActCode-CodeSystem.PUBLICPOL

ActCode-CodeSystem.MENTPRG
type: Class
comment: Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
subclass of: ActCode-CodeSystem.PUBLICPOL

ActCode-CodeSystem.SAFNET
type: Class
comment: Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.
subclass of: ActCode-CodeSystem.PUBLICPOL

ActCode-CodeSystem.SUBPRG
type: Class
comment: Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
subclass of: ActCode-CodeSystem.PUBLICPOL

ActCode-CodeSystem.SUBSIDIZ
type: Class
comment: 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.
subclass of: ActCode-CodeSystem.PUBLICPOL

ActCode-CodeSystem.ALGY
type: Class
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
subclass of: ActCode-CodeSystem.REACT

ActCode-CodeSystem.INT
type: Class
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
subclass of: ActCode-CodeSystem.REACT

ActCode-CodeSystem.MAXOCCURS
type: Class
comment: Description:The number of repeating elements is above the maximum number of repetitions allowed.
subclass of: ActCode-CodeSystem.REP RANGE

ActCode-CodeSystem.REP RANGE
type: Class
comment: Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.MINOCCURS
type: Class
comment: Description:The number of repeating elements is below the minimum number of repetitions allowed.
subclass of: ActCode-CodeSystem.REP RANGE

ActCode-CodeSystem.RSDID
type: Class
comment: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.
subclass of: ActCode-CodeSystem.RESEARCH

ActCode-CodeSystem.RSREID
type: Class
comment: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. Example:: Where there is a need to inform the subject of potential health issues.
subclass of: ActCode-CodeSystem.RESEARCH

ActCode-CodeSystem.RFC
type: Class
comment: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem.RFF
type: Class
comment: The first fill against an order that has already been filled at least once at another facility.
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem.RFP
type: Class
comment: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem.RFS
type: Class
comment: A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem.TB
type: Class
comment: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
subclass of: ActCode-CodeSystem.RF

ActCode-CodeSystem.RFCS
type: Class
comment: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.RFC

ActCode-CodeSystem.RFFS
type: Class
comment: The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.RFF

ActCode-CodeSystem.RFPS
type: Class
comment: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.RFP

ActCode-CodeSystem.FALLRISK
type: Class
comment: A person reviews a Falls Risk Assessment Instrument report of a given patient.
subclass of: ActCode-CodeSystem.RISKASSESS

ActCode-CodeSystem.RALG
type: Class
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
subclass of: ActCode-CodeSystem.RREACT

ActCode-CodeSystem.RAR
type: Class
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
subclass of: ActCode-CodeSystem.RREACT

ActCode-CodeSystem.RINT
type: Class
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)
subclass of: ActCode-CodeSystem.RREACT

ActCode-CodeSystem.SUBSIDMC
type: Class
comment: Definition: A government health program that provides coverage through managed care contracts 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. Discussion: The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.
subclass of: ActCode-CodeSystem.SUBSIDIZ

ActCode-CodeSystem.SUBSUPP
type: Class
comment: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program 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. Example: Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy. Discussion: The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.
subclass of: ActCode-CodeSystem.SUBSIDIZ

ActCode-CodeSystem.TBS
type: Class
comment: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
subclass of: ActCode-CodeSystem.TB

ActCode-CodeSystem.DRG
type: Class
comment: Proposed therapy may interact with an existing or recent drug therapy
subclass of: ActCode-CodeSystem.TPROD

ActCode-CodeSystem.NHP
type: Class
comment: Proposed therapy may interact with existing or recent natural health product therapy
subclass of: ActCode-CodeSystem.TPROD

ActCode-CodeSystem.NONRX
type: Class
comment: Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
subclass of: ActCode-CodeSystem.TPROD

ActCode-CodeSystem.SALE
type: Class
comment: Transfer of ownership for a product for financial compensation.
subclass of: ActCode-CodeSystem.TRANSFER

ActCode-CodeSystem.BUS
type: Class
comment: Description:A local business rule relating multiple elements has been violated.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.FORMAT
type: Class
comment: Description:The element does not follow the formatting or type rules defined for the field.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.ILLEGAL
type: Class
comment: Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.MISSCOND
type: Class
comment: Description:The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.MISSMAND
type: Class
comment: Description:The specified element is mandatory and was not included in the instance.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.NODUPS
type: Class
comment: Description:More than one element with the same value exists in the set. Duplicates not permission in this set in a set.
subclass of: ActCode-CodeSystem.VALIDAT

ActCode-CodeSystem.AVAILABLE
type: Class
comment: The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)
subclass of: ActCode-CodeSystem.VOLUME

