Enum V3ActCode
- java.lang.Object
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- java.lang.Enum<V3ActCode>
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- org.hl7.fhir.r4.model.codesystems.V3ActCode
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- All Implemented Interfaces:
Serializable,Comparable<V3ActCode>
public enum V3ActCode extends Enum<V3ActCode>
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Enum Constant Summary
Enum Constants Enum Constant Description _1Confirmed drug therapy appropriate_10Provided education or training to the patient on appropriate therapy use_11Instituted an additional therapy to mitigate potential negative effects_12Suspended existing therapy that triggered interaction for the duration of this therapy_13Aborted existing therapy that triggered interaction._14Confirmed supply action appropriate_15Patient's existing supply was lost/wasted_16Supply date is due to patient vacation_17Supply date is intended to carry patient over weekend_18Supply is intended for use during a leave of absence from an institution._19Consulted other supplier/pharmacy, therapy confirmed_2Assessed patient, therapy is appropriate_20Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense._21Description: Indicates that the permissions have been externally verified and the request should be processed._216119Definition:Estimated age._216127Definition:Reported age._22Description: The patient has the appropriate indication or diagnosis for the action to be taken._23Description: It has been confirmed that the appropriate pre-requisite therapy has been tried._295535Definition:Calculated age._3Patient gave adequate explanation_305250Definition:General specification of age with no implied method of determination._309724Definition:Age at onset of associated adverse event; no implied method of determination._4Consulted other supply source, therapy still appropriate_42CFRPART242 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program._5Consulted prescriber, therapy confirmed_6Consulted prescriber and recommended change, prescriber declined_7Concurrent therapy triggering alert is no longer on-going or planned_8Order is performed as issued, but other action taken to mitigate potential adverse effects_9Arranged to monitor patient for adverse effects_ACTACCOUNTCODEAn account represents a grouping of financial transactions that are tracked and reported together with a single balance._ACTADJUDICATIONCODEIncludes 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._ACTADJUDICATIONGROUPCODECatagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals)._ACTADJUDICATIONRESULTACTIONCODEActions to be carried out by the recipient of the Adjudication Result information._ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODEActAdministrativeAuthorizationDetectedIssueCode_ACTADMINISTRATIVEDETECTEDISSUECODEIdentifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains._ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODECodes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains._ACTADMINISTRATIVERULEDETECTEDISSUECODEActAdministrativeRuleDetectedIssueCode_ACTBILLABLEMODIFIERCODEDefinition:An identifying modifier code for healthcare interventions or procedures._ACTBILLABLESERVICECODEDefinition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes._ACTBILLINGARRANGEMENTCODEThe type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period._ACTBOUNDEDROICODEType of bounded ROI._ACTCAREPROVISIONCODEDescription:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care._ACTCLAIMATTACHMENTCATEGORYCODEDescription: Coded types of attachments included to support a healthcare claim._ACTCONSENTDIRECTIVESpecifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated._ACTCONSENTTYPEDefinition: 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._ACTCONTAINERREGISTRATIONCODEConstrains the ActCode to the domain of Container Registration_ACTCONTROLVARIABLEAn observation form that determines parameters or attributes of an Act._ACTCOVERAGEAUTHORIZATIONCONFIRMATIONCODEIndication of authorization for healthcare service(s) and/or product(s)._ACTCOVERAGECONFIRMATIONCODEResponse to an insurance coverage eligibility query or authorization request._ACTCOVERAGEELIGIBILITYCONFIRMATIONCODEIndication of eligibility coverage for healthcare service(s) and/or product(s)._ACTCOVERAGELIMITCODECriteria that are applicable to the authorized coverage._ACTCOVERAGEQUANTITYLIMITCODEMaximum 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._ACTCOVERAGETYPECODEDefinition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties._ACTCOVEREDPARTYLIMITCODECodes representing the types of covered parties that may receive covered benefits under a policy or program._ACTCREDENTIALEDCARECODEDescription: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._ACTCREDENTIALEDCAREPROVISIONPERSONCODEDescription: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._ACTCREDENTIALEDCAREPROVISIONPROGRAMCODEDescription: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._ACTDETECTEDISSUEMANAGEMENTCODECodes dealing with the management of Detected Issue observations_ACTENCOUNTERACCOMMODATIONCODEAccommodation type._ACTENCOUNTERCODEDomain provides codes that qualify the ActEncounterClass (ENC)_ACTEXPOSURECODEConcepts that identify the type or nature of exposure interaction._ACTFINANCIALTRANSACTIONCODEActFinancialTransactionCode_ACTHEALTHINSURANCETYPECODEDefinition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties._ACTINCIDENTCODESet of codes indicating the type of incident or accident._ACTINFORMATIONACCESSCODEDescription: The type of health information to which the subject of the information or the subject's delegate consents or dissents._ACTINFORMATIONACCESSCONTEXTCODEConcepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information._ACTINFORMATIONCATEGORYCODEDefinition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions._ACTINFORMATIONSENSITIVITYPOLICYTypes of sensitivity policies that apply to Acts._ACTINSURANCEPOLICYCODESet of codes indicating the type of insurance policy or other source of funds to cover healthcare costs._ACTINSURANCETYPECODEDefinition: Set of codes indicating the type of insurance policy._ACTINVOICEADJUDICATIONPAYMENTCODECodes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA)._ACTINVOICEADJUDICATIONPAYMENTGROUPCODECodes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc._ACTINVOICEADJUDICATIONPAYMENTSUMMARYCODECodes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA)._ACTINVOICEDETAILCLINICALPRODUCTCODEAn identifying data string for healthcare products._ACTINVOICEDETAILCLINICALSERVICECODEAn identifying data string for healthcare procedures._ACTINVOICEDETAILCODECodes representing a service or product that is being invoiced (billed)._ACTINVOICEDETAILDRUGPRODUCTCODEAn identifying data string for A substance used as a medication or in the preparation of medication._ACTINVOICEDETAILGENERICADJUDICATORCODEThe billable item codes to identify adjudicator specified components to the total billing of a claim._ACTINVOICEDETAILGENERICCODEThe detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments._ACTINVOICEDETAILGENERICMODIFIERCODEThe billable item codes to identify modifications to a billable item charge._ACTINVOICEDETAILGENERICPROVIDERCODEThe billable item codes to identify provider supplied charges or changes to the total billing of a claim._ACTINVOICEDETAILPREFERREDACCOMMODATIONCODEAn identifying data string for medical facility accommodations._ACTINVOICEDETAILTAXCODEThe billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount._ACTINVOICEELEMENTCODEType 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._ACTINVOICEELEMENTSUMMARYCODEIdentifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA)._ACTINVOICEGROUPCODEType 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._ACTINVOICEINTERGROUPCODEType 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._ACTINVOICEOVERRIDECODEIncludes 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._ACTINVOICEROOTGROUPCODEType 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._ACTLISTCODEProvides codes associated with ActClass value of LIST (working list)_ACTMEDICALSERVICECODEGeneral category of medical service provided to the patient during their encounter._ACTMEDICATIONTHERAPYDURATIONWORKINGLISTCODEDefinition:A collection of concepts that identifies different types of 'duration-based' mediation working lists._ACTMONITORINGPROTOCOLCODEIdentifies types of monitoring programs_ACTNONOBSERVATIONINDICATIONCODEDescription:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms._ACTOBSERVATIONLISTActObservationList_ACTOBSERVATIONVERIFICATIONTYPEIdentifies the type of verification investigation being undertaken with respect to the subject of the verification activity._ACTPATIENTANNOTATIONTYPEDescription:Provides a categorization for annotations recorded directly against the patient ._ACTPATIENTTRANSPORTATIONMODECODEDefinition: Characterizes how a patient was or will be transported to the site of a patient encounter._ACTPAYMENTCODECode identifying the method or the movement of payment instructions._ACTPHARMACYSUPPLYTYPEIdentifies types of dispensing events_ACTPOLICYTYPEDescription:Types of policies that further specify the ActClassPolicy value set._ACTPRIVACYLAWA jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on: The activity of a governed party The behavior of a governed party The manner in which an act is executed by a governed party_ACTPRIVACYPOLICYA policy deeming certain information to be private to an individual or organization._ACTPROCEDURECODEAn identifying code for healthcare interventions/procedures._ACTPRODUCTACQUISITIONCODEThe method that a product is obtained for use by the subject of the supply act (e.g._ACTPROGRAMTYPECODEDefinition: A set of codes used to indicate coverage under a program._ACTSPECIMENTRANSPORTCODETransportation of a specimen._ACTSPECIMENTREATMENTCODESet of codes related to specimen treatments_ACTSPECOBSCODEIdentifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation_ACTSUBSTANCEADMINISTRATIONCODEDescription: Describes the type of substance administration being performed._ACTSUPPLIEDITEMDETECTEDISSUECODEIdentifies types of detected issues regarding the administration or supply of an item to a patient._ACTTASKCODEDescription: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry)._ACTTHERAPYDURATIONWORKINGLISTCODECodes used to identify different types of 'duration-based' working lists._ACTTRANSPORTATIONMODECODECharacterizes how a transportation act was or will be carried out._ACTUSPRIVACYLAWDefinition: A jurisdictional mandate in the U.S._ADMINISTRATIONDETECTEDISSUECODEAdministration of the proposed therapy may be inappropriate or contraindicated as proposed_ANNOTATIONTYPEAnnotationType_APPROPRIATENESSDETECTEDISSUECODEAppropriatenessDetectedIssueCode_AUTHORIZATIONISSUEMANAGEMENTCODEAuthorization Issue Management Code_CASETRANSMISSIONMODECode for the mechanism by which disease was acquired by the living subject involved in the public health case._ECGOBSERVATIONSERIESTYPEECGObservationSeriesType_ENTITYSENSITIVITYPOLICYTYPETypes of sensitivity policies that may apply to a sensitive attribute on an Entity._FDALABELDATAFDA label data_GENETICOBSERVATIONTYPEDescription: None provided_HL7ACCOMMODATIONCODEDescription:Accommodation type._HL7DEFINEDACTCODESDomain provides the root for HL7-defined detailed or rich codes for the Act classes._IMMUNIZATIONOBSERVATIONTYPEDescription: Observation codes which describe characteristics of the immunization material._INDIVIDUALCASESAFETYREPORTTYPEA code that is used to indicate the type of case safety report received from sender._INFORMATIONSENSITIVITYPOLICYA mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability._INTERACTIONDETECTEDISSUECODEInteractionDetectedIssueCode_INVOICEELEMENTADJUDICATEDTotal 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._INVOICEELEMENTPAIDTotal counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date._INVOICEELEMENTSUBMITTEDTotal counts and total net amounts billed for all Invoice Groupings that were submitted within a time period._LOINCOBSERVATIONACTCONTEXTAGETYPEDefinition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created._MEDICATIONOBSERVATIONTYPEMedicationObservationType_OBSERVATIONISSUETRIGGERCODEDOBSERVATIONTYPEDistinguishes the kinds of coded observations that could be the trigger for clinical issue detection._OBSERVATIONQUALITYMEASUREATTRIBUTECodes used to define various metadata aspects of a health quality measure._OBSERVATIONSEQUENCETYPEObservationSequenceType_OBSERVATIONSERIESTYPEObservationSeriesType_OBSERVATIONTYPEIdentifies the kinds of observations that can be performed_PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPEDescription: Reporting codes that are related to an immunization event._POPULATIONINCLUSIONOBSERVATIONTYPEObservation types for specifying criteria used to assert that a subject is included in a particular population._PREFERENCEOBSERVATIONTYPETypes of observations that can be made about Preferences._ROIOVERLAYSHAPEShape of the region on the object being referenced_ROLEINFORMATIONSENSITIVITYPOLICYTypes of sensitivity policies that apply to Roles._SUPPLYDETECTEDISSUECODESupplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy_TIMINGDETECTEDISSUECODEProposed therapy may be inappropriate or ineffective based on the proposed start or end time.AAThe 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).AALCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.AAMCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.ABHCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.ABUSEDescription:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.ACACDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.ACADRDescription: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.ACALLDescription: Provide consent to collect, use, disclose, or access all information for a patient.ACALLGDescription: Provide consent to collect, use, disclose, or access allergy information for a patient.ACCESSCONSCHEMEAn access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies.ACCONSDescription: Provide consent to collect, use, disclose, or access informational consent information for a patient.ACCTRECEIVABLEAn 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.ACDEMODescription: Provide consent to collect, use, disclose, or access demographics information for a patient.ACDIDescription: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.ACHAutomated Clearing House (ACH).ACHCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.ACIDThe lowering of specimen pH through the addition of an acidACIMMUNDescription: Provide consent to collect, use, disclose, or access immunization information for a patient.ACLABDescription: Provide consent to collect, use, disclose, or access lab test result information for a patient.ACMEDDescription: Provide consent to collect, use, disclose, or access medical condition information for a patient.ACMEDCDefinition: Provide consent to view or access medical condition information for a patient.ACMENDescription:Provide consent to collect, use, disclose, or access mental health information for a patient.ACOBSDescription: Provide consent to collect, use, disclose, or access common observation information for a patient.ACOCOMPTA group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group.ACPOLPRGDescription: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.ACPROVDescription: Provide consent to collect, use, disclose, or access provider information for a patient.ACPSERVDescription: Provide consent to collect, use, disclose, or access professional service information for a patient.ACSUBSTABDescription:Provide consent to collect, use, disclose, or access substance abuse information for a patient.ACTTRUSTPOLICYTYPEA mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions.ACUDefinition: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.ACUTEAn acute inpatient encounter.ADALRTProposed therapy is outside of the standard practice for an adult patient.ADMDXAdmitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.ADNFPPELATIdentifies 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.ADNFPPELCTIdentifies 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.ADNFPPMNATIdentifies 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.ADNFPPMNCTIdentifies 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.ADNFSPELATIdentifies 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.ADNFSPELCTIdentifies 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.ADNFSPMNATIdentifies 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.ADNFSPMNCTIdentifies 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.ADNPPPELATIdentifies 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.ADNPPPELCTIdentifies 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.ADNPPPMNATIdentifies 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.ADNPPPMNCTIdentifies 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.ADNPSPELATIdentifies 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.ADNPSPELCTIdentifies 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.ADNPSPMNATIdentifies 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.ADNPSPMNCTIdentifies 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.ADOLPolicy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy.ADPPPPELATIdentifies 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.ADPPPPELCTIdentifies 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.ADPPPPMNATIdentifies 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.ADPPPPMNCTIdentifies 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.ADPPSPELATIdentifies 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.ADPPSPELCTIdentifies 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.ADPPSPMNATIdentifies 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.ADPPSPMNCTIdentifies 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.ADRFPPELATIdentifies 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.ADRFPPELCTIdentifies 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.ADRFPPMNATIdentifies 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.ADRFPPMNCTIdentifies 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.ADRFSPELATIdentifies 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.ADRFSPELCTIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.ADRFSPMNATIdentifies 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.ADRFSPMNCTIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.ADVERSEREACTIONIndicates 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.AEAmerican ExpressAFOOTpedestrian transportAFTHRSPremium paid on service fees in compensation for practicing outside of normal working hours.AGEProposed therapy may be inappropriate or contraindicated due to patient ageAGGREGATEIndicates that the observation is carrying out an aggregation calculation, contained in the value element.AHOCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.AIRTRNSCommunication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.ALCProvision of Alternate Level of Care to a patient in an acute bed.ALECPayment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g.ALGHypersensitivity to an agent caused by an immunologic response to an initial exposureALGYProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product.ALKThe act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.ALLCATDescription: All patient information.ALLDONEDefinition:The requested action has already been performed and so this request has no effectALLERLEDescription: A person enters a known allergy for a given patient.ALLERLREVDescription: A person reviews a list of known allergies of a given patient.ALLGCATDefinition:All information pertaining to a patient's allergy and intolerance records.ALRTENDLATEDefinition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.ALRTSTRTLATEDefinition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.ALTCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.AMBA comprehensive term for health care provided in a healthcare facility (e.g.AMBAIRfixed-wing ambulance transportAMBGRNDground ambulance transportAMBHELOhelicopter ambulance transportAMBTambulance transportANANTRNSCommunication of an agent from one animal to another proximate animal.ANFThe 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.ANHUMTRNSCommunication of an agent from an animal to a proximate person.ANNDIDescription:A note that is specific to a patient's diagnostic images, either historical, current or planned.ANNGENDescription:A general or uncategorized note.ANNIMMA note that is specific to a patient's immunizations, either historical, current or planned.ANNLABDescription:A note that is specific to a patient's laboratory results, either historical, current or planned.ANNMEDDescription:A note that is specific to a patient's medications, either historical, current or planned.ANNUDefinition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.ANONYCustodian system must remove any information that could result in identifying the information subject.AODCustodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time.AOSCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.ARThe invoice element has passed through the adjudication process but payment is refused due to one or more reasons.ARCATDescription: All information pertaining to a patient's adverse drug reactions.ARTBLDDescribes the artificial blood identifier that is associated with the specimen.ASThe invoice element was/will be paid exactly as submitted, without financial adjustment(s).ASSERTIONDescription: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.AUDITCustodian system must monitor systems to ensure that all users are authorized to operate on information objects.AUDTRCustodian system must monitor and maintain retrievable log for each user and operation on information.AUTHAuthorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.AUTHPOLAuthorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects.AUTOSpecifies whether or not automatic repeat testing is to be initiated on specimens.AUTOATTCHDescription: Automobile Information AttachmentAUTOHIGHThe dilution of a sample performed by automated equipment.AUTOLOWThe dilution of a sample performed by automated equipment.AUTOPOLInsurance policy for injuries sustained in an automobile accident.AVAILABLEThe available quantity of specimen.BPolicy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality.BDYFLDTRNSCommunication of an agent from one living subject to another living subject through direct contact with any body fluid.BHPolicy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality.BLDTRNSCommunication 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.BLKA 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.BONUSBonus payments based on performance, volume, etc.BOOSTERAn additional immunization administration within a series intended to bolster or enhance immunity.BRA diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.BUSDescription:A local business rule relating multiple elements has been violated.CDescription:Indicates that result data has been corrected.CACCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CACSDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CAICDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CAMCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CAMIDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CANCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CANCAPTA charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.CANPRGDefinition: 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.CAPA 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).CAPCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CARDProvision of diagnosis and treatment of diseases and disorders affecting the heartCARELISTList of acts representing a care plan.CASESERDefinition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.CASHCashCASTDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CBARDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CBGCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CCDescription: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.CCADDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CCARDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CCCCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CCGCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CCPCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CCSCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CDECDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CDEPDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CDGDDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CDIADescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CDIOAn observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship.CDRCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CDSREVA person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.CELPolicy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality.CEMCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CEPIDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CFELDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CFPCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CFWDAn amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.CHARDefinition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.CHFCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CHKA written order to a bank to pay the amount specified from funds on deposit.CHLDCAREDescription: Exposure participants' interaction occurred in a child care settingCHRProvision of recurring care for chronic illness.CHRGA type of transaction that represents a charge for a service or product.CHRODescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CHRONDefinition: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.CHYPDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CIMCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CIRCLEA circle defined by two (column,row) pairs.CLINNOTEEA clinician enters a clinical note about a given patientCLINNOTEREVA person reviews a clinical note of a given patient.CLSSRMDescription: The class room associated with the patient during the immunization event.CMGCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CMIHDescription:.CMPMSRMTHIndicates what method is used in a quality measure to combine the component measure results included in an composite measure.CMPMSRSCRWGHTAn attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score.CMSCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CNECDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty BoardCNMCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CNQCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CNSCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.COBSCATDefinition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).CODEDEPRECDescription:The specified code has been deprecated and should no longer be used.CODEINVALDescription:The specified code is not valid against the list of codes allowed for the element.COGCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.COGNPolicy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality.COINThat portion of the eligible charges which a covered party must pay for each service and/or product.COINSThe covered party pays a percentage of the cost of covered services.COJRDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.COLDefinition: 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.COMCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.COMMONRULEU.S.COMPLYThere may be an issue with the patient complying with the intentions of the proposed therapyCOMPTThis is the healthcare analog to the US Intelligence Community's concept of a Special Access Program.CONCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CONDProposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosisCONDLISTList of condition observations.CONSUMPTIONThe quantity of specimen that is used each time the equipment uses this substanceCONTTransaction counts and value totals by Contract Identifier.CONTFA 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.CONVEYNCDescription: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g.COPAYnullCOPAYMENTThat