ActCode-CodeSystem.CONSUMPTION
type: Class
comment: The quantity of specimen that is used each time the equipment uses this substance
subclass of: ActCode-CodeSystem.VOLUME

ActCode-CodeSystem.CURRENT
type: Class
comment: The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
subclass of: ActCode-CodeSystem.VOLUME

ActCode-CodeSystem.INITIAL
type: Class
comment: The initial quantity of the specimen in inventory
subclass of: ActCode-CodeSystem.VOLUME

ActMood-CodeSystem. ActMoodCompletionTrack
type: Class
comment: These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.
subclass of: ActMood-CodeSystem

ActMood-CodeSystem. ActMoodPredicate
type: Class
comment: 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.
subclass of: ActMood-CodeSystem

ActMood-CodeSystem.DEF
type: Class
comment: 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.
subclass of: ActMood-CodeSystem. ActMoodCompletionTrack

ActMood-CodeSystem.EVN
type: Class
comment: 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.
subclass of: ActMood-CodeSystem. ActMoodCompletionTrack

ActMood-CodeSystem.INT
type: Class
comment: 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.
subclass of: ActMood-CodeSystem. ActMoodCompletionTrack

ActMood-CodeSystem.CRT
type: Class
comment: A criterion or condition over actual and potential services that must apply for an associated service to be considered. Matches records any ActMoodCompletionTrack moods.
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.EXPEC
type: Class
comment: 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.
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.GOL
type: Class
comment: 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.
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.OPT
type: Class
comment: 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).
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.PERM
type: Class
comment: A kind of service which is authorized to be performed.
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.PERMRQ
type: Class
comment: 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:
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.RSK
type: Class
comment: 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.
subclass of: ActMood-CodeSystem. ActMoodPredicate

ActMood-CodeSystem.EVN.CRT
type: Class
comment: A criterion or condition over service events that must apply for an associated service to be considered.
subclass of: ActMood-CodeSystem.CRT

ActMood-CodeSystem.APT
type: Class
comment: A planned Act for a specific time and place.
subclass of: ActMood-CodeSystem.INT

ActMood-CodeSystem.ARQ
type: Class
comment: A request for the booking of an appointment.
subclass of: ActMood-CodeSystem.INT

ActMood-CodeSystem.ORD
type: Class
comment: 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.
subclass of: ActMood-CodeSystem.INT

ActMood-CodeSystem.RQO
type: Class
comment: 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.
subclass of: ActMood-CodeSystem.INT
equivalent class of: ActMood-CodeSystem.ORD

ActMood-CodeSystem.PRMS
type: Class
comment: 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.
subclass of: ActMood-CodeSystem.INT

ActMood-CodeSystem.PRP
type: Class
comment: 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.
subclass of: ActMood-CodeSystem.INT

ActMood-CodeSystem.SLOT
type: Class
comment: 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.
subclass of: ActMood-CodeSystem.INT

ActMood-CodeSystem.RMD
type: Class
comment: A non-mandated intent to perform an act where a level of professional responsibility is being accepted by making the proposal.
subclass of: ActMood-CodeSystem.PRP

ActStatus-CodeSystem
type: Class
comment: Codes representing the defined possible states of an Act, as defined by the Act class state machine.
subclass of: codeSystem

ActStatus-CodeSystem.normal
type: Class
comment: Encompasses the expected states of an Act, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.
subclass of: ActStatus-CodeSystem

ActStatus-CodeSystem.nullified
type: Class
comment: 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.
subclass of: ActStatus-CodeSystem

ActStatus-CodeSystem.obsolete
type: Class
comment: This Act instance has been replaced by a new instance.
subclass of: ActStatus-CodeSystem

ActStatus-CodeSystem.aborted
type: Class
comment: The Act has been terminated prior to the originally intended completion.
subclass of: ActStatus-CodeSystem.normal

ActStatus-CodeSystem.active
type: Class
comment: The Act can be performed or is being performed
subclass of: ActStatus-CodeSystem.normal

ActStatus-CodeSystem.cancelled
type: Class
comment: The Act has been abandoned before activation.
subclass of: ActStatus-CodeSystem.normal

ActStatus-CodeSystem.completed
type: Class
comment: An Act that has terminated normally after all of its constituents have been performed.
subclass of: ActStatus-CodeSystem.normal

ActStatus-CodeSystem.held
type: Class
comment: An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.
subclass of: ActStatus-CodeSystem.normal

ActStatus-CodeSystem.new
type: Class
comment: An Act that is in the preparatory stages and may not yet be acted upon
subclass of: ActStatus-CodeSystem.normal

ActStatus-CodeSystem.suspended
type: Class
comment: 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
subclass of: ActStatus-CodeSystem.normal

AdministrativeGender-CodeSystem
type: Class
comment: The gender of a person used for adminstrative purposes (as opposed to clinical gender)
subclass of: codeSystem

AdministrativeGender-CodeSystem.F
type: Class
comment: Female
subclass of: AdministrativeGender-CodeSystem

AdministrativeGender-CodeSystem.M
type: Class
comment: Male
subclass of: AdministrativeGender-CodeSystem

AdministrativeGender-CodeSystem.UN
type: Class
comment: The gender of a person could not be uniquely defined as male or female, such as hermaphrodite.
subclass of: AdministrativeGender-CodeSystem

EntityClass-CodeSystem
type: Class
comment: 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 drawn from multiple, frequently external, domains that reflect much more fine-grained typing.
subclass of: codeSystem

EntityClass-CodeSystem.ENT
type: Class
comment: Corresponds to the Entity class
subclass of: EntityClass-CodeSystem

EntityClass-CodeSystem.HOLD
type: Class
comment: A type of container that can hold other containers or other holders.
subclass of: EntityClass-CodeSystem.CONT

EntityClass-CodeSystem.CONT
type: Class
comment: A container of other entities.
subclass of: EntityClass-CodeSystem.MMAT

EntityClass-CodeSystem.CER
type: Class
comment: A physical artifact that stores information about the granting of authorization.
subclass of: EntityClass-CodeSystem.DEV

EntityClass-CodeSystem.DEV
type: Class
comment: 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.
subclass of: EntityClass-CodeSystem.MMAT

EntityClass-CodeSystem.MODDV
type: Class
comment: Class to contain unique attributes of diagnostic imaging equipment.
subclass of: EntityClass-CodeSystem.DEV

EntityClass-CodeSystem.HCE
type: Class
comment: A health chart included to serve as a document receiving entity in the management of medical records.
subclass of: EntityClass-CodeSystem.ENT

EntityClass-CodeSystem.LIV
type: Class
comment: Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject).
subclass of: EntityClass-CodeSystem.ENT

EntityClass-CodeSystem.MAT
type: Class
comment: Any thing that has extension in space and mass, may be of living or non-living origin.
subclass of: EntityClass-CodeSystem.ENT

EntityClass-CodeSystem.ORG
type: Class
comment: A social or legal structure formed by human beings.
subclass of: EntityClass-CodeSystem.ENT

EntityClass-CodeSystem.PLC
type: Class
comment: A physical 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.
subclass of: EntityClass-CodeSystem.ENT

EntityClass-CodeSystem.RGRP
type: Class
comment: 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.
subclass of: EntityClass-CodeSystem.ENT

EntityClass-CodeSystem.PSN
type: Class
comment: A living subject of the species homo sapiens.
subclass of: EntityClass-CodeSystem.LIV

EntityClass-CodeSystem.CHEM
type: Class
comment: 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.
subclass of: EntityClass-CodeSystem.MAT

EntityClass-CodeSystem.FOOD
type: Class
comment: Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals.
subclass of: EntityClass-CodeSystem.MAT

EntityClass-CodeSystem.MMAT
type: Class
comment: Corresponds to the ManufacturedMaterial class
subclass of: EntityClass-CodeSystem.MAT

EntityClass-CodeSystem.ANM
type: Class
comment: A living subject from the animal kingdom.
subclass of: EntityClass-CodeSystem.NLIV

EntityClass-CodeSystem.MIC
type: Class
comment: All single celled living organisms including protozoa, bacteria, yeast, viruses, etc.
subclass of: EntityClass-CodeSystem.NLIV

EntityClass-CodeSystem.PLNT
type: Class
comment: A living subject from the order of plants.
subclass of: EntityClass-CodeSystem.NLIV

EntityClass-CodeSystem.PUB
type: Class
comment: An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations.
subclass of: EntityClass-CodeSystem.ORG

EntityClass-CodeSystem.STATE
type: Class
comment: 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.
subclass of: EntityClass-CodeSystem.ORG

EntityClass-CodeSystem.CITY
type: Class
comment: The territory of a city, town or other municipality.
subclass of: EntityClass-CodeSystem.PLC

EntityClass-CodeSystem.COUNTRY
type: Class
comment: The territory of a sovereign nation.
subclass of: EntityClass-CodeSystem.PLC