portion of the eligible charges which a covered party must pay for each service and/or product.COPCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.COPDDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.COPYIdentifies the organization(s) who own the intellectual property represented by the eMeasure.CORTDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.COSCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.COTCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.COVGEInsurance coverage problems have been encountered.COVMXDefinition: Codes representing the maximum coverate or financial participation requirements.COVPOLDescription: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.COVPRDCodes representing the time period during which coverage is available; or financial participation requirements are in effect.CPADDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CPECDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CPGCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CPHCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CPINVClinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).CPLYCCCustodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.CPLYCDCustodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.CPLYJPPCustodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.CPLYOPPCustodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.CPLYOSPCustodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.CPLYPOLCustodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.CPNDDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CPNDDRGINGA grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced.CPNDINDINGA grouping of invoice element details including the one specifying an ingredient drug being invoiced.CPNDSUPINGA grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced.CPRCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CPSCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CPSTDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CPTMDescription:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.CPYCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CREACTDescription:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.CRIMEDefinition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.CRITA clinical judgment as to the worst case result of a future exposure (including substance administration).CROCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CRPCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CRSSummary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.CSDMDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CSICDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CSINVClinical Services Invoice which can be used to describe a single service, multiple services or repeated services.CSLDDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CSPINVA clinical Invoice Grouping consisting of one or more services and one or more product.CSPTDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CSUCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CTBUDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CTCOMPTCare coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow.CTLSUBA monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.CTMOAn observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.CTSCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CURCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CURMEDLISTList of current medications.CURRENTThe current quantity of the specimen, i.e., initial quantity minus what has been actually used.CVDCDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CVSCDescription:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.CWMADescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.CWOHDescription:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.DACTDescription:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.DALGAn allergy to a pharmaceutical product.DAYTransaction counts and value totals for each calendar day within the date range specified.DDPElectronic Funds Transfer (EFT) deposit into the payee's bank accountDECLASSIFYLABELCustodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information.DEDUCTnullDEDUCTIBLEThat portion of the eligible charges which a covered party must pay in a particular period (e.g.DEFDescription of individual terms, provided as needed.DEFBThe removal of fibrin from whole blood or plasma through physical or chemical meansDEIDCustodian system must strip information of data that would allow the identification of the source of the information or the information subject.DELAUCustodian system must remove target information from access after use.DELEPOLDelegation policies specify which actions subjects are allowed to delegate to others.DEMOPolicy for handling all demographic information about an information subject, which will be afforded heightened confidentiality.DEMOCATDefinition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).DENEXCriteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met.DENEXCEPCriteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met.DENOMCriteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).DENTALDefinition: A health insurance policy that that covers benefits for dental services.DENTPRGDefinition: 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.DERMTRNSCommunication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.DFA fill providing sufficient supply for one dayDIAPolicy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality.DIAGLISTEA clinician enters a diagnosis for a given patient.DIAGLISTREVA person reviews a list of diagnoses of a given patient.DICATDefinition:All information pertaining to a patient's diagnostic image records (orders & results).DIETCode set to define specialized/allowed dietsDILUTIONAn observation that reports the dilution of a sample.DINTHypersensitivity resulting in an adverse reaction upon exposure to a drug.DISDefinition: 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.DISCDisclaimer information for the eMeasure.DISCHINSTEA person provides a discharge instruction to a patient.DISCHSUMEA clinician enters a discharge summary for a given patient.DISCHSUMREVA person reviews a discharge summary of a given patient.DISCMEDLISTList of discharge medications.DISDXDischarge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.DISEASEDefinition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.DISEASEPRGDefinition: 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.DISPLAYThe adjudication result associated is to be displayed to the receiver of the adjudication result.DMA diet that uses carbohydrates sparingly.DNDiner's ClubDNAINTHypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposureDNTLProvision of treatment for oral health and/or dental surgery.DOBPolicy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject.DOCUMENTDescription: Document AttachmentDOSEProposed dosage instructions for therapy differ from standard practice.DOSECONDDescription:Proposed dosage is inappropriate due to patient's medical condition.DOSEDURProposed length of therapy differs from standard practice.DOSEDURHProposed length of therapy is longer than standard practiceDOSEDURHINDProposed length of therapy is longer than standard practice for the identified indication or diagnosisDOSEDURLProposed length of therapy is shorter than that necessary for therapeutic effectDOSEDURLINDProposed length of therapy is shorter than standard practice for the identified indication or diagnosisDOSEHProposed dosage exceeds standard practiceDOSEHINDHigh Dose for Indication AlertDOSEHINDAProposed dosage exceeds standard practice for the patient's ageDOSEHINDSAProposed dosage exceeds standard practice for the patient's height or body surface areaDOSEHINDWProposed dosage exceeds standard practice for the patient's weightDOSEINDnullDOSEIVLProposed dosage interval/timing differs from standard practiceDOSEIVLINDProposed dosage interval/timing differs from standard practice for the identified indication or diagnosisDOSELProposed dosage is below suggested therapeutic levelsDOSELINDLow Dose for Indication AlertDOSELINDAProposed dosage is below suggested therapeutic levels for the patient's ageDOSELINDSAProposed dosage is below suggested therapeutic levels for the patient's height or body surface areaDOSELINDWProposed dosage is below suggested therapeutic levels for the patient's weightDOWNGRDLABELCustodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information.DRGProposed therapy may interact with an existing or recent drug therapyDRGISPolicy for handling information related to a drug, which will be afforded heightened confidentiality.DRGRHBProvision of treatment for drug abuse.DRIVLABELCustodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information.DRUGThe introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.DRUGINGA grouping of invoice element details including the one specifying the drug being invoiced.DRUGPOLDefinition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.DRUGPRGDefinition: 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.DSCA reduction in the amount charged as a percentage of the amount.DUPTHPCLSDescription:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.DUPTHPGENDescription: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.DUPTHPYThe proposed therapy appears to duplicate an existing therapyDVDiscover CardDVDPolicy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality.DXIncludes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.EALGAn allergy to a substance other than a drug or a food.EAPDefinition: 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.EDUFees deducted on behalf of a payee for tuition and continuing education.EFORMElectronic form with supporting or additional information to follow.EHCPOLPrivate insurance policy that provides coverage in addition to other policies (e.g.EINTHypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.ELGInsurance coverage is in effect for healthcare service(s) and/or product(s).ELLIPSEAn 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.EMA supply action where there is no 'valid' order for the supplied medication.EMAUTHUsed to temporarily override normal authorization rules to gain access to data in a case of emergency.EMERA 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.)EMOTDISPolicy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality.EMPPolicy for handling information related to an employee, which will be afforded heightened confidentiality.EMPLPolicy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality.EMRGONLYThis general consent directive specifically limits disclosure of health information for purpose of emergency treatment.ENAINTHypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposureENCRYPTCustodian system must render information unreadable by algorithmically transforming plaintext into ciphertext.ENCRYPTRCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.ENCRYPTTCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.ENCRYPTUCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.ENDCA baseline value for the measured test that is inherently contained in the diluent.ENDLATEProposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapyENDRENALDefinition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.ENVTRNSCommunication of an agent from an environmental surface or source to a living subject by direct contact.EPYMTFees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e.ESAA premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.ETHPolicy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality.ETHUDPolicy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.EVNFCTSDomain provides codes that qualify the ActLabObsEnvfctsCode domain.EWBDefinition: 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.FDescription:Indicates that a result is complete.FALGAn allergy to a substance generally consumed for nutritional purposes.FALLRISKA person reviews a Falls Risk Assessment Instrument report of a given patient.FASTNo enteral intake of foot or liquids whatsoever, no smoking.FAXFax with supporting or additional information to follow.FDDescription: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g.FDACOATINGFDA label coatingFDACOLORFDA label colorFDAIMPRINTCDFDA label imprint codeFDALOGOFDA label logoFDASCORINGFDA label scoringFDASHAPEFDA label shapeFDASIZEFDA label sizeFECTRNSCommunication 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.FFThe initial fill against an order.FFCA first fill where the quantity supplied is equal to one full repetition of the ordered amount.FFCSA first fill where the quantity supplied is equal to one full repetition of the ordered amount.FFPA first fill where the quantity supplied is less than one full repetition of the ordered amount.FFPSA first fill where the quantity supplied is less than one full repetition of the ordered amount.FFSA billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.FFSSA first fill where the strength supplied is less than the ordered strength.FFSTOPUnder 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.FIBRINThe Fibrin Index of the specimen.FILTThe passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).FINALDTThe timestamp when the eMeasure was last packaged in the Measure Authoring Tool.FINBILLA billing arrangement where a Provider charges for non-clinical items.FININVInvoice Grouping without clinical justification.FINTHypersensitivity resulting in an adverse reaction upon exposure to food.FLDA patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence.FLEXPDefinition: 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.FMCOMPTFinancial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows.FNAINTHypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposureFNLFEEAnticipated or actual final fee associated with treating a patient.FOMTRNSCommunication of an agent from an non-living material to a living subject through direct contact.FOODProposed therapy may interact with certain foodsFOODTRNSCommunication of an agent from a food source to a living subject via oral consumption.FORMThe adjudication result associated is to be printed on the specified form, which is then provided to the covered party.FORMATDescription:The element does not follow the formatting or type rules defined for the field.FORMULAA diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.FRAMEINGA grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.FRAUDDescription:The request is suspected to have a fraudulent basis.FRSTFEEAnticipated or actual initial fee associated with treating a patient.FSA supply action to restock a smaller more local dispensary.FSTFederal tax on transactions such as the Goods and Services Tax (GST)FULFILDefinition:The therapy being performed is in some way out of alignment with the requested therapy.GARNFees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g.GDISPolicy for handling genetic disease information, which will be afforded heightened confidentiality.GEALRTProposed therapy is outside of standard practice for a geriatric patient.GENProposed therapy may be inappropriate or contraindicated due to patient genetic indicators.GENDProposed therapy may be inappropriate or contraindicated due to patient gender.GENDERPolicy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality.GENEDescription: A DNA segment that contributes to phenotype/function.GENRLGeneral care performed by a general practitioner or family doctor as a responsible provider for a patient.GFGluten free diet for celiac disease.GFTHThe 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.GISTIERDescription: Accuracy determined as per the GIS tier code system.GOALLISTList of observations in goal mood.GOVEMPDefinition: 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.GRADEDescription: The school grade or level the patient was in when immunized.GRANTORCHOICEA grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.GTINDescription:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).GUIDEUsed to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.HCPCSADescription: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.HEALTHRECDescription: Health Record AttachmentHELDDefinition:There should be no actions taken in fulfillment of a request that has been held or suspended.HEMOLYSISAn observation of the hemolysis index of the specimen in g/LHGHTnullHHHealthcare encounter that takes place in the residence of the patient or a designeeHHOBSIndicates that the observation is of a person’s living situation in a household including the household composition and circumstances.HIPDefinition: 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.HIPAANOPPThe U.S.HIPAAPSYNOTESThe U.S.HIPAASELFPAYSection 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan.HIRISKDefinition: 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.HISTMEDLISTHistorical list of medications.HISTORICDescription: While the record was accepted in the repository, there is a more recent version of a record of this type.HIVPolicy for handling HIV or AIDS information, which will be afforded heightened confidentiality.HIVAIDSDefinition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria.HLTHCAREDescription: 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.HMODefinition: 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.HOMECAREDescription: Exposure interaction occurred in context of one providing care for the other, i.e.HOSPPTNTDescription: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.HOSPVSTRDescription: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.HOUSEHLDDescription: Exposure interaction occurred in context of domestic interaction, i.e.HRCOMPTA security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.HSAPOLInsurance policy that provides for an allotment of funds replenished on a periodic (e.g.HSTJoint Federal/Provincial Sales TaxHUAPRVCustodian system must require human review and approval for permission requested.HUMHUMTRNSCommunication of an agent from a person to a proximate person.IAccommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.ICOLDefinition: Consent to have healthcare information collected in an electronic health record.ICTERUSAn observation that describes the icterus index of the specimen.IDUsed by one system to inform another that it has received a container.IDSCLDefinition: Consent to have collected healthcare information disclosed.IDURInformation on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).ILLEGALDescription:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.IMGDescription: Image AttachmentIMMLEDescription: A person enters an immunization due or received for a given patient.IMMLREVDescription: A person reviews a list of immunizations due or received for a given patient.IMMUCATDefinition:All information pertaining to a patient's vaccination records.IMMUNIZThe introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.IMPA 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.IMPLIEDA grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.IMPLIEDDA grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.INDDefinition: Services provided directly and through contracted and operated indigenous peoples health programs.IND01Description:Contrast agent required for imaging study.IND02Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.IND03Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.IND04Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.IND05Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.INDTRNSCommunication of an agent to a living subject via an undetermined route.INFADefinition: Consent to access healthcare information.INFAODefinition: 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.INFASODefinition: Consent to access and save only, which entails that access to the saved copy will remain locked.INFAUTAuthorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.INFCONAuthorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.INFCRTAuthorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.INFDNGAuthorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice.INFEMERAuthorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice.INFPWRAuthorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice.INFREGAuthorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice.INITIALThe initial quantity of the specimen in inventoryINITIMMUNIZThe first immunization administration in a series intended to produce immunityINMATEDescription: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facilityINTProposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product.INTDXIntermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.INTERVALDefinition:The therapy action is being performed outside the bounds of the time period requestedINTFRAn observation that relates to factors that may potentially cause interference with the observationINTIMATEDescription: Exposure interaction was intimate, i.e.INTOLISTList of intolerance observations.INVDefinition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigatedINVOICEPayment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..INVTYPETransaction counts and value totals by invoice type (e.g.IPUsed by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).IPOPCriteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).IPPOPCriteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).IRDSCLDefinition: Information re-disclosed without the patient's consent.ISOLPremium paid on service fees in compensation for practicing in a remote location.ISSUEThere is a clinical issue for the therapy that makes continuation of the therapy inappropriate.ITMCNTDescribes the items counted by the measure (e.g., patients, encounters, procedures, etc.)KEYA significant word that aids in discoverability.KEY204The ID of the patient, order, etc., was not found.KEY205The ID of the patient, order, etc., already exists.KEY206Description: Metadata associated with the identification (e.g.KSUBJCategorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.KSUBTCategorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.LUsed by one system to inform another that the container has been released from that system.LABProposed therapy may be inappropriate or contraindicated due to recent lab test resultsLABCATDescription: All information pertaining to a patient's lab test records (orders & results)LABELCustodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information.LABOEA clinician creates a request for a laboratory test to be done for a given patient.LABRESULTSDescription: Lab Results AttachmentLABRREVA person reviews a list of laboratory results of a given patient.LACTProposed therapy may be inappropriate or contraindicated when breast-feedingLACTTRNSCommunication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.LATEKnowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing.LAWENFlaw enforcement transportLDLPLDL PrecipitationLENLONGDescription:The length of the data specified is greater than the maximum length defined for the element.LENRANGEDescription:The length of the data specified falls out of the range defined for the element.LENSHORTDescription:The length of the data specified is less than the minimum length defined for the element.LENSINGA grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.LFA diet low in fat, particularly to patients with hepatic diseases.LFEMXDefinition: 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.LGPCDescription:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.LIFEDefinition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death.LIPEMIAAn observation used to describe the Lipemia Index of the specimen.LIVARGPolicy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality.LOANTemporary supply of a product without transfer of ownership for the product.LOCTransaction counts and value totals by service location (e.g clinic).LOCISPolicy for handling information related to the location of the information subject, which will be afforded heightened confidentiality.LPA low protein diet for patients with renal failure.LQA strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber.LRCOMPTProviders and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship.LSA diet low in sodium for patients with congestive heart failure and/or renal failure.LTCDefinition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves.LTRMCAREDescription: 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).LUDescription:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.MUsed by one system to inform another that the container did not arrive at its next expected location.MANDPOLmandatory health programMANUALManual review of the invoice is requested.MARKUPAn increase in the amount charged as a percentage of the amount.MARSTPolicy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality.MARWLREVA clinician reviews a work list of medications to be administered to a given patient.MASKCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext.MAXOCCURSDescription:The number of repeating elements is above the maximum number of repetitions allowed.MCMaster CardMCPOLDefinition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment.MDOSEDescription:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.MEDProvision of diagnostic and/or therapeutic treatment.MEDCCATDefinition:All information pertaining to a patient's medical condition records.MEDLISTList of medications.MEDOEA clinician creates a request for the administration of one or more medications to a given patient.MEDTThe end date of the measurement period.MENCATDescription: All information pertaining to a patient's mental health records.MENTPOLDefinition: A health insurance policy that covers benefits for mental health services and prescriptions.MENTPRGDefinition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria.MHPolicy for handling information related to psychological disorders, which is afforded heightened confidentiality.MICROORGRREVA person reviews organisms of microbiology results of a given patient.MICRORREVA person reviews a list of microbiology results of a given patient.MICROSENSRREVA person reviews the sensitivity test of microbiology results of a given patient.MILITARYDefinition: A government program that provides coverage for health services to military personnel, retirees, and dependents.MINECCustodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use.MINFREQDefinition:The therapy action is being performed too soon after the previous occurrence based on the requested frequencyMINOCCURSDescription:The number of repeating elements is below the minimum number of repetitions allowed.MISSAPTA charge to compensate the provider when a patient does not show for an appointment.MISSCONDDescription:The specified element must be specified with a non-null value under certain conditions.MISSMANDDescription:The specified element is mandatory and was not included in the instance.MLREVA person reviews a list of medication orders submitted to a given patientMODELDescription: Digital Model AttachmentMONTHTransaction counts and value totals for each calendar month within the date range specified.MSA supply of a manufacturer sampleMSDThe start date of the measurement period.MSRADJThe method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers.MSRAGGDescribes how to combine information calculated based on logic in each of several populations into one summarized result.MSRIMPROVInformation on whether an increase or decrease in score is the preferred result.MSRJURThe list of jurisdiction(s) for which the measure applies.MSROBSDefines the observation to be performed for each patient or event in the measure population.MSRPOPLCriteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period).MSRPOPLEXCriteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population.MSRRPTRType of person or organization that is expected to report the issue.MSRRPTTIMEThe maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.MSRSCOREIndicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)MSRSETLocation(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).MSRTOPIChealth quality measure topic typeMSRTPThe time period