EntityClass-CodeSystem.COUNTY
type: Class
comment: The territory of a county, parish or other division of a state or province.
subclass of: EntityClass-CodeSystem.PLC

EntityClass-CodeSystem.PROVINCE
type: Class
comment: The territory of a state, province, department or other division of a sovereign country.
subclass of: EntityClass-CodeSystem.PLC

EntityClass-CodeSystem.NAT
type: Class
comment: A politically organized body of people bonded by territory and known as a nation.
subclass of: EntityClass-CodeSystem.STATE

EntityDeterminer-CodeSystem
type: Class
comment: 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.
subclass of: codeSystem

EntityDeterminer-CodeSystem.INSTANCE
type: Class
comment: 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.
subclass of: EntityDeterminer-CodeSystem

EntityDeterminer-CodeSystem.KIND
type: Class
comment: 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.
subclass of: EntityDeterminer-CodeSystem

EntityDeterminer-CodeSystem.QUANTIFIED KIND
type: Class
comment: 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.
subclass of: EntityDeterminer-CodeSystem.KIND

MaritalStatus-CodeSystem.A
type: Class
comment: Marriage contract has been declared null and to not have existed
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.D
type: Class
comment: Marriage contract has been declared dissolved and inactive
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.I
type: Class
comment: Subject to an Interlocutory Decree.
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.M
type: Class
comment: A current marriage contract is active
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.P
type: Class
comment: More than 1 current spouse
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.S
type: Class
comment: No marriage contract has ever been entered
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.T
type: Class
comment: Person declares that a domestic partner relationship exists.
subclass of: MaritalStatus-CodeSystem

MaritalStatus-CodeSystem.W
type: Class
comment: The spouse has died
subclass of: MaritalStatus-CodeSystem

NUBC-UB92-CodeSystem
type: Class
comment: National Uniform Billing Council, UB 92
subclass of: codeSystem

NullFlavor-CodeSystem.NI
type: Class
comment: No information whatsoever can be inferred from this exceptional value. This is the most general exceptional value. It is also the default exceptional value.
subclass of: NullFlavor-CodeSystem

NullFlavor-CodeSystem.NP
type: Class
comment: Value is not present in a message. This is only defined in messages, never in application data! All values not present in the message must be replaced by the applicable default, or no-information (NI) as the default of all defaults.
subclass of: NullFlavor-CodeSystem

NullFlavor-CodeSystem.NAV
type: Class
comment: Information is not available at this time but it is expected that it will be available later.
subclass of: NullFlavor-CodeSystem.ASKU

NullFlavor-CodeSystem.ASKU
type: Class
comment: Information was sought but not found (e.g., patient was asked but didn't know)
subclass of: NullFlavor-CodeSystem.UNK

NullFlavor-CodeSystem.MSK
type: Class
comment: There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information. Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.
subclass of: NullFlavor-CodeSystem.NI

NullFlavor-CodeSystem.NA
type: Class
comment: Known to have no proper value (e.g., last menstrual period for a male).
subclass of: NullFlavor-CodeSystem.NI

NullFlavor-CodeSystem.OTH
type: Class
comment: The actual value is not an element in the value domain of a variable. (e.g., concept not provided by required code system).
subclass of: NullFlavor-CodeSystem.NI

NullFlavor-CodeSystem.UNC
type: Class
comment: Definition: The actual value has not yet been encoded within the approved valueset for the domain. Example: Original text or a local code has been specified but translation or encoding to the approved valueset has not yet occurred. Usage Notes: If it is known that it is not possible to encode the concept, OTH should be used instead.
subclass of: NullFlavor-CodeSystem.NI

NullFlavor-CodeSystem.UNK
type: Class
comment: A proper value is applicable, but not known.
subclass of: NullFlavor-CodeSystem.NI

NullFlavor-CodeSystem.NINF
type: Class
comment: Negative infinity of numbers.
subclass of: NullFlavor-CodeSystem.OTH

NullFlavor-CodeSystem.PINF
type: Class
comment: Positive infinity of numbers.
subclass of: NullFlavor-CodeSystem.OTH

NullFlavor-CodeSystem.NASK
type: Class
comment: This information has not been sought (e.g., patient was not asked)
subclass of: NullFlavor-CodeSystem.UNK

NullFlavor-CodeSystem.QS
type: Class
comment: The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor would be used to express the quantity of water.
subclass of: NullFlavor-CodeSystem.UNK

NullFlavor-CodeSystem.TRC
type: Class
comment: The content is greater than zero, but too small to be quantified.
subclass of: NullFlavor-CodeSystem.UNK