for which the eMeasure applies.MSRTYPEIndicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).MSTPolicy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality.MVAIncident or accident as the result of a motor vehicle accidentNA normal diet, i.e.NAINTHypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposureNATThe requesting party has insufficient authorization to invoke the interaction.NAUTHAuthorization for specified healthcare service(s) and/or product(s) denied.NELGInsurance coverage is not in effect for healthcare service(s) and/or product(s).NETAMTMaximum net amount that will be covered for the product or service specified.NEUTThe act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.NFA no fat diet for acute hepatic diseases.NHPProposed therapy may interact with existing or recent natural health product therapyNOAUTHProhibition on disclosure without information subject's authorization.NOCOLLECTProhibition on collection or storage of the information.NOCONSENTNo notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.NODSCLCDProhibition on disclosure without organizational approved patient restriction.NODSCLCDSProhibition on disclosure without a consent directive from the information subject.NODUPSDescription:More than one element with the same value exists in the set.NOIThe type of injury that the injury coding specifies.NOINTEGRATEProhibition on Integration into other records.NOLISTProhibition on disclosure except to entities on specific access list.NOMOUProhibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).NONNon-Payment Data.NONACAny category of inpatient encounter except 'acute'NONRXProposed therapy may interact with a non-prescription drug (e.g.NOORGPOLProhibition on disclosure without organizational authorization.NOPATProhibition on disclosing information to patient, family or caregivers without attending provider's authorization.NOPERSISTDescription: Element in submitted message will not persist in data storage based on detected issue.NOPERSISTPProhibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.NOPPAcknowledgement of custodian notice of privacy practices.NORDSCLCDProhibition on redisclosure without patient consent directive.NORDSCLCDSProhibition on redisclosure without a consent directive from the information subject.NORDSCLWProhibition on disclosure without authorization under jurisdictional law.NORELINKProhibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.NOREUSEProhibition on use of the information beyond the purpose of use initially authorized.NOSTRNSCommunication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.NOTACTNDefinition:The status of the request being fulfilled has changed such that it is no longer actionable.NOTEQUIVDefinition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.NOTEQUIVGENDefinition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.NOTEQUIVTHERDefinition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.NOVIPProhibition on disclosure except to principals with access permission to specific VIP information.NULLadded to help the parsersNUMERCriteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).NUMEXCriteria for specifying instances that should not be included in the numerator data.OUsed by one system to inform another that the specific container is being processed by the equipment.OBLIGATIONPOLICYConveys the mandated workflow action that an information custodian, receiver, or user must perform.OBSProvision of care of women during pregnancy, childbirth and immediate postpartum period.OBSAProposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patientOBSANTCDescription: Indicates the valid antigen count.OBSANTVDescription: Indicates whether an antigen is valid or invalid.OBSENCAn encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge.OBSOLETEDescription: One or more records in the query response have a status of 'obsolete'.OEA clinician creates a request for a service to be performed for a given patient.OHSINVA clinical Invoice Grouping consisting of one or more oral health services.OINTHypersensitivity resulting in an adverse reaction upon exposure to an agent.ONCProvision of treatment and/or diagnosis related to tumors and/or cancer.ONETDefinition:A list of medications which the patient is intended to be administered only once.OOJThe medical service and/or product was provided to a patient that has coverage in another jurisdiction.OOOPremium paid on service fees in compensation for practicing at a location other than normal working location.OPIOIDUDPolicy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.OPTINA grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.OPTINRA grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.OPTOUTA grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.OPTOUTEA grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.ORCONProhibition on disclosure except as permitted by the information originator.OREVA person reviews a list of orders submitted to a given patient.ORTHOThe service provided is required for orthodontic purposes.OTCMedicines designated in this way may be supplied for patient use without a prescription.PAccommodations in which there is only 1 bed.PACOMPTPatient administration members who have access to healthcare consumer information as part of a patient administration workflows.PAFPhenylketonuria diet.PAINVHealthCare facility preferred accommodation invoice.PALLProvision of care for patients who are living or dying from an advanced illness.PAPERPaper documentation (or other physical format) with supporting or additional information to follow.PARPatient is supplied with parenteral nutrition, typically described in terms of i.v.PARTRNSCommunication 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.PATADVEVNTIndicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.PATDOCA person enters documentation about a given patient.PATEDUEA person provides a patient-specific education handout to a patient.PATINFOA person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.PATPREFDefinition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.PATPREFALTDefinition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.PATREPEA pathologist enters a report for a given patient.PATREPREVA person reviews a pathology report of a given patient.PAYThe guarantor, who may be the patient, pays the entire charge for a service.PAYEETransaction counts and value totals by each instance of an invoice payee.PAYORTransaction counts and value totals by each instance of an invoice payor.PBILLACCTAn account representing charges and credits (financial transactions) for a patient's encounter.PDNFPPELATIdentifies 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.PDNFPPELCTIdentifies 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.PDNFPPMNATIdentifies 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.PDNFPPMNCTIdentifies 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.PDNFSPELATIdentifies 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.PDNFSPELCTIdentifies 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.PDNFSPMNATIdentifies 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.PDNFSPMNCTIdentifies 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.PDNPPPELATIdentifies 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.PDNPPPELCTIdentifies 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.PDNPPPMNATIdentifies 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.PDNPPPMNCTIdentifies 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.PDNPSPELATIdentifies 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.PDNPSPELCTIdentifies 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.PDNPSPMNATIdentifies 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.PDNPSPMNCTIdentifies 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.PDPPPPELATIdentifies 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.PDPPPPELCTIdentifies 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.PDPPPPMNATIdentifies 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.PDPPPPMNCTIdentifies 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.PDPPSPELATIdentifies 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.PDPPSPELCTIdentifies 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.PDPPSPMNATIdentifies 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.PDPPSPMNCTIdentifies 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.PDSPolicy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default.PEALRTProposed therapy is outside of the standard practice for a pediatric patient.PEDProvision of diagnosis and treatment of diseases and disorders affecting children.PERFEEAnticipated or actual periodic fee associated with treating a patient.PERIODTransaction counts and value totals for the date range specified.PERMBNSThe 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.PERSISTLABELCustodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information.PHARPharmaceutical care performed by a pharmacist.PHYPolicy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive.PHYRHBProvision of treatment for physical injury.PIEPublic Insurance has been exhausted.PINVPayment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.PLACEDescription: An interaction where the exposure participants were both present in the same location/place/space.PLACTRNSCommunication 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.PLYDOCA similar or identical therapy was recently ordered by a different practitioner.PLYPHRMThis patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.PNCDefinition: 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.POINTA single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.POLYA 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.POSDefinition: A policy for a health plan that has features of both an HMO and a FFS plan.PPODefinition: A network-based, managed care plan that allows a covered party to choose any health care provider.PPRDAn amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advicePRAnullPRDINGA grouping of invoice element details including the one specifying the product (good or supply) being invoiced.PRDMXDefinition: 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.PREThe dilution of the specimen made prior to being loaded onto analytical equipmentPREFSTRENGTHAn observation about how important a preference is to the target of the preference.PREGProposed therapy may be inappropriate or contraindicated during pregnancyPRENCA patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number.PREVINEFDefinition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.PRIVMARKCustodian must create and/or maintain human readable security label tags as required by policy.PRLMNDescription:Indicates that a result is incomplete.PRNDefinition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.PROAProfessional association fee that is collected by the payor from the practitioner/provider on behalf of the associationPROBLISTList of problem observations.PROBLISTEA clinician enters a problem for a given patient.PROBLISTREVA person reviews a list of problems of a given patient.PROVTransaction counts and value totals by Provider Identifier.PRSPolicy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted.PRVTRNprivate transportPSEUDCustodian system must strip information of data that would allow the identification of the source of the information or the information subject.PSTTax levied by the provincial or state jurisdiction such as Provincial Sales TaxPSVCCATDefinition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).PSYPolicy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality.PSYCHProvision of treatment of psychiatric disorder relating to mental illness.PSYTHPNPolicy for handling psychotherapy note information, which is afforded heightened confidentiality.PTNTCAREDescription: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g.PUBLICPOLInsurance policy funded by a public health system such as a provincial or national health plan.PUBTRNpublic transportPYRDELAYAllows provider to explain lateness of invoice to a subsequent payor.RStatus is used by one system to inform another that the processing has been completed, but the container has not been released from that system.RACEPolicy for handling information related to an information subject's race, which will be afforded heightened confidentiality.RADREPEA radiologist enters a report for a given patient.RADREPREVA person reviews a radiology report of a given patient.RALGProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product.RARProposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.RATSuccinct statement of the need for the measure.RDA diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).REACTProposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed productRECAThe addition of calcium back to a specimen after it was removed by chelating agentsRECOVRetroactive adjustment such as fee rate adjustment due to contract negotiations.REDACTCustodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.REFIdentifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.REFLEXSpecifies whether or not further testing may be automatically or manually initiated on specimens.REFNRRules of practice do not require a physician's referral for the provider to perform a billable service.REFRAINPOLICYConveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.REIDefinition: An agreement between two or more insurance companies by which the risk of loss is proportioned.RELPolicy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality.REMLEDescription: A person enters a health care reminder for a given patient.REMLREVDescription: A person reviews a list of health care reminders for a given patient.RENTTemporary supply of a product with financial compensation, without transfer of ownership for the product.REPHALFLIFEDescription:This observation represents an 'average' or 'expected' half-life typical of the product.REPRANGEDescription:The number of repeating elements falls outside the range of the allowed number of repetitions.REPRESENTATIVEBEATThis Observation Series type contains waveforms of a "representative beat" (a.k.a.REPSERVThe same service was delivered within a time period that would usually indicate a duplicate billing.RERUNThe value of the dilution of a sample after it had been analyzed at a prior dilution valueRESCOMPTA security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.RESEARCHDefinition: Consent to have healthcare information in an electronic health record accessed for research purposes.RESTOCKA 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.RETIREDefinition: 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.RETROBonus payments based on performance, volume, etc.REVA type of transaction that represents a reversal of a previous charge for a service or product.RFA fill against an order that has already been filled (or partially filled) at least once.RFCA refill where the quantity supplied is equal to one full repetition of the ordered amount.RFCSA refill where the quantity supplied is equal to one full repetition of the ordered amount.RFFThe first fill against an order that has already been filled at least once at another facility.RFFSThe 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.RFPA refill where the quantity supplied is less than one full repetition of the ordered amount.RFPSA refill where the quantity supplied is less than one full repetition of the ordered amount.RFSA 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.RHYTHMThis Observation type contains ECG "rhythm" waveforms.RINTProposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product.RISKASSESSA person reviews a Risk Assessment Instrument report of a given patient.RISKLISTList of risk factor observations.RMGTCOMPTA security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.ROIFSA 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.ROIPSA 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.ROSTA billing arrangement where funding is based on a list of individuals registered as patients of the Provider.RREACTProposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.RSDIDDefinition: 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.RSREIDDefinition: 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.RXSome form of prescription is required before the related medicine can be supplied for a patient.RXCATDefinition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).RXCINVPharmacy dispense invoice for a compound.RXDINVPharmacy dispense invoice not involving a compoundSUniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.SADefinition:A drug that requires prior approval (to be reimbursed) before being dispensedSACDescription:A drug that requires special access permission to be prescribed and dispensed.SAFNETDefinition: Government administered and funded program to support provision of care to underserved populations through safety net clinics.SALETransfer of ownership for a product for financial compensation.SBBLELATIdentifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically.SBBLELCTIdentifies the total number of submitted Invoice Groupings within a time period and submitted electronically.SBFINVClinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.SBNFELATIdentifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically.SBNFELCTIdentifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically.SBPDELATIdentifies 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.SBPDELCTIdentifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically.SCAPolicy for handling sickle cell disease information, which is afforded heightened confidentiality.SCHA diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).SCHLDescription: The school the patient attended when immunized.SCHLDIVDescription: The school division or district associated with the patient during the immunization event.SCHOOLIncident or accident is the result of a school place accident.SCHOOL2Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).SDEComparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results.SDVPolicy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality.SECALTINTOBSType of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.SECCATOBSType of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECCLASSOBSType of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECCONOBSType of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECDATINTOBSType of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency.SECINTCONOBSType of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECINTOBSType of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECINTPRVABOBSType of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource.SECINTPRVOBSType of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure.SECINTPRVRBOBSType of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource.SECINTSTOBSType of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECOBSAn observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.SECTRSTOBSAn observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.SECURITYPOLICYTypes of security policies that further specify the ActClassPolicy value set.SENDAPPTransaction counts and value totals by each instance of a messaging application on a single processor.SESSA 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.SEVA subjective evaluation of the seriousness or intensity associated with another observation.SEXPolicy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality.SEXTRNSCommunication 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.SICKLETypes of sensitivity policies that apply to Acts.SOAn emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.SOCIALDefinition: A social service program funded by a public or governmental entity.SOCIAL2Description: An interaction where the exposure participants are social associates or members of the same extended familySPAccommodations in which there are 2 beds.SPENDThat 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.SPIPolicy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality.SPLCOATINGDefinition: 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.SPLCOLORDefinition: 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.SPLIMAGEDescription: 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.SPLIMPRINTDefinition: 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.SPLSCORINGDefinition: 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).SPLSHAPEDescription: 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.SPLSIZEDefinition: 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).SPLSYMBOLDefinition: 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.SPTIncident or accident is the result of a sporting accident.SRECDescription:Specimen has been received by the participating organization/department.SSAn encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.SSPPolicy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality.SSTORDescription:Specimen has been placed into storage at a participating location.STDPolicy for handling sexually transmitted disease information, which will be afforded heightened confidentiality.STOREThe act of putting something away for safe keeping.STRANDescription:Specimen has been put in transit to a participating receiver.STRATDescribes the strata for which the measure is to be evaluated.STRTLATEProposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the conditionSUBPOLDefinition: A health insurance policy that covers benefits for substance use services.SUBPRGDefinition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria.SUBSIDFFSDefinition: 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.SUBSIDIZDefinition: 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.SUBSIDMCDefinition: 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.SUBSTNCEDescription: An interaction where the exposure participants shared or co-used a common substance (e.g.SUBSUPPDefinition: 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.SUDPolicy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.SUPPLEMENTA diet that is not intended to be complete but is added to other diets.SUPPRESSEDDescription: One or more records in the query response have been suppressed due to consent or privacy restrictions.SURGProvision of surgical treatment.SURPLDefinition: A risk or part of a risk for which there is no normal insurance market available.TThis is not really a diet, since it contains little nutritional value, but is essentially just water.TBA fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.TBOOPolicy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case.TBSA 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.TEACHERDescription: The patient's teacher when immunized.TFA fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.TFSA 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.TIMEDescription:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.TIMEABSOLUTEA sequence of values in the "absolute" time domain.TIMERELATIVEA sequence of values in a "relative" time domain.TIMINGDefinition:The therapy is being performed at a time which diverges from the time the therapy was requestedTITLE38SECTION7332Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332.TLIFEDefinition: Life insurance under which the benefit is payable only if the insured dies during a specified period.TOOLATEThe patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructionsTOOSOONThe patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructionsTPRODProposed therapy may interact with an existing or recent therapeutic productTRANFees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g.TRANFCan be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.TRANSFERTransfer of ownership for a product.TRAVELA charge to cover the cost of travel time and/or cost in conjuction with providing a service or product.TRAVINTDescription: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g.TRNSFTRNSCommunication 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.TRSTACCRDType of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.TRSTACCRDOBSType of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.TRSTAGREType of security metadata about privacy and security requirements with which a security domain must comply.TRSTAGREOBSType of security metadata observation made about privacy and security requirements with which a security domain must comply.TRSTASSURType of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.TRSTCERTType of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability).TRSTCERTOBSType of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability).TRSTFWKType of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements.TRSTFWKOBSType of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements.TRSTLOAOBSType of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.TRSTMECType of security metadata about a security architecture system component that supports enforcement of security policies.TRSTMECOBSType of security metadata observation made about a security architecture system component that supports enforcement of security policies.UDA supply action that provides sufficient material for a single dose.UDEA supply action that provides sufficient material for a single dose via multiple products.UFILThe filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.ULIFEDefinition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness.UMBRLDefinition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached.UNINSMOTDefinition: 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.UNITPRICEMaximum unit price that will be covered for the authorized product or service.UNITQTYMaximum number of items that will be covered of the product or service specified.UNRELATThe service provided is not related to another billed service.UNSPSCDescription:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.orgUPCDescription: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.UPGRDLABELCustodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information.URGENTPremium paid on service fees in compensation for providing an expedited response to an urgent situation.USEUsage notes.VVisaVACPROBLEMIndicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.VALIDATDescription:The specified element did not pass business-rule validation.VECTRNSCommunication 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.VERBAUTHThe provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.VETDefinition: Services provided directly and through contracted and operated veteran health programs.VFPAPERDefinition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.VIOPolicy for handling information related to harm by violence, which is afforded heightened confidentiality.VISPOLDefinition: Set of codes for a policy that provides coverage for health care expenses arising from vision services.VLIDiet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."VOLUMEAn observation that reports the volume of a sample.VRA patient encounter where the patient and the practitioner(s) are not in the same physical location.VRXINVVision dispense invoice for up to 2 lens (left and right), frame and optional discount.WAccommodations in which there are 3 or more beds.WATTRNSCommunication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not.WCBPOLInsurance policy for injuries sustained in the work place or in the course of employment.WEEKTransaction counts and value totals for each calendar week within the date range specified.WELLREMLEDescription: A person enters a wellness or preventive care reminder for a given patient.WELLREMLREVDescription: A person reviews a list of wellness or preventive care reminders for a given patient.WGHTnullWIATTCHDescription: Work Injury related additional Information AttachmentWORK2Description: Exposure interaction occurred in a work setting, i.e.WPAIncident or accident is the result of a work place accidentWRKCOMPDefinition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment.XUsed 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).XRAYDescription: Digital X-Ray AttachmentYEARTransaction counts and value totals for each calendar year within the date range specified.
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Method Summary
All Methods Static Methods Instance Methods Concrete Methods Modifier and Type Method Description static V3ActCodefromCode(String codeString)StringgetDefinition()StringgetDisplay()StringgetSystem()StringtoCode()static V3ActCodevalueOf(String name)Returns the enum constant of this type with the specified name.static V3ActCode[]values()Returns an array containing the constants of this enum type, in the order they are declared.
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Enum Constant Detail
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_ACTACCOUNTCODE
public static final V3ActCode _ACTACCOUNTCODE
An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.
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ACCTRECEIVABLE
public static final V3ActCode ACCTRECEIVABLE
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.
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CC
public static final V3ActCode CC
Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.
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PBILLACCT
public static final V3ActCode PBILLACCT
An account representing charges and credits (financial transactions) for a patient's encounter.
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_ACTADJUDICATIONCODE
public static final V3ActCode _ACTADJUDICATIONCODE
Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
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_ACTADJUDICATIONGROUPCODE
public static final V3ActCode _ACTADJUDICATIONGROUPCODE
Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
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DAY
public static final V3ActCode DAY
Transaction counts and value totals for each calendar day within the date range specified.
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LOC
public static final V3ActCode LOC
Transaction counts and value totals by service location (e.g clinic).
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MONTH
public static final V3ActCode MONTH
Transaction counts and value totals for each calendar month within the date range specified.
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PERIOD
public static final V3ActCode PERIOD
Transaction counts and value totals for the date range specified.
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WEEK
public static final V3ActCode WEEK
Transaction counts and value totals for each calendar week within the date range specified.
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YEAR
public static final V3ActCode YEAR
Transaction counts and value totals for each calendar year within the date range specified.
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AA
public static final V3ActCode AA
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).
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ANF
public static final V3ActCode ANF
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).
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AR
public static final V3ActCode AR
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).
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AS
public static final V3ActCode AS
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).
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_ACTADJUDICATIONRESULTACTIONCODE
public static final V3ActCode _ACTADJUDICATIONRESULTACTIONCODE
Actions to be carried out by the recipient of the Adjudication Result information.
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DISPLAY
public static final V3ActCode DISPLAY
The adjudication result associated is to be displayed to the receiver of the adjudication result.
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FORM
public static final V3ActCode FORM
The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
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_ACTBILLABLEMODIFIERCODE
public static final V3ActCode _ACTBILLABLEMODIFIERCODE
Definition:An identifying modifier code for healthcare interventions or procedures.
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CPTM
public static final V3ActCode CPTM
Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
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HCPCSA
public static final V3ActCode HCPCSA
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.
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_ACTBILLINGARRANGEMENTCODE
public static final V3ActCode _ACTBILLINGARRANGEMENTCODE
The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
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BLK
public static final V3ActCode BLK
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.
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CAP
public static final V3ActCode CAP
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).
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CONTF
public static final V3ActCode CONTF
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.
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FINBILL
public static final V3ActCode FINBILL
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.
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ROST
public static final V3ActCode ROST
A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
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SESS
public static final V3ActCode SESS
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.
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FFS
public static final V3ActCode FFS
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.
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FFPS
public static final V3ActCode FFPS
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)
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FFCS
public static final V3ActCode FFCS
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).
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TFS
public static final V3ActCode TFS
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).
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_ACTBOUNDEDROICODE
public static final V3ActCode _ACTBOUNDEDROICODE
Type of bounded ROI.
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ROIFS
public static final V3ActCode ROIFS
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.
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ROIPS
public static final V3ActCode ROIPS
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.
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_ACTCAREPROVISIONCODE
public static final V3ActCode _ACTCAREPROVISIONCODE
Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
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_ACTCREDENTIALEDCARECODE
public static final V3ActCode _ACTCREDENTIALEDCARECODE
Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. Example:Hospital license; physician license; clinic accreditation.
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_ACTCREDENTIALEDCAREPROVISIONPERSONCODE
public static final V3ActCode _ACTCREDENTIALEDCAREPROVISIONPERSONCODE
Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
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CACC
public static final V3ActCode CACC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CAIC
public static final V3ActCode CAIC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CAMC
public static final V3ActCode CAMC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CANC
public static final V3ActCode CANC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CAPC
public static final V3ActCode CAPC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CBGC
public static final V3ActCode CBGC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CCCC
public static final V3ActCode CCCC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CCGC
public static final V3ActCode CCGC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CCPC
public static final V3ActCode CCPC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CCSC
public static final V3ActCode CCSC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CDEC
public static final V3ActCode CDEC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CDRC
public static final V3ActCode CDRC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CEMC
public static final V3ActCode CEMC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CFPC
public static final V3ActCode CFPC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CIMC
public static final V3ActCode CIMC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CMGC
public static final V3ActCode CMGC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CNEC
public static final V3ActCode CNEC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
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CNMC
public static final V3ActCode CNMC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CNQC
public static final V3ActCode CNQC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CNSC
public static final V3ActCode CNSC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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COGC
public static final V3ActCode COGC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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COMC
public static final V3ActCode COMC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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COPC
public static final V3ActCode COPC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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COSC
public static final V3ActCode COSC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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COTC
public static final V3ActCode COTC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CPEC
public static final V3ActCode CPEC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CPGC
public static final V3ActCode CPGC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CPHC
public static final V3ActCode CPHC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CPRC
public static final V3ActCode CPRC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CPSC
public static final V3ActCode CPSC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CPYC
public static final V3ActCode CPYC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CROC
public static final V3ActCode CROC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CRPC
public static final V3ActCode CRPC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CSUC
public static final V3ActCode CSUC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CTSC
public static final V3ActCode CTSC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CURC
public static final V3ActCode CURC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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CVSC
public static final V3ActCode CVSC
Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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LGPC
public static final V3ActCode LGPC
Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.
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_ACTCREDENTIALEDCAREPROVISIONPROGRAMCODE
public static final V3ActCode _ACTCREDENTIALEDCAREPROVISIONPROGRAMCODE
Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.
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AALC
public static final V3ActCode AALC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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AAMC
public static final V3ActCode AAMC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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ABHC
public static final V3ActCode ABHC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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ACAC
public static final V3ActCode ACAC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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ACHC
public static final V3ActCode ACHC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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AHOC
public static final V3ActCode AHOC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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ALTC
public static final V3ActCode ALTC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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AOSC
public static final V3ActCode AOSC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
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CACS
public static final V3ActCode CACS
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CAMI
public static final V3ActCode CAMI
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CAST
public static final V3ActCode CAST
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CBAR
public static final V3ActCode CBAR
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CCAD
public static final V3ActCode CCAD
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CCAR
public static final V3ActCode CCAR
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CDEP
public static final V3ActCode CDEP
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CDGD
public static final V3ActCode CDGD
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CDIA
public static final V3ActCode CDIA
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CEPI
public static final V3ActCode CEPI
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CFEL
public static final V3ActCode CFEL
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CHFC
public static final V3ActCode CHFC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CHRO
public static final V3ActCode CHRO
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CHYP
public static final V3ActCode CHYP
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CMSC
public static final V3ActCode CMSC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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COJR
public static final V3ActCode COJR
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CONC
public static final V3ActCode CONC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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COPD
public static final V3ActCode COPD
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CORT
public static final V3ActCode CORT
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CPAD
public static final V3ActCode CPAD
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CPND
public static final V3ActCode CPND
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CPST
public static final V3ActCode CPST
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CSDM
public static final V3ActCode CSDM
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CSIC
public static final V3ActCode CSIC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CSLD
public static final V3ActCode CSLD
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CSPT
public static final V3ActCode CSPT
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CTBU
public static final V3ActCode CTBU
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CVDC
public static final V3ActCode CVDC
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CWMA
public static final V3ActCode CWMA
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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CWOH
public static final V3ActCode CWOH
Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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_ACTENCOUNTERCODE
public static final V3ActCode _ACTENCOUNTERCODE
Domain provides codes that qualify the ActEncounterClass (ENC)
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AMB
public static final V3ActCode AMB
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.
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EMER
public static final V3ActCode EMER
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.)
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FLD
public static final V3ActCode FLD
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.
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HH
public static final V3ActCode HH
Healthcare encounter that takes place in the residence of the patient or a designee
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IMP
public static final V3ActCode IMP
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.
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OBSENC
public static final V3ActCode OBSENC
An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.
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PRENC
public static final V3ActCode PRENC
A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.
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SS
public static final V3ActCode SS
An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
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VR
public static final V3ActCode VR
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.
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_ACTMEDICALSERVICECODE
public static final V3ActCode _ACTMEDICALSERVICECODE
General category of medical service provided to the patient during their encounter.
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ALC
public static final V3ActCode ALC
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.
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CARD
public static final V3ActCode CARD
Provision of diagnosis and treatment of diseases and disorders affecting the heart
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DNTL
public static final V3ActCode DNTL
Provision of treatment for oral health and/or dental surgery.
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GENRL
public static final V3ActCode GENRL
General care performed by a general practitioner or family doctor as a responsible provider for a patient.
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OBS
public static final V3ActCode OBS
Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.
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ONC
public static final V3ActCode ONC
Provision of treatment and/or diagnosis related to tumors and/or cancer.
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PALL
public static final V3ActCode PALL
Provision of care for patients who are living or dying from an advanced illness.
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PED
public static final V3ActCode PED
Provision of diagnosis and treatment of diseases and disorders affecting children.
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PSYCH
public static final V3ActCode PSYCH
Provision of treatment of psychiatric disorder relating to mental illness.
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_ACTCLAIMATTACHMENTCATEGORYCODE
public static final V3ActCode _ACTCLAIMATTACHMENTCATEGORYCODE
Description: Coded types of attachments included to support a healthcare claim.
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LABRESULTS
public static final V3ActCode LABRESULTS
Description: Lab Results Attachment
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WIATTCH
public static final V3ActCode WIATTCH
Description: Work Injury related additional Information Attachment
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_ACTCONSENTTYPE
public static final V3ActCode _ACTCONSENTTYPE
Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
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ICOL
public static final V3ActCode ICOL
Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.
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IDSCL
public static final V3ActCode IDSCL
Definition: Consent to have collected healthcare information disclosed.
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INFAO
public static final V3ActCode INFAO
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.
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INFASO
public static final V3ActCode INFASO
Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
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IRDSCL
public static final V3ActCode IRDSCL
Definition: Information re-disclosed without the patient's consent.
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RESEARCH
public static final V3ActCode RESEARCH
Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
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RSDID
public static final V3ActCode RSDID
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.
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RSREID
public static final V3ActCode RSREID
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.
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_ACTCONTAINERREGISTRATIONCODE
public static final V3ActCode _ACTCONTAINERREGISTRATIONCODE
Constrains the ActCode to the domain of Container Registration
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ID
public static final V3ActCode ID
Used by one system to inform another that it has received a container.
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IP
public static final V3ActCode IP
Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
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L
public static final V3ActCode L
Used by one system to inform another that the container has been released from that system.
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M
public static final V3ActCode M
Used by one system to inform another that the container did not arrive at its next expected location.
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O
public static final V3ActCode O
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.
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R
public static final V3ActCode R
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.
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X
public static final V3ActCode X
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).
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_ACTCONTROLVARIABLE
public static final V3ActCode _ACTCONTROLVARIABLE
An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).
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AUTO
public static final V3ActCode AUTO
Specifies whether or not automatic repeat testing is to be initiated on specimens.
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ENDC
public static final V3ActCode ENDC
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.
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REFLEX
public static final V3ActCode REFLEX
Specifies whether or not further testing may be automatically or manually initiated on specimens.
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_ACTCOVERAGECONFIRMATIONCODE
public static final V3ActCode _ACTCOVERAGECONFIRMATIONCODE
Response to an insurance coverage eligibility query or authorization request.
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_ACTCOVERAGEAUTHORIZATIONCONFIRMATIONCODE
public static final V3ActCode _ACTCOVERAGEAUTHORIZATIONCONFIRMATIONCODE
Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
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AUTH
public static final V3ActCode AUTH
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.
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NAUTH
public static final V3ActCode NAUTH
Authorization for specified healthcare service(s) and/or product(s) denied.
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_ACTCOVERAGEELIGIBILITYCONFIRMATIONCODE
public static final V3ActCode _ACTCOVERAGEELIGIBILITYCONFIRMATIONCODE
Indication of eligibility coverage for healthcare service(s) and/or product(s).
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ELG
public static final V3ActCode ELG
Insurance coverage is in effect for healthcare service(s) and/or product(s).
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NELG
public static final V3ActCode NELG
Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
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_ACTCOVERAGELIMITCODE
public static final V3ActCode _ACTCOVERAGELIMITCODE
Criteria that are applicable to the authorized coverage.
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_ACTCOVERAGEQUANTITYLIMITCODE
public static final V3ActCode _ACTCOVERAGEQUANTITYLIMITCODE
Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
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COVPRD
public static final V3ActCode COVPRD
Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
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LFEMX
public static final V3ActCode LFEMX
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.
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NETAMT
public static final V3ActCode NETAMT
Maximum net amount that will be covered for the product or service specified.
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PRDMX
public static final V3ActCode PRDMX
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.
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UNITPRICE
public static final V3ActCode UNITPRICE
Maximum unit price that will be covered for the authorized product or service.
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UNITQTY
public static final V3ActCode UNITQTY
Maximum number of items that will be covered of the product or service specified.
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COVMX
public static final V3ActCode COVMX
Definition: Codes representing the maximum coverate or financial participation requirements.
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_ACTCOVEREDPARTYLIMITCODE
public static final V3ActCode _ACTCOVEREDPARTYLIMITCODE
Codes representing the types of covered parties that may receive covered benefits under a policy or program.
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_ACTCOVERAGETYPECODE
public static final V3ActCode _ACTCOVERAGETYPECODE
Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
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_ACTINSURANCEPOLICYCODE
public static final V3ActCode _ACTINSURANCEPOLICYCODE
Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
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EHCPOL
public static final V3ActCode EHCPOL
Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
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HSAPOL
public static final V3ActCode HSAPOL
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.
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AUTOPOL
public static final V3ActCode AUTOPOL
Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
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COL
public static final V3ActCode COL
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.
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UNINSMOT
public static final V3ActCode UNINSMOT
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.
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PUBLICPOL
public static final V3ActCode PUBLICPOL
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).
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DENTPRG
public static final V3ActCode DENTPRG
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.
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DISEASEPRG
public static final V3ActCode DISEASEPRG
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.
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CANPRG
public static final V3ActCode CANPRG
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.
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ENDRENAL
public static final V3ActCode ENDRENAL
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.
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HIVAIDS
public static final V3ActCode HIVAIDS
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.
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MENTPRG
public static final V3ActCode MENTPRG
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).
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SAFNET
public static final V3ActCode SAFNET
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.
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SUBPRG
public static final V3ActCode SUBPRG
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).
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SUBSIDIZ
public static final V3ActCode SUBSIDIZ
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.
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SUBSIDMC
public static final V3ActCode SUBSIDMC
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.
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SUBSUPP
public static final V3ActCode SUBSUPP
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.
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WCBPOL
public static final V3ActCode WCBPOL
Insurance policy for injuries sustained in the work place or in the course of employment.
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_ACTINSURANCETYPECODE
public static final V3ActCode _ACTINSURANCETYPECODE
Definition: Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. Discussion: In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.
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_ACTHEALTHINSURANCETYPECODE
public static final V3ActCode _ACTHEALTHINSURANCETYPECODE
Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).
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DENTAL
public static final V3ActCode DENTAL
Definition: A health insurance policy that that covers benefits for dental services.
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DISEASE
public static final V3ActCode DISEASE
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.
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DRUGPOL
public static final V3ActCode DRUGPOL
Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
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HIP
public static final V3ActCode HIP
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.
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LTC
public static final V3ActCode LTC
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
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MCPOL
public static final V3ActCode MCPOL
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.
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POS
public static final V3ActCode POS
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.
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HMO
public static final V3ActCode HMO
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.
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PPO
public static final V3ActCode PPO
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.
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MENTPOL
public static final V3ActCode MENTPOL
Definition: A health insurance policy that covers benefits for mental health services and prescriptions.
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SUBPOL
public static final V3ActCode SUBPOL
Definition: A health insurance policy that covers benefits for substance use services.
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VISPOL
public static final V3ActCode VISPOL
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.
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DIS
public static final V3ActCode DIS
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.
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EWB
public static final V3ActCode EWB
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.
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FLEXP
public static final V3ActCode FLEXP
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.
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LIFE
public static final V3ActCode LIFE
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).
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ANNU
public static final V3ActCode ANNU
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.
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TLIFE
public static final V3ActCode TLIFE
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.
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ULIFE
public static final V3ActCode ULIFE
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
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PNC
public static final V3ActCode PNC
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.
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REI
public static final V3ActCode REI
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.
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SURPL
public static final V3ActCode SURPL
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.
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UMBRL
public static final V3ActCode UMBRL
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.
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_ACTPROGRAMTYPECODE
public static final V3ActCode _ACTPROGRAMTYPECODE
Definition: A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. Discussion: Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.
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CHAR
public static final V3ActCode CHAR
Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.
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CRIME
public static final V3ActCode CRIME
Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.
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EAP
public static final V3ActCode EAP
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.
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GOVEMP
public static final V3ActCode GOVEMP
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.
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HIRISK
public static final V3ActCode HIRISK
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.
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IND
public static final V3ActCode IND
Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S.
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MILITARY
public static final V3ActCode MILITARY
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.
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RETIRE
public static final V3ActCode RETIRE
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.
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SOCIAL
public static final V3ActCode SOCIAL
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.
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VET
public static final V3ActCode VET
Definition: Services provided directly and through contracted and operated veteran health programs.
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_ACTDETECTEDISSUEMANAGEMENTCODE
public static final V3ActCode _ACTDETECTEDISSUEMANAGEMENTCODE
Codes dealing with the management of Detected Issue observations
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_ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODE
public static final V3ActCode _ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODE
Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
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_AUTHORIZATIONISSUEMANAGEMENTCODE
public static final V3ActCode _AUTHORIZATIONISSUEMANAGEMENTCODE
Authorization Issue Management Code
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EMAUTH
public static final V3ActCode EMAUTH
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.
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_21
public static final V3ActCode _21
Description: Indicates that the permissions have been externally verified and the request should be processed.
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_22
public static final V3ActCode _22
Description: The patient has the appropriate indication or diagnosis for the action to be taken.
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_23
public static final V3ActCode _23
Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
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_6
public static final V3ActCode _6
Consulted prescriber and recommended change, prescriber declined
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_7
public static final V3ActCode _7
Concurrent therapy triggering alert is no longer on-going or planned
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_18
public static final V3ActCode _18
Supply is intended for use during a leave of absence from an institution.
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_20
public static final V3ActCode _20
Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
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_8
public static final V3ActCode _8
Order is performed as issued, but other action taken to mitigate potential adverse effects
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_10
public static final V3ActCode _10
Provided education or training to the patient on appropriate therapy use
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_11
public static final V3ActCode _11
Instituted an additional therapy to mitigate potential negative effects
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_12
public static final V3ActCode _12
Suspended existing therapy that triggered interaction for the duration of this therapy
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_ACTEXPOSURECODE
public static final V3ActCode _ACTEXPOSURECODE
Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.
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CHLDCARE
public static final V3ActCode CHLDCARE
Description: Exposure participants' interaction occurred in a child care setting
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CONVEYNC
public static final V3ActCode CONVEYNC
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).
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HLTHCARE
public static final V3ActCode HLTHCARE
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).
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HOMECARE
public static final V3ActCode HOMECARE
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.
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HOSPPTNT
public static final V3ActCode HOSPPTNT
Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
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HOSPVSTR
public static final V3ActCode HOSPVSTR
Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
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HOUSEHLD
public static final V3ActCode HOUSEHLD
Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.
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INMATE
public static final V3ActCode INMATE
Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
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INTIMATE
public static final V3ActCode INTIMATE
Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).
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LTRMCARE
public static final V3ActCode LTRMCARE
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).
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PLACE
public static final V3ActCode PLACE
Description: An interaction where the exposure participants were both present in the same location/place/space.
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PTNTCARE
public static final V3ActCode PTNTCARE
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).
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SCHOOL2
public static final V3ActCode SCHOOL2
Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
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SOCIAL2
public static final V3ActCode SOCIAL2
Description: An interaction where the exposure participants are social associates or members of the same extended family
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SUBSTNCE
public static final V3ActCode SUBSTNCE
Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).
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TRAVINT
public static final V3ActCode TRAVINT
Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).
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WORK2
public static final V3ActCode WORK2
Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.
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_ACTFINANCIALTRANSACTIONCODE
public static final V3ActCode _ACTFINANCIALTRANSACTIONCODE
ActFinancialTransactionCode
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CHRG
public static final V3ActCode CHRG
A type of transaction that represents a charge for a service or product. Expressed in monetary terms.
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REV
public static final V3ActCode REV
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.
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_ACTINCIDENTCODE
public static final V3ActCode _ACTINCIDENTCODE
Set of codes indicating the type of incident or accident.
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MVA
public static final V3ActCode MVA
Incident or accident as the result of a motor vehicle accident
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SCHOOL
public static final V3ActCode SCHOOL
Incident or accident is the result of a school place accident.
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_ACTINFORMATIONACCESSCODE
public static final V3ActCode _ACTINFORMATIONACCESSCODE
Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.
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ACADR
public static final V3ActCode ACADR
Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.
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ACALL
public static final V3ActCode ACALL
Description: Provide consent to collect, use, disclose, or access all information for a patient.
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ACALLG
public static final V3ActCode ACALLG
Description: Provide consent to collect, use, disclose, or access allergy information for a patient.
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ACCONS
public static final V3ActCode ACCONS
Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.
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ACDEMO
public static final V3ActCode ACDEMO
Description: Provide consent to collect, use, disclose, or access demographics information for a patient.
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ACDI
public static final V3ActCode ACDI
Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.
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ACIMMUN
public static final V3ActCode ACIMMUN
Description: Provide consent to collect, use, disclose, or access immunization information for a patient.
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ACLAB
public static final V3ActCode ACLAB
Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.
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ACMED
public static final V3ActCode ACMED
Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.
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ACMEDC
public static final V3ActCode ACMEDC
Definition: Provide consent to view or access medical condition information for a patient.
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ACMEN
public static final V3ActCode ACMEN
Description:Provide consent to collect, use, disclose, or access mental health information for a patient.
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ACOBS
public static final V3ActCode ACOBS
Description: Provide consent to collect, use, disclose, or access common observation information for a patient.
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ACPOLPRG
public static final V3ActCode ACPOLPRG
Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.
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ACPROV
public static final V3ActCode ACPROV
Description: Provide consent to collect, use, disclose, or access provider information for a patient.
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ACPSERV
public static final V3ActCode ACPSERV
Description: Provide consent to collect, use, disclose, or access professional service information for a patient.
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ACSUBSTAB
public static final V3ActCode ACSUBSTAB
Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.
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_ACTINFORMATIONACCESSCONTEXTCODE
public static final V3ActCode _ACTINFORMATIONACCESSCONTEXTCODE
Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.
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INFAUT
public static final V3ActCode INFAUT
Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.
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INFCON
public static final V3ActCode INFCON
Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.
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INFCRT
public static final V3ActCode INFCRT
Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.
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INFDNG
public static final V3ActCode INFDNG
Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.
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INFEMER
public static final V3ActCode INFEMER
Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.
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INFPWR
public static final V3ActCode INFPWR
Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.
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INFREG
public static final V3ActCode INFREG
Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.
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_ACTINFORMATIONCATEGORYCODE
public static final V3ActCode _ACTINFORMATIONCATEGORYCODE
Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
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ALLGCAT
public static final V3ActCode ALLGCAT
Definition:All information pertaining to a patient's allergy and intolerance records.
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ARCAT
public static final V3ActCode ARCAT
Description: All information pertaining to a patient's adverse drug reactions.
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COBSCAT
public static final V3ActCode COBSCAT
Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
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DEMOCAT
public static final V3ActCode DEMOCAT
Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
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DICAT
public static final V3ActCode DICAT
Definition:All information pertaining to a patient's diagnostic image records (orders & results).
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IMMUCAT
public static final V3ActCode IMMUCAT
Definition:All information pertaining to a patient's vaccination records.
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LABCAT
public static final V3ActCode LABCAT
Description: All information pertaining to a patient's lab test records (orders & results)
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MEDCCAT
public static final V3ActCode MEDCCAT
Definition:All information pertaining to a patient's medical condition records.
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MENCAT
public static final V3ActCode MENCAT
Description: All information pertaining to a patient's mental health records.
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PSVCCAT
public static final V3ActCode PSVCCAT
Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
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RXCAT
public static final V3ActCode RXCAT
Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
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_ACTINVOICEELEMENTCODE
public static final V3ActCode _ACTINVOICEELEMENTCODE
Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
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_ACTINVOICEADJUDICATIONPAYMENTCODE
public static final V3ActCode _ACTINVOICEADJUDICATIONPAYMENTCODE
Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
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_ACTINVOICEADJUDICATIONPAYMENTGROUPCODE
public static final V3ActCode _ACTINVOICEADJUDICATIONPAYMENTGROUPCODE
Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
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ALEC
public static final V3ActCode ALEC
Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).
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BONUS
public static final V3ActCode BONUS
Bonus payments based on performance, volume, etc. as agreed to by the payor.
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CFWD
public static final V3ActCode CFWD
An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
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EDU
public static final V3ActCode EDU
Fees deducted on behalf of a payee for tuition and continuing education.
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EPYMT
public static final V3ActCode EPYMT
Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
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GARN
public static final V3ActCode GARN
Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
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INVOICE
public static final V3ActCode INVOICE
Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
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PINV
public static final V3ActCode PINV
Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
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PPRD
public static final V3ActCode PPRD
An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
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PROA
public static final V3ActCode PROA
Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
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RECOV
public static final V3ActCode RECOV
Retroactive adjustment such as fee rate adjustment due to contract negotiations.
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RETRO
public static final V3ActCode RETRO
Bonus payments based on performance, volume, etc. as agreed to by the payor.
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TRAN
public static final V3ActCode TRAN
Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
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_ACTINVOICEADJUDICATIONPAYMENTSUMMARYCODE
public static final V3ActCode _ACTINVOICEADJUDICATIONPAYMENTSUMMARYCODE
Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
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INVTYPE
public static final V3ActCode INVTYPE
Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
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PAYEE
public static final V3ActCode PAYEE
Transaction counts and value totals by each instance of an invoice payee.
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PAYOR
public static final V3ActCode PAYOR
Transaction counts and value totals by each instance of an invoice payor.
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SENDAPP
public static final V3ActCode SENDAPP
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.
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_ACTINVOICEDETAILCODE
public static final V3ActCode _ACTINVOICEDETAILCODE
Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
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_ACTINVOICEDETAILCLINICALPRODUCTCODE
public static final V3ActCode _ACTINVOICEDETAILCLINICALPRODUCTCODE
An identifying data string for healthcare products.
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UNSPSC
public static final V3ActCode UNSPSC
Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
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_ACTINVOICEDETAILDRUGPRODUCTCODE
public static final V3ActCode _ACTINVOICEDETAILDRUGPRODUCTCODE
An identifying data string for A substance used as a medication or in the preparation of medication.
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GTIN
public static final V3ActCode GTIN
Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
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UPC
public static final V3ActCode UPC
Description:Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.
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_ACTINVOICEDETAILGENERICCODE
public static final V3ActCode _ACTINVOICEDETAILGENERICCODE
The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
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_ACTINVOICEDETAILGENERICADJUDICATORCODE
public static final V3ActCode _ACTINVOICEDETAILGENERICADJUDICATORCODE
The billable item codes to identify adjudicator specified components to the total billing of a claim.
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COIN
public static final V3ActCode COIN
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.
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COPAYMENT
public static final V3ActCode COPAYMENT
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.
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DEDUCTIBLE
public static final V3ActCode DEDUCTIBLE
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.
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PAY
public static final V3ActCode PAY
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.
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SPEND
public static final V3ActCode SPEND
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
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COINS
public static final V3ActCode COINS
The covered party pays a percentage of the cost of covered services.
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_ACTINVOICEDETAILGENERICMODIFIERCODE
public static final V3ActCode _ACTINVOICEDETAILGENERICMODIFIERCODE
The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
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AFTHRS
public static final V3ActCode AFTHRS
Premium paid on service fees in compensation for practicing outside of normal working hours.
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ISOL
public static final V3ActCode ISOL
Premium paid on service fees in compensation for practicing in a remote location.
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OOO
public static final V3ActCode OOO
Premium paid on service fees in compensation for practicing at a location other than normal working location.
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_ACTINVOICEDETAILGENERICPROVIDERCODE
public static final V3ActCode _ACTINVOICEDETAILGENERICPROVIDERCODE
The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
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CANCAPT
public static final V3ActCode CANCAPT
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.
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DSC
public static final V3ActCode DSC
A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
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ESA
public static final V3ActCode ESA
A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
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FFSTOP
public static final V3ActCode FFSTOP
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.
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FNLFEE
public static final V3ActCode FNLFEE
Anticipated or actual final fee associated with treating a patient.
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FRSTFEE
public static final V3ActCode FRSTFEE
Anticipated or actual initial fee associated with treating a patient.
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MARKUP
public static final V3ActCode MARKUP
An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.
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MISSAPT
public static final V3ActCode MISSAPT
A charge to compensate the provider when a patient does not show for an appointment.
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PERFEE
public static final V3ActCode PERFEE
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.
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PERMBNS
public static final V3ActCode PERMBNS
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.
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RESTOCK
public static final V3ActCode RESTOCK
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.
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TRAVEL
public static final V3ActCode TRAVEL
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.
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URGENT
public static final V3ActCode URGENT
Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
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_ACTINVOICEDETAILTAXCODE
public static final V3ActCode _ACTINVOICEDETAILTAXCODE
The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
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FST
public static final V3ActCode FST
Federal tax on transactions such as the Goods and Services Tax (GST)
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PST
public static final V3ActCode PST
Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
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_ACTINVOICEDETAILPREFERREDACCOMMODATIONCODE
public static final V3ActCode _ACTINVOICEDETAILPREFERREDACCOMMODATIONCODE
An identifying data string for medical facility accommodations.
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_ACTENCOUNTERACCOMMODATIONCODE
public static final V3ActCode _ACTENCOUNTERACCOMMODATIONCODE
Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
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_HL7ACCOMMODATIONCODE
public static final V3ActCode _HL7ACCOMMODATIONCODE
Description:Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
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I
public static final V3ActCode I
Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
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S
public static final V3ActCode S
Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
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_ACTINVOICEDETAILCLINICALSERVICECODE
public static final V3ActCode _ACTINVOICEDETAILCLINICALSERVICECODE
An identifying data string for healthcare procedures.
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_ACTINVOICEGROUPCODE
public static final V3ActCode _ACTINVOICEGROUPCODE
Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
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_ACTINVOICEINTERGROUPCODE
public static final V3ActCode _ACTINVOICEINTERGROUPCODE
Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.
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CPNDDRGING
public static final V3ActCode CPNDDRGING
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.
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CPNDINDING
public static final V3ActCode CPNDINDING
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.
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CPNDSUPING
public static final V3ActCode CPNDSUPING
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.
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DRUGING
public static final V3ActCode DRUGING
A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
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FRAMEING
public static final V3ActCode FRAMEING
A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
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LENSING
public static final V3ActCode LENSING
A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
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PRDING
public static final V3ActCode PRDING
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.
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_ACTINVOICEROOTGROUPCODE
public static final V3ActCode _ACTINVOICEROOTGROUPCODE
Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.
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CPINV
public static final V3ActCode CPINV
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.
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CSINV
public static final V3ActCode CSINV
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).
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CSPINV
public static final V3ActCode CSPINV
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).
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FININV
public static final V3ActCode FININV
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.
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OHSINV
public static final V3ActCode OHSINV
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.
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SBFINV
public static final V3ActCode SBFINV
Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
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VRXINV
public static final V3ActCode VRXINV
Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.
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_ACTINVOICEELEMENTSUMMARYCODE
public static final V3ActCode _ACTINVOICEELEMENTSUMMARYCODE
Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.
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_INVOICEELEMENTADJUDICATED
public static final V3ActCode _INVOICEELEMENTADJUDICATED
Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
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ADNFPPELAT
public static final V3ActCode ADNFPPELAT
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.
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ADNFPPELCT
public static final V3ActCode ADNFPPELCT
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.
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ADNFPPMNAT
public static final V3ActCode ADNFPPMNAT
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.
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ADNFPPMNCT
public static final V3ActCode ADNFPPMNCT
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.
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ADNFSPELAT
public static final V3ActCode ADNFSPELAT
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.
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ADNFSPELCT
public static final V3ActCode ADNFSPELCT
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.
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ADNFSPMNAT
public static final V3ActCode ADNFSPMNAT
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.
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ADNFSPMNCT
public static final V3ActCode ADNFSPMNCT
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.
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ADNPPPELAT
public static final V3ActCode ADNPPPELAT
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.
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ADNPPPELCT
public static final V3ActCode ADNPPPELCT
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.
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ADNPPPMNAT
public static final V3ActCode ADNPPPMNAT
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.
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ADNPPPMNCT
public static final V3ActCode ADNPPPMNCT
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.
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ADNPSPELAT
public static final V3ActCode ADNPSPELAT
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.
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ADNPSPELCT
public static final V3ActCode ADNPSPELCT
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.
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ADNPSPMNAT
public static final V3ActCode ADNPSPMNAT
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.
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ADNPSPMNCT
public static final V3ActCode ADNPSPMNCT
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.
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ADPPPPELAT
public static final V3ActCode ADPPPPELAT
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.
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ADPPPPELCT
public static final V3ActCode ADPPPPELCT
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.
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ADPPPPMNAT
public static final V3ActCode ADPPPPMNAT
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.
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ADPPPPMNCT
public static final V3ActCode ADPPPPMNCT
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.
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ADPPSPELAT
public static final V3ActCode ADPPSPELAT
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.
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ADPPSPELCT
public static final V3ActCode ADPPSPELCT
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.
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ADPPSPMNAT
public static final V3ActCode ADPPSPMNAT
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.
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ADPPSPMNCT
public static final V3ActCode ADPPSPMNCT
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.
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ADRFPPELAT
public static final V3ActCode ADRFPPELAT
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.
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ADRFPPELCT
public static final V3ActCode ADRFPPELCT
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.
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ADRFPPMNAT
public static final V3ActCode ADRFPPMNAT
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.
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ADRFPPMNCT
public static final V3ActCode ADRFPPMNCT
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.
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ADRFSPELAT
public static final V3ActCode ADRFSPELAT
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.
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ADRFSPELCT
public static final V3ActCode ADRFSPELCT
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.
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ADRFSPMNAT
public static final V3ActCode ADRFSPMNAT
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.
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ADRFSPMNCT
public static final V3ActCode ADRFSPMNCT
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.
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_INVOICEELEMENTPAID
public static final V3ActCode _INVOICEELEMENTPAID
Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
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PDNFPPELAT
public static final V3ActCode PDNFPPELAT
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.
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PDNFPPELCT
public static final V3ActCode PDNFPPELCT
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.
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PDNFPPMNAT
public static final V3ActCode PDNFPPMNAT
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.
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PDNFPPMNCT
public static final V3ActCode PDNFPPMNCT
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.
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PDNFSPELAT
public static final V3ActCode PDNFSPELAT
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.
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PDNFSPELCT
public static final V3ActCode PDNFSPELCT
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.
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PDNFSPMNAT
public static final V3ActCode PDNFSPMNAT
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.
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PDNFSPMNCT
public static final V3ActCode PDNFSPMNCT
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.
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PDNPPPELAT
public static final V3ActCode PDNPPPELAT
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.
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PDNPPPELCT
public static final V3ActCode PDNPPPELCT
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.
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PDNPPPMNAT
public static final V3ActCode PDNPPPMNAT
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.
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PDNPPPMNCT
public static final V3ActCode PDNPPPMNCT
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.
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PDNPSPELAT
public static final V3ActCode PDNPSPELAT
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.
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PDNPSPELCT
public static final V3ActCode PDNPSPELCT
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.
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PDNPSPMNAT
public static final V3ActCode PDNPSPMNAT
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.
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PDNPSPMNCT
public static final V3ActCode PDNPSPMNCT
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.
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PDPPPPELAT
public static final V3ActCode PDPPPPELAT
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.
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PDPPPPELCT
public static final V3ActCode PDPPPPELCT
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.
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PDPPPPMNAT
public static final V3ActCode PDPPPPMNAT
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.
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PDPPPPMNCT
public static final V3ActCode PDPPPPMNCT
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.
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PDPPSPELAT
public static final V3ActCode PDPPSPELAT
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.
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PDPPSPELCT
public static final V3ActCode PDPPSPELCT
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.
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PDPPSPMNAT
public static final V3ActCode PDPPSPMNAT
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.
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PDPPSPMNCT
public static final V3ActCode PDPPSPMNCT
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.
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_INVOICEELEMENTSUBMITTED
public static final V3ActCode _INVOICEELEMENTSUBMITTED
Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
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SBBLELAT
public static final V3ActCode SBBLELAT
Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
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SBBLELCT
public static final V3ActCode SBBLELCT
Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
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SBNFELAT
public static final V3ActCode SBNFELAT
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.
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SBNFELCT
public static final V3ActCode SBNFELCT
Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
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SBPDELAT
public static final V3ActCode SBPDELAT
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.
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SBPDELCT
public static final V3ActCode SBPDELCT
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.
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_ACTINVOICEOVERRIDECODE
public static final V3ActCode _ACTINVOICEOVERRIDECODE
Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
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COVGE
public static final V3ActCode COVGE
Insurance coverage problems have been encountered. Additional explanation information to be supplied.
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EFORM
public static final V3ActCode EFORM
Electronic form with supporting or additional information to follow.
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GFTH
public static final V3ActCode GFTH
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.
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LATE
public static final V3ActCode LATE
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.
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MANUAL
public static final V3ActCode MANUAL
Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.
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OOJ
public static final V3ActCode OOJ
The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
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ORTHO
public static final V3ActCode ORTHO
The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.
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PAPER
public static final V3ActCode PAPER
Paper documentation (or other physical format) with supporting or additional information to follow.
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PIE
public static final V3ActCode PIE
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.
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PYRDELAY
public static final V3ActCode PYRDELAY
Allows provider to explain lateness of invoice to a subsequent payor.
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REFNR
public static final V3ActCode REFNR
Rules of practice do not require a physician's referral for the provider to perform a billable service.
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REPSERV
public static final V3ActCode REPSERV
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.
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UNRELAT
public static final V3ActCode UNRELAT
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.
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VERBAUTH
public static final V3ActCode VERBAUTH
The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
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_ACTLISTCODE
public static final V3ActCode _ACTLISTCODE
Provides codes associated with ActClass value of LIST (working list)
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_ACTOBSERVATIONLIST
public static final V3ActCode _ACTOBSERVATIONLIST
ActObservationList
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CARELIST
public static final V3ActCode CARELIST
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.
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_ACTTHERAPYDURATIONWORKINGLISTCODE
public static final V3ActCode _ACTTHERAPYDURATIONWORKINGLISTCODE
Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
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_ACTMEDICATIONTHERAPYDURATIONWORKINGLISTCODE
public static final V3ActCode _ACTMEDICATIONTHERAPYDURATIONWORKINGLISTCODE
Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists. Examples:"Continuous/Chronic" "Short-Term" and "As Needed"
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ACU
public static final V3ActCode ACU
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.
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CHRON
public static final V3ActCode CHRON
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.
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ONET
public static final V3ActCode ONET
Definition:A list of medications which the patient is intended to be administered only once.
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PRN
public static final V3ActCode PRN
Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.
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CURMEDLIST
public static final V3ActCode CURMEDLIST
List of current medications.
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DISCMEDLIST
public static final V3ActCode DISCMEDLIST
List of discharge medications.
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HISTMEDLIST
public static final V3ActCode HISTMEDLIST
Historical list of medications.
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_ACTMONITORINGPROTOCOLCODE
public static final V3ActCode _ACTMONITORINGPROTOCOLCODE
Identifies types of monitoring programs
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CTLSUB
public static final V3ActCode CTLSUB
A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
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INV
public static final V3ActCode INV
Definition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated
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LU
public static final V3ActCode LU
Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
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OTC
public static final V3ActCode OTC
Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.
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RX
public static final V3ActCode RX
Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.
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SA
public static final V3ActCode SA
Definition:A drug that requires prior approval (to be reimbursed) before being dispensed
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SAC
public static final V3ActCode SAC
Description:A drug that requires special access permission to be prescribed and dispensed.
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_ACTNONOBSERVATIONINDICATIONCODE
public static final V3ActCode _ACTNONOBSERVATIONINDICATIONCODE
Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
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IND02
public static final V3ActCode IND02
Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
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IND03
public static final V3ActCode IND03
Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
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IND04
public static final V3ActCode IND04
Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
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IND05
public static final V3ActCode IND05
Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.
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_ACTOBSERVATIONVERIFICATIONTYPE
public static final V3ActCode _ACTOBSERVATIONVERIFICATIONTYPE
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)
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VFPAPER
public static final V3ActCode VFPAPER
Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.
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_ACTPAYMENTCODE
public static final V3ActCode _ACTPAYMENTCODE
Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
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CHK
public static final V3ActCode CHK
A written order to a bank to pay the amount specified from funds on deposit.
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DDP
public static final V3ActCode DDP
Electronic Funds Transfer (EFT) deposit into the payee's bank account
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_ACTPHARMACYSUPPLYTYPE
public static final V3ActCode _ACTPHARMACYSUPPLYTYPE
Identifies types of dispensing events
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EM
public static final V3ActCode EM
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)
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SO
public static final V3ActCode SO
An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
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FF
public static final V3ActCode FF
The initial fill against an order. (This includes initial fills against refill orders.)
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FFC
public static final V3ActCode FFC
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).
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FFP
public static final V3ActCode FFP
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.)
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FFSS
public static final V3ActCode FFSS
A first fill 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).
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TF
public static final V3ActCode TF
A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
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RF
public static final V3ActCode RF
A fill against an order that has already been filled (or partially filled) at least once.
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UD
public static final V3ActCode UD
A supply action that provides sufficient material for a single dose.
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RFC
public static final V3ActCode RFC
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.)
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RFCS
public static final V3ActCode RFCS
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).
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RFF
public static final V3ActCode RFF
The first fill against an order that has already been filled at least once at another facility.
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RFFS
public static final V3ActCode RFFS
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).
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RFP
public static final V3ActCode RFP
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.)
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RFPS
public static final V3ActCode RFPS
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).
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RFS
public static final V3ActCode RFS
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).
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TB
public static final V3ActCode TB
A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
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TBS
public static final V3ActCode TBS
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).
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UDE
public static final V3ActCode UDE
A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.
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_ACTPOLICYTYPE
public static final V3ActCode _ACTPOLICYTYPE
Description:Types of policies that further specify the ActClassPolicy value set.
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_ACTPRIVACYPOLICY
public static final V3ActCode _ACTPRIVACYPOLICY
A policy deeming certain information to be private to an individual or organization. Definition: A mandate, obligation, requirement, rule, or expectation relating to privacy. Discussion: ActPrivacyPolicyType codes support the designation of the 1..* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Usage Note: Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.
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_ACTCONSENTDIRECTIVE
public static final V3ActCode _ACTCONSENTDIRECTIVE
Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered "consent directives" or "contracts" depending on the context, and are considered closely related or synonymous from a legal perspective. Examples: Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats. Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability. Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability. Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor. Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an "award" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling. A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service. Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.
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EMRGONLY
public static final V3ActCode EMRGONLY
This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. Definition: Opt-in to disclosure of health information for emergency only consent directive.
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GRANTORCHOICE
public static final V3ActCode GRANTORCHOICE
A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions. Comment: A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms. Usage Note: If the grantor's term of agreement must be accepted in full, then this is considered "basic consent". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered "granular consent". Examples: Healthcare: A PHR account holder [grantor] may require any PHR user [grantee] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. Non-healthcare: The owner of a resource server [grantor] may require any authorization server [grantee] to meet authorization requirements stipulated in the grantor's terms of agreement.
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IMPLIED
public static final V3ActCode IMPLIED
A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee. Comment: Implied or "implicit" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms. Usage Note: Implied consent with no opportunity to assent or dissent to certain terms is considered "basic consent". Examples: Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient [grantor] agrees to the rights granted to the provider [grantee] in an implicit consent directive. An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.
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IMPLIEDD
public static final V3ActCode IMPLIEDD
A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms. Comment: A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent. Usage Note: Implied or "implicit" consent with an "opportunity to dissent" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered "granular consent". Examples: Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures. A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.
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NOCONSENT
public static final V3ActCode NOCONSENT
No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement. Comment: A "No Consent" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles [FIPP] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures. Usage Note: The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge. Examples: Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.
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NOPP
public static final V3ActCode NOPP
Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified.
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OPTIN
public static final V3ActCode OPTIN
A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms. Comment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement.
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OPTINR
public static final V3ActCode OPTINR
A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms. Comment: A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent. Usage Note: Opt-in with restrictions is considered "granular consent" because the grantor has an opportunity to narrow the permissions sought by the grantee. Examples: Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.
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OPTOUT
public static final V3ActCode OPTOUT
A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms. Comment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. Non-healthcare: An employee [grantor] refuses to sign an employer's [grantee's] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights. A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption.
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OPTOUTE
public static final V3ActCode OPTOUTE
A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms. Comment: A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms. Usage Note: Opt-out with exceptions is considered a "granular consent" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms. Examples: Healthcare: A patient [grantor] dissents to a health information exchange consent directive with the exception of disclosure based on a limited "time to live" shared secret [e.g., a token or password], which the patient can give to a provider when seeking care. Non-healthcare: A social media user [grantor] dissents from public access to their account, but assents to access to a circle of friends.
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_ACTPRIVACYLAW
public static final V3ActCode _ACTPRIVACYLAW
A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on: The activity of a governed party The behavior of a governed party The manner in which an act is executed by a governed party
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_ACTUSPRIVACYLAW
public static final V3ActCode _ACTUSPRIVACYLAW
Definition: A jurisdictional mandate in the U.S. relating to privacy. Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.
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_42CFRPART2
public static final V3ActCode _42CFRPART2
42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program. Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
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COMMONRULE
public static final V3ActCode COMMONRULE
U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements. Definition: U.S. federal laws governing research-related privacy policies. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.
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HIPAANOPP
public static final V3ActCode HIPAANOPP
The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law. Definition: Notification of HIPAA Privacy Practices. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.
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HIPAAPSYNOTES
public static final V3ActCode HIPAAPSYNOTES
The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes. Definition: Authorization that must be obtained for disclosure of psychotherapy notes. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
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HIPAASELFPAY
public static final V3ActCode HIPAASELFPAY
Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan. Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
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TITLE38SECTION7332
public static final V3ActCode TITLE38SECTION7332
Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfil the duties of the contract; and researchers who provide assurances that the information will not be identified in any report. This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes. Definition: Title 38 Part 1 - Section 1.462 Confidentiality restrictions. (a) General. The patient records to which Sections 1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b). Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
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_INFORMATIONSENSITIVITYPOLICY
public static final V3ActCode _INFORMATIONSENSITIVITYPOLICY
A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations. Usage Note: Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an employee's sensitivity code would make little sense for use outside of a policy domain. 'Taboo' would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable InformationSensitivityPolicy Act.code may be useful in some scenarios if used in combination with a sensitivity identifier and/or Act.title.
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_ACTINFORMATIONSENSITIVITYPOLICY
public static final V3ActCode _ACTINFORMATIONSENSITIVITYPOLICY
Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
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ETH
public static final V3ActCode ETH
Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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GDIS
public static final V3ActCode GDIS
Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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HIV
public static final V3ActCode HIV
Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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MST
public static final V3ActCode MST
Policy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality. Access control concerns for military sexual trauma is based on the patient being subject to control by a higher ranking military perpetrator and/or censure by others within the military unit. Due to the relatively unfettered access to healthcare information by higher ranking military personnel and those who have command over the patient, there is a need to sequester this information outside of the typical controls on access to military health records. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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SCA
public static final V3ActCode SCA
Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.
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SDV
public static final V3ActCode SDV
Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. SDV code covers violence perpetrated by related and non-related persons. This code should be specific to physical and mental trauma caused by a related person only. The access control concerns are keeping the patient safe from the perpetrator who may have an abusive psychological control over the patient, may be stalking the patient, or may try to manipulate care givers into allowing the perpetrator to make contact with the patient. The definition needs to be clarified. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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SEX
public static final V3ActCode SEX
Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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SPI
public static final V3ActCode SPI
Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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BH
public static final V3ActCode BH
Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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COGN
public static final V3ActCode COGN
Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Examples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.
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DVD
public static final V3ActCode DVD
Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. A diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.
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EMOTDIS
public static final V3ActCode EMOTDIS
Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Typical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term.
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MH
public static final V3ActCode MH
Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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PSY
public static final V3ActCode PSY
Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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PSYTHPN
public static final V3ActCode PSYTHPN
Policy for handling psychotherapy note information, which is afforded heightened confidentiality. Usage Note: In some jurisdiction, disclosure of psychotherapy notes requires patient consent. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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SUD
public static final V3ActCode SUD
Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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ETHUD
public static final V3ActCode ETHUD
Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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OPIOIDUD
public static final V3ActCode OPIOIDUD
Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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STD
public static final V3ActCode STD
Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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TBOO
public static final V3ActCode TBOO
Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.
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VIO
public static final V3ActCode VIO
Policy for handling information related to harm by violence, which is afforded heightened confidentiality. Harm by violence is perpetrated by an unrelated person. Access control concerns for information about mental or physical harm resulting from violence caused by an unrelated person may include manipulation of care givers or access to records that enable the perpetrator contact or locate the patient, but the perpetrator will likely not have established abusive psychological control over the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
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SICKLE
public static final V3ActCode SICKLE
Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
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_ENTITYSENSITIVITYPOLICYTYPE
public static final V3ActCode _ENTITYSENSITIVITYPOLICYTYPE
Types of sensitivity policies that may apply to a sensitive attribute on an Entity. Usage Note: EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
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DEMO
public static final V3ActCode DEMO
Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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DOB
public static final V3ActCode DOB
Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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GENDER
public static final V3ActCode GENDER
Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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LIVARG
public static final V3ActCode LIVARG
Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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MARST
public static final V3ActCode MARST
Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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RACE
public static final V3ActCode RACE
Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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REL
public static final V3ActCode REL
Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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_ROLEINFORMATIONSENSITIVITYPOLICY
public static final V3ActCode _ROLEINFORMATIONSENSITIVITYPOLICY
Types of sensitivity policies that apply to Roles. Usage Notes: RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
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B
public static final V3ActCode B
Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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EMPL
public static final V3ActCode EMPL
Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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LOCIS
public static final V3ActCode LOCIS
Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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SSP
public static final V3ActCode SSP
Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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ADOL
public static final V3ActCode ADOL
Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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CEL
public static final V3ActCode CEL
Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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DIA
public static final V3ActCode DIA
Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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DRGIS
public static final V3ActCode DRGIS
Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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EMP
public static final V3ActCode EMP
Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.
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PDS
public static final V3ActCode PDS
Policy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default. Organizational policy may allow the sensitivity tag to be cleared on patient's request. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. For example, VA deems employee information sensitive by default. Information about a patient who is being stalked or a victim of abuse or violence may be deemed sensitive by default per a provider organization's policies.
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PHY
public static final V3ActCode PHY
Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive. Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Use cases in which this code could be used are, e.g., in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence.
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PRS
public static final V3ActCode PRS
Policy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted. For example, a minor patient may request that information about reproductive health not be disclosed to the patient's family or to particular providers and payers. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
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COMPT
public static final V3ActCode COMPT
This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
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ACOCOMPT
public static final V3ActCode ACOCOMPT
A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group. Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information
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CTCOMPT
public static final V3ActCode CTCOMPT
Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information
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FMCOMPT
public static final V3ActCode FMCOMPT
Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information.
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HRCOMPT
public static final V3ActCode HRCOMPT
A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.
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LRCOMPT
public static final V3ActCode LRCOMPT
Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information.
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PACOMPT
public static final V3ActCode PACOMPT
Patient administration members who have access to healthcare consumer information as part of a patient administration workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information.
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RESCOMPT
public static final V3ActCode RESCOMPT
A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.
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RMGTCOMPT
public static final V3ActCode RMGTCOMPT
A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.
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ACTTRUSTPOLICYTYPE
public static final V3ActCode ACTTRUSTPOLICYTYPE
A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. [Based on ISO IEC 10181-1 and NIST SP 800-63-2] For example, identity proofing , level of assurance, and Trust Framework.
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TRSTACCRD
public static final V3ActCode TRSTACCRD
Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
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TRSTAGRE
public static final V3ActCode TRSTAGRE
Type of security metadata about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
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TRSTASSUR
public static final V3ActCode TRSTASSUR
Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
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TRSTCERT
public static final V3ActCode TRSTCERT
Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]
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TRSTFWK
public static final V3ActCode TRSTFWK
Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
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TRSTMEC
public static final V3ActCode TRSTMEC
Type of security metadata about a security architecture system component that supports enforcement of security policies.
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COVPOL
public static final V3ActCode COVPOL
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.
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SECURITYPOLICY
public static final V3ActCode SECURITYPOLICY
Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent
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AUTHPOL
public static final V3ActCode AUTHPOL
Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system. A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)
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ACCESSCONSCHEME
public static final V3ActCode ACCESSCONSCHEME
An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies. Usage Note: Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service. There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also. An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996) Examples: Attribute Based Access Control (ABAC) Discretionary Access Control (DAC) History Based Access Control (HBAC) Identity Based Access Control (IBAC) Mandatory Access Control (MAC) Organization Based Access Control (OrBAC) Relationship Based Access Control (RelBac) Responsibility Based Access Control (RespBAC) Risk Adaptable Access Control (RAdAC) >
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DELEPOL
public static final V3ActCode DELEPOL
Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated. Delegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden. A Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS)
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OBLIGATIONPOLICY
public static final V3ActCode OBLIGATIONPOLICY
Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
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ANONY
public static final V3ActCode ANONY
Custodian system must remove any information that could result in identifying the information subject.
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AOD
public static final V3ActCode AOD
Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.
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AUDIT
public static final V3ActCode AUDIT
Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.
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AUDTR
public static final V3ActCode AUDTR
Custodian system must monitor and maintain retrievable log for each user and operation on information.
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CPLYCC
public static final V3ActCode CPLYCC
Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
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CPLYCD
public static final V3ActCode CPLYCD
Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
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CPLYJPP
public static final V3ActCode CPLYJPP
Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
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CPLYOPP
public static final V3ActCode CPLYOPP
Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
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CPLYOSP
public static final V3ActCode CPLYOSP
Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
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CPLYPOL
public static final V3ActCode CPLYPOL
Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
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DECLASSIFYLABEL
public static final V3ActCode DECLASSIFYLABEL
Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
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DEID
public static final V3ActCode DEID
Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
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DELAU
public static final V3ActCode DELAU
Custodian system must remove target information from access after use.
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DOWNGRDLABEL
public static final V3ActCode DOWNGRDLABEL
Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
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DRIVLABEL
public static final V3ActCode DRIVLABEL
Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
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ENCRYPT
public static final V3ActCode ENCRYPT
Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)
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ENCRYPTR
public static final V3ActCode ENCRYPTR
Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
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ENCRYPTT
public static final V3ActCode ENCRYPTT
Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
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ENCRYPTU
public static final V3ActCode ENCRYPTU
Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.
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HUAPRV
public static final V3ActCode HUAPRV
Custodian system must require human review and approval for permission requested.
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LABEL
public static final V3ActCode LABEL
Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.
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MASK
public static final V3ActCode MASK
Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".
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MINEC
public static final V3ActCode MINEC
Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.
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PERSISTLABEL
public static final V3ActCode PERSISTLABEL
Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.
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PRIVMARK
public static final V3ActCode PRIVMARK
Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."
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PSEUD
public static final V3ActCode PSEUD
Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.
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REDACT
public static final V3ActCode REDACT
Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.
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UPGRDLABEL
public static final V3ActCode UPGRDLABEL
Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
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REFRAINPOLICY
public static final V3ActCode REFRAINPOLICY
Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
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NOAUTH
public static final V3ActCode NOAUTH
Prohibition on disclosure without information subject's authorization.
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NOCOLLECT
public static final V3ActCode NOCOLLECT
Prohibition on collection or storage of the information.
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NODSCLCD
public static final V3ActCode NODSCLCD
Prohibition on disclosure without organizational approved patient restriction.
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NODSCLCDS
public static final V3ActCode NODSCLCDS
Prohibition on disclosure without a consent directive from the information subject.
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NOINTEGRATE
public static final V3ActCode NOINTEGRATE
Prohibition on Integration into other records.
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NOLIST
public static final V3ActCode NOLIST
Prohibition on disclosure except to entities on specific access list.
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NOMOU
public static final V3ActCode NOMOU
Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
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NOORGPOL
public static final V3ActCode NOORGPOL
Prohibition on disclosure without organizational authorization.
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NOPAT
public static final V3ActCode NOPAT
Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).
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NOPERSISTP
public static final V3ActCode NOPERSISTP
Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
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NORDSCLCD
public static final V3ActCode NORDSCLCD
Prohibition on redisclosure without patient consent directive.
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NORDSCLCDS
public static final V3ActCode NORDSCLCDS
Prohibition on redisclosure without a consent directive from the information subject.
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NORDSCLW
public static final V3ActCode NORDSCLW
Prohibition on disclosure without authorization under jurisdictional law.
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NORELINK
public static final V3ActCode NORELINK
Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.
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NOREUSE
public static final V3ActCode NOREUSE
Prohibition on use of the information beyond the purpose of use initially authorized.
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NOVIP
public static final V3ActCode NOVIP
Prohibition on disclosure except to principals with access permission to specific VIP information.
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ORCON
public static final V3ActCode ORCON
Prohibition on disclosure except as permitted by the information originator.
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_ACTPRODUCTACQUISITIONCODE
public static final V3ActCode _ACTPRODUCTACQUISITIONCODE
The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.
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LOAN
public static final V3ActCode LOAN
Temporary supply of a product without transfer of ownership for the product.
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RENT
public static final V3ActCode RENT
Temporary supply of a product with financial compensation, without transfer of ownership for the product.
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SALE
public static final V3ActCode SALE
Transfer of ownership for a product for financial compensation.
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_ACTSPECIMENTRANSPORTCODE
public static final V3ActCode _ACTSPECIMENTRANSPORTCODE
Transportation of a specimen.
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SREC
public static final V3ActCode SREC
Description:Specimen has been received by the participating organization/department.
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SSTOR
public static final V3ActCode SSTOR
Description:Specimen has been placed into storage at a participating location.
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STRAN
public static final V3ActCode STRAN
Description:Specimen has been put in transit to a participating receiver.
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_ACTSPECIMENTREATMENTCODE
public static final V3ActCode _ACTSPECIMENTREATMENTCODE
Set of codes related to specimen treatments
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ALK
public static final V3ActCode ALK
The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
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DEFB
public static final V3ActCode DEFB
The removal of fibrin from whole blood or plasma through physical or chemical means
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FILT
public static final V3ActCode FILT
The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
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NEUT
public static final V3ActCode NEUT
The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
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RECA
public static final V3ActCode RECA
The addition of calcium back to a specimen after it was removed by chelating agents
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UFIL
public static final V3ActCode UFIL
The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
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_ACTSUBSTANCEADMINISTRATIONCODE
public static final V3ActCode _ACTSUBSTANCEADMINISTRATIONCODE
Description: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.
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DRUG
public static final V3ActCode DRUG
The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
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FD
public static final V3ActCode FD
Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).
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IMMUNIZ
public static final V3ActCode IMMUNIZ
The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
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BOOSTER
public static final V3ActCode BOOSTER
An additional immunization administration within a series intended to bolster or enhance immunity.
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INITIMMUNIZ
public static final V3ActCode INITIMMUNIZ
The first immunization administration in a series intended to produce immunity
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_ACTTASKCODE
public static final V3ActCode _ACTTASKCODE
Description: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).
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OE
public static final V3ActCode OE
A clinician creates a request for a service to be performed for a given patient.
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LABOE
public static final V3ActCode LABOE
A clinician creates a request for a laboratory test to be done for a given patient.
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MEDOE
public static final V3ActCode MEDOE
A clinician creates a request for the administration of one or more medications to a given patient.
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ALLERLREV
public static final V3ActCode ALLERLREV
Description: A person reviews a list of known allergies of a given patient.
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CLINNOTEE
public static final V3ActCode CLINNOTEE
A clinician enters a clinical note about a given patient
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DIAGLISTE
public static final V3ActCode DIAGLISTE
A clinician enters a diagnosis for a given patient.
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DISCHINSTE
public static final V3ActCode DISCHINSTE
A person provides a discharge instruction to a patient.
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DISCHSUME
public static final V3ActCode DISCHSUME
A clinician enters a discharge summary for a given patient.
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PATEDUE
public static final V3ActCode PATEDUE
A person provides a patient-specific education handout to a patient.
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IMMLREV
public static final V3ActCode IMMLREV
Description: A person reviews a list of immunizations due or received for a given patient.
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REMLREV
public static final V3ActCode REMLREV
Description: A person reviews a list of health care reminders for a given patient.
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WELLREMLREV
public static final V3ActCode WELLREMLREV
Description: A person reviews a list of wellness or preventive care reminders for a given patient.
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PATINFO
public static final V3ActCode PATINFO
A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
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ALLERLE
public static final V3ActCode ALLERLE
Description: A person enters a known allergy for a given patient.
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CDSREV
public static final V3ActCode CDSREV
A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.
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CLINNOTEREV
public static final V3ActCode CLINNOTEREV
A person reviews a clinical note of a given patient.
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DISCHSUMREV
public static final V3ActCode DISCHSUMREV
A person reviews a discharge summary of a given patient.
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DIAGLISTREV
public static final V3ActCode DIAGLISTREV
A person reviews a list of diagnoses of a given patient.
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IMMLE
public static final V3ActCode IMMLE
Description: A person enters an immunization due or received for a given patient.
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LABRREV
public static final V3ActCode LABRREV
A person reviews a list of laboratory results of a given patient.
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MICRORREV
public static final V3ActCode MICRORREV
A person reviews a list of microbiology results of a given patient.
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MICROORGRREV
public static final V3ActCode MICROORGRREV
A person reviews organisms of microbiology results of a given patient.
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MICROSENSRREV
public static final V3ActCode MICROSENSRREV
A person reviews the sensitivity test of microbiology results of a given patient.
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MLREV
public static final V3ActCode MLREV
A person reviews a list of medication orders submitted to a given patient
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MARWLREV
public static final V3ActCode MARWLREV
A clinician reviews a work list of medications to be administered to a given patient.
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OREV
public static final V3ActCode OREV
A person reviews a list of orders submitted to a given patient.
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PATREPREV
public static final V3ActCode PATREPREV
A person reviews a pathology report of a given patient.
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PROBLISTREV
public static final V3ActCode PROBLISTREV
A person reviews a list of problems of a given patient.
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RADREPREV
public static final V3ActCode RADREPREV
A person reviews a radiology report of a given patient.
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REMLE
public static final V3ActCode REMLE
Description: A person enters a health care reminder for a given patient.
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WELLREMLE
public static final V3ActCode WELLREMLE
Description: A person enters a wellness or preventive care reminder for a given patient.
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RISKASSESS
public static final V3ActCode RISKASSESS
A person reviews a Risk Assessment Instrument report of a given patient.
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FALLRISK
public static final V3ActCode FALLRISK
A person reviews a Falls Risk Assessment Instrument report of a given patient.
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_ACTTRANSPORTATIONMODECODE
public static final V3ActCode _ACTTRANSPORTATIONMODECODE
Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.
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_ACTPATIENTTRANSPORTATIONMODECODE
public static final V3ActCode _ACTPATIENTTRANSPORTATIONMODECODE
Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.
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_OBSERVATIONTYPE
public static final V3ActCode _OBSERVATIONTYPE
Identifies the kinds of observations that can be performed
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_ACTSPECOBSCODE
public static final V3ActCode _ACTSPECOBSCODE
Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
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ARTBLD
public static final V3ActCode ARTBLD
Describes the artificial blood identifier that is associated with the specimen.
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DILUTION
public static final V3ActCode DILUTION
An observation that reports the dilution of a sample.
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AUTOHIGH
public static final V3ActCode AUTOHIGH
The dilution of a sample performed by automated equipment. The value is specified by the equipment
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AUTOLOW
public static final V3ActCode AUTOLOW
The dilution of a sample performed by automated equipment. The value is specified by the equipment
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PRE
public static final V3ActCode PRE
The dilution of the specimen made prior to being loaded onto analytical equipment
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RERUN
public static final V3ActCode RERUN
The value of the dilution of a sample after it had been analyzed at a prior dilution value
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EVNFCTS
public static final V3ActCode EVNFCTS
Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)
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INTFR
public static final V3ActCode INTFR
An observation that relates to factors that may potentially cause interference with the observation
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FIBRIN
public static final V3ActCode FIBRIN
The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1
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HEMOLYSIS
public static final V3ActCode HEMOLYSIS
An observation of the hemolysis index of the specimen in g/L
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ICTERUS
public static final V3ActCode ICTERUS
An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin
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LIPEMIA
public static final V3ActCode LIPEMIA
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).
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AVAILABLE
public static final V3ActCode AVAILABLE
The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)
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CONSUMPTION
public static final V3ActCode CONSUMPTION
The quantity of specimen that is used each time the equipment uses this substance
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CURRENT
public static final V3ActCode CURRENT
The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
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_ANNOTATIONTYPE
public static final V3ActCode _ANNOTATIONTYPE
AnnotationType
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_ACTPATIENTANNOTATIONTYPE
public static final V3ActCode _ACTPATIENTANNOTATIONTYPE
Description:Provides a categorization for annotations recorded directly against the patient .
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ANNDI
public static final V3ActCode ANNDI
Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.
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ANNIMM
public static final V3ActCode ANNIMM
A note that is specific to a patient's immunizations, either historical, current or planned.
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ANNLAB
public static final V3ActCode ANNLAB
Description:A note that is specific to a patient's laboratory results, either historical, current or planned.
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ANNMED
public static final V3ActCode ANNMED
Description:A note that is specific to a patient's medications, either historical, current or planned.
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_GENETICOBSERVATIONTYPE
public static final V3ActCode _GENETICOBSERVATIONTYPE
Description: None provided
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GENE
public static final V3ActCode GENE
Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology
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_IMMUNIZATIONOBSERVATIONTYPE
public static final V3ActCode _IMMUNIZATIONOBSERVATIONTYPE
Description: Observation codes which describe characteristics of the immunization material.
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OBSANTV
public static final V3ActCode OBSANTV
Description: Indicates whether an antigen is valid or invalid.
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_INDIVIDUALCASESAFETYREPORTTYPE
public static final V3ActCode _INDIVIDUALCASESAFETYREPORTTYPE
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.
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PATADVEVNT
public static final V3ActCode PATADVEVNT
Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.
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VACPROBLEM
public static final V3ActCode VACPROBLEM
Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.
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_LOINCOBSERVATIONACTCONTEXTAGETYPE
public static final V3ActCode _LOINCOBSERVATIONACTCONTEXTAGETYPE
Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
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_305250
public static final V3ActCode _305250
Definition:General specification of age with no implied method of determination.
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_309724
public static final V3ActCode _309724
Definition:Age at onset of associated adverse event; no implied method of determination.
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_MEDICATIONOBSERVATIONTYPE
public static final V3ActCode _MEDICATIONOBSERVATIONTYPE
MedicationObservationType
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REPHALFLIFE
public static final V3ActCode REPHALFLIFE
Description:This observation represents an 'average' or 'expected' half-life typical of the product.
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SPLCOATING
public static final V3ActCode SPLCOATING
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.
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SPLCOLOR
public static final V3ActCode SPLCOLOR
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.
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SPLIMAGE
public static final V3ActCode SPLIMAGE
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.
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SPLIMPRINT
public static final V3ActCode SPLIMPRINT
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.
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SPLSCORING
public static final V3ActCode SPLSCORING
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).
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SPLSHAPE
public static final V3ActCode SPLSHAPE
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.
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SPLSIZE
public static final V3ActCode SPLSIZE
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.
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SPLSYMBOL
public static final V3ActCode SPLSYMBOL
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:
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_OBSERVATIONISSUETRIGGERCODEDOBSERVATIONTYPE
public static final V3ActCode _OBSERVATIONISSUETRIGGERCODEDOBSERVATIONTYPE
Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
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_CASETRANSMISSIONMODE
public static final V3ActCode _CASETRANSMISSIONMODE
Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.
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AIRTRNS
public static final V3ActCode AIRTRNS
Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
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ANANTRNS
public static final V3ActCode ANANTRNS
Communication of an agent from one animal to another proximate animal.
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ANHUMTRNS
public static final V3ActCode ANHUMTRNS
Communication of an agent from an animal to a proximate person.
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BDYFLDTRNS
public static final V3ActCode BDYFLDTRNS
Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
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BLDTRNS
public static final V3ActCode BLDTRNS
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.
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DERMTRNS
public static final V3ActCode DERMTRNS
Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
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ENVTRNS
public static final V3ActCode ENVTRNS
Communication of an agent from an environmental surface or source to a living subject by direct contact.
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FECTRNS
public static final V3ActCode FECTRNS
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.
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FOMTRNS
public static final V3ActCode FOMTRNS
Communication of an agent from an non-living material to a living subject through direct contact.
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FOODTRNS
public static final V3ActCode FOODTRNS
Communication of an agent from a food source to a living subject via oral consumption.
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HUMHUMTRNS
public static final V3ActCode HUMHUMTRNS
Communication of an agent from a person to a proximate person.
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INDTRNS
public static final V3ActCode INDTRNS
Communication of an agent to a living subject via an undetermined route.
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LACTTRNS
public static final V3ActCode LACTTRNS
Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
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NOSTRNS
public static final V3ActCode NOSTRNS
Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.
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PARTRNS
public static final V3ActCode PARTRNS
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.
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PLACTRNS
public static final V3ActCode PLACTRNS
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.
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SEXTRNS
public static final V3ActCode SEXTRNS
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.
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TRNSFTRNS
public static final V3ActCode TRNSFTRNS
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.
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VECTRNS
public static final V3ActCode VECTRNS
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.
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WATTRNS
public static final V3ActCode WATTRNS
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.
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_OBSERVATIONQUALITYMEASUREATTRIBUTE
public static final V3ActCode _OBSERVATIONQUALITYMEASUREATTRIBUTE
Codes used to define various metadata aspects of a health quality measure.
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AGGREGATE
public static final V3ActCode AGGREGATE
Indicates that the observation is carrying out an aggregation calculation, contained in the value element.
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CMPMSRMTH
public static final V3ActCode CMPMSRMTH
Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.
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CMPMSRSCRWGHT
public static final V3ActCode CMPMSRSCRWGHT
An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.
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COPY
public static final V3ActCode COPY
Identifies the organization(s) who own the intellectual property represented by the eMeasure.
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CRS
public static final V3ActCode CRS
Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.
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FINALDT
public static final V3ActCode FINALDT
The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.
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GUIDE
public static final V3ActCode GUIDE
Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.
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IDUR
public static final V3ActCode IDUR
Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).
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ITMCNT
public static final V3ActCode ITMCNT
Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)
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MSRADJ
public static final V3ActCode MSRADJ
The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.
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MSRAGG
public static final V3ActCode MSRAGG
Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.
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MSRIMPROV
public static final V3ActCode MSRIMPROV
Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.
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MSRJUR
public static final V3ActCode MSRJUR
The list of jurisdiction(s) for which the measure applies.
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MSRRPTR
public static final V3ActCode MSRRPTR
Type of person or organization that is expected to report the issue.
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MSRRPTTIME
public static final V3ActCode MSRRPTTIME
The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.
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MSRSCORE
public static final V3ActCode MSRSCORE
Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)
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MSRSET
public static final V3ActCode MSRSET
Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).
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MSRTYPE
public static final V3ActCode MSRTYPE
Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).
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RAT
public static final V3ActCode RAT
Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.
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REF
public static final V3ActCode REF
Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.
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SDE
public static final V3ActCode SDE
Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.
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STRAT
public static final V3ActCode STRAT
Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).
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TRANF
public static final V3ActCode TRANF
Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.
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_OBSERVATIONSEQUENCETYPE
public static final V3ActCode _OBSERVATIONSEQUENCETYPE
ObservationSequenceType
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TIMEABSOLUTE
public static final V3ActCode TIMEABSOLUTE
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
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TIMERELATIVE
public static final V3ActCode TIMERELATIVE
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.
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_OBSERVATIONSERIESTYPE
public static final V3ActCode _OBSERVATIONSERIESTYPE
ObservationSeriesType
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_ECGOBSERVATIONSERIESTYPE
public static final V3ActCode _ECGOBSERVATIONSERIESTYPE
ECGObservationSeriesType
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REPRESENTATIVEBEAT
public static final V3ActCode REPRESENTATIVEBEAT
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.
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RHYTHM
public static final V3ActCode RHYTHM
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.
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_PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPE
public static final V3ActCode _PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPE
Description: Reporting codes that are related to an immunization event.
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CLSSRM
public static final V3ActCode CLSSRM
Description: The class room associated with the patient during the immunization event.
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GRADE
public static final V3ActCode GRADE
Description: The school grade or level the patient was in when immunized.
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SCHL
public static final V3ActCode SCHL
Description: The school the patient attended when immunized.
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SCHLDIV
public static final V3ActCode SCHLDIV
Description: The school division or district associated with the patient during the immunization event.
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_POPULATIONINCLUSIONOBSERVATIONTYPE
public static final V3ActCode _POPULATIONINCLUSIONOBSERVATIONTYPE
Observation types for specifying criteria used to assert that a subject is included in a particular population.
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DENEX
public static final V3ActCode DENEX
Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.
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DENEXCEP
public static final V3ActCode DENEXCEP
Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient (or subject) reasons System reasons
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DENOM
public static final V3ActCode DENOM
Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.
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IPOP
public static final V3ActCode IPOP
Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
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IPPOP
public static final V3ActCode IPPOP
Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.
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MSROBS
public static final V3ActCode MSROBS
Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population. Examples: the median time from arrival in the Emergency Room to departure the median time from decision to admit to a hospital to the actual admission for Emergency Room patients
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MSRPOPL
public static final V3ActCode MSRPOPL
Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.
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MSRPOPLEX
public static final V3ActCode MSRPOPLEX
Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).
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NUMER
public static final V3ActCode NUMER
Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
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NUMEX
public static final V3ActCode NUMEX
Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.
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_PREFERENCEOBSERVATIONTYPE
public static final V3ActCode _PREFERENCEOBSERVATIONTYPE
Types of observations that can be made about Preferences.
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PREFSTRENGTH
public static final V3ActCode PREFSTRENGTH
An observation about how important a preference is to the target of the preference.
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ADVERSEREACTION
public static final V3ActCode ADVERSEREACTION
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.
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ASSERTION
public static final V3ActCode ASSERTION
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.
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CASESER
public static final V3ActCode CASESER
Definition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.
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CDIO
public static final V3ActCode CDIO
An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.
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CRIT
public static final V3ActCode CRIT
A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
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CTMO
public static final V3ActCode CTMO
An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.
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DX
public static final V3ActCode DX
Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
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ADMDX
public static final V3ActCode ADMDX
Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
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DISDX
public static final V3ActCode DISDX
Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
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INTDX
public static final V3ActCode INTDX
Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
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GISTIER
public static final V3ActCode GISTIER
Description: Accuracy determined as per the GIS tier code system.
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HHOBS
public static final V3ActCode HHOBS
Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.
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ISSUE
public static final V3ActCode ISSUE
There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)
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_ACTADMINISTRATIVEDETECTEDISSUECODE
public static final V3ActCode _ACTADMINISTRATIVEDETECTEDISSUECODE
Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
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_ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODE
public static final V3ActCode _ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODE
ActAdministrativeAuthorizationDetectedIssueCode
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NAT
public static final V3ActCode NAT
The requesting party has insufficient authorization to invoke the interaction.
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SUPPRESSED
public static final V3ActCode SUPPRESSED
Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
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VALIDAT
public static final V3ActCode VALIDAT
Description:The specified element did not pass business-rule validation.
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KEY204
public static final V3ActCode KEY204
The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
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KEY205
public static final V3ActCode KEY205
The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
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COMPLY
public static final V3ActCode COMPLY
There may be an issue with the patient complying with the intentions of the proposed therapy
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DUPTHPY
public static final V3ActCode DUPTHPY
The proposed therapy appears to duplicate an existing therapy
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DUPTHPCLS
public static final V3ActCode DUPTHPCLS
Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
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DUPTHPGEN
public static final V3ActCode DUPTHPGEN
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.
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ABUSE
public static final V3ActCode ABUSE
Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
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FRAUD
public static final V3ActCode FRAUD
Description:The request is suspected to have a fraudulent basis.
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PLYDOC
public static final V3ActCode PLYDOC
A similar or identical therapy was recently ordered by a different practitioner.
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PLYPHRM
public static final V3ActCode PLYPHRM
This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
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DOSE
public static final V3ActCode DOSE
Proposed dosage instructions for therapy differ from standard practice.
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DOSECOND
public static final V3ActCode DOSECOND
Description:Proposed dosage is inappropriate due to patient's medical condition.
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DOSEDUR
public static final V3ActCode DOSEDUR
Proposed length of therapy differs from standard practice.
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DOSEDURH
public static final V3ActCode DOSEDURH
Proposed length of therapy is longer than standard practice
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DOSEDURHIND
public static final V3ActCode DOSEDURHIND
Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
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DOSEDURL
public static final V3ActCode DOSEDURL
Proposed length of therapy is shorter than that necessary for therapeutic effect
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DOSEDURLIND
public static final V3ActCode DOSEDURLIND
Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
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DOSEHINDA
public static final V3ActCode DOSEHINDA
Proposed dosage exceeds standard practice for the patient's age
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DOSEHINDSA
public static final V3ActCode DOSEHINDSA
Proposed dosage exceeds standard practice for the patient's height or body surface area
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DOSEHINDW
public static final V3ActCode DOSEHINDW
Proposed dosage exceeds standard practice for the patient's weight
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DOSEIVL
public static final V3ActCode DOSEIVL
Proposed dosage interval/timing differs from standard practice
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DOSEIVLIND
public static final V3ActCode DOSEIVLIND
Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
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DOSELINDA
public static final V3ActCode DOSELINDA
Proposed dosage is below suggested therapeutic levels for the patient's age
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DOSELINDSA
public static final V3ActCode DOSELINDSA
Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
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DOSELINDW
public static final V3ActCode DOSELINDW
Proposed dosage is below suggested therapeutic levels for the patient's weight
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MDOSE
public static final V3ActCode MDOSE
Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.
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OBSA
public static final V3ActCode OBSA
Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
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AGE
public static final V3ActCode AGE
Proposed therapy may be inappropriate or contraindicated due to patient age
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ADALRT
public static final V3ActCode ADALRT
Proposed therapy is outside of the standard practice for an adult patient.
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GEALRT
public static final V3ActCode GEALRT
Proposed therapy is outside of standard practice for a geriatric patient.
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PEALRT
public static final V3ActCode PEALRT
Proposed therapy is outside of the standard practice for a pediatric patient.
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COND
public static final V3ActCode COND
Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
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LACT
public static final V3ActCode LACT
Proposed therapy may be inappropriate or contraindicated when breast-feeding
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PREG
public static final V3ActCode PREG
Proposed therapy may be inappropriate or contraindicated during pregnancy
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CREACT
public static final V3ActCode CREACT
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.
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GEN
public static final V3ActCode GEN
Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
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GEND
public static final V3ActCode GEND
Proposed therapy may be inappropriate or contraindicated due to patient gender.
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LAB
public static final V3ActCode LAB
Proposed therapy may be inappropriate or contraindicated due to recent lab test results
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REACT
public static final V3ActCode REACT
Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
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ALGY
public static final V3ActCode ALGY
Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
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INT
public static final V3ActCode INT
Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
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RREACT
public static final V3ActCode RREACT
Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
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RALG
public static final V3ActCode RALG
Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
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RAR
public static final V3ActCode RAR
Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
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RINT
public static final V3ActCode RINT
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.)
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BUS
public static final V3ActCode BUS
Description:A local business rule relating multiple elements has been violated.
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CODEINVAL
public static final V3ActCode CODEINVAL
Description:The specified code is not valid against the list of codes allowed for the element.
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CODEDEPREC
public static final V3ActCode CODEDEPREC
Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.
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FORMAT
public static final V3ActCode FORMAT
Description:The element does not follow the formatting or type rules defined for the field.
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ILLEGAL
public static final V3ActCode ILLEGAL
Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
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LENRANGE
public static final V3ActCode LENRANGE
Description:The length of the data specified falls out of the range defined for the element.
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LENLONG
public static final V3ActCode LENLONG
Description:The length of the data specified is greater than the maximum length defined for the element.
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LENSHORT
public static final V3ActCode LENSHORT
Description:The length of the data specified is less than the minimum length defined for the element.
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MISSCOND
public static final V3ActCode MISSCOND
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.
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MISSMAND
public static final V3ActCode MISSMAND
Description:The specified element is mandatory and was not included in the instance.
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NODUPS
public static final V3ActCode NODUPS
Description:More than one element with the same value exists in the set. Duplicates not permission in this set in a set.
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NOPERSIST
public static final V3ActCode NOPERSIST
Description: Element in submitted message will not persist in data storage based on detected issue.
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REPRANGE
public static final V3ActCode REPRANGE
Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
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MAXOCCURS
public static final V3ActCode MAXOCCURS
Description:The number of repeating elements is above the maximum number of repetitions allowed.
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MINOCCURS
public static final V3ActCode MINOCCURS
Description:The number of repeating elements is below the minimum number of repetitions allowed.
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_ACTADMINISTRATIVERULEDETECTEDISSUECODE
public static final V3ActCode _ACTADMINISTRATIVERULEDETECTEDISSUECODE
ActAdministrativeRuleDetectedIssueCode
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KEY206
public static final V3ActCode KEY206
Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
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OBSOLETE
public static final V3ActCode OBSOLETE
Description: One or more records in the query response have a status of 'obsolete'.
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_ACTSUPPLIEDITEMDETECTEDISSUECODE
public static final V3ActCode _ACTSUPPLIEDITEMDETECTEDISSUECODE
Identifies types of detected issues regarding the administration or supply of an item to a patient.
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_ADMINISTRATIONDETECTEDISSUECODE
public static final V3ActCode _ADMINISTRATIONDETECTEDISSUECODE
Administration of the proposed therapy may be inappropriate or contraindicated as proposed
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_APPROPRIATENESSDETECTEDISSUECODE
public static final V3ActCode _APPROPRIATENESSDETECTEDISSUECODE
AppropriatenessDetectedIssueCode
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_INTERACTIONDETECTEDISSUECODE
public static final V3ActCode _INTERACTIONDETECTEDISSUECODE
InteractionDetectedIssueCode
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TPROD
public static final V3ActCode TPROD
Proposed therapy may interact with an existing or recent therapeutic product
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DRG
public static final V3ActCode DRG
Proposed therapy may interact with an existing or recent drug therapy
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NHP
public static final V3ActCode NHP
Proposed therapy may interact with existing or recent natural health product therapy
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NONRX
public static final V3ActCode NONRX
Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
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PREVINEF
public static final V3ActCode PREVINEF
Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
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DACT
public static final V3ActCode DACT
Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
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TIME
public static final V3ActCode TIME
Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
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ALRTENDLATE
public static final V3ActCode ALRTENDLATE
Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
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ALRTSTRTLATE
public static final V3ActCode ALRTSTRTLATE
Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
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_TIMINGDETECTEDISSUECODE
public static final V3ActCode _TIMINGDETECTEDISSUECODE
Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
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ENDLATE
public static final V3ActCode ENDLATE
Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
-
STRTLATE
public static final V3ActCode STRTLATE
Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
-
_SUPPLYDETECTEDISSUECODE
public static final V3ActCode _SUPPLYDETECTEDISSUECODE
Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
-
ALLDONE
public static final V3ActCode ALLDONE
Definition:The requested action has already been performed and so this request has no effect
-
FULFIL
public static final V3ActCode FULFIL
Definition:The therapy being performed is in some way out of alignment with the requested therapy.
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NOTACTN
public static final V3ActCode NOTACTN
Definition:The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)
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NOTEQUIV
public static final V3ActCode NOTEQUIV
Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
-
NOTEQUIVGEN
public static final V3ActCode NOTEQUIVGEN
Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
-
NOTEQUIVTHER
public static final V3ActCode NOTEQUIVTHER
Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
-
TIMING
public static final V3ActCode TIMING
Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
-
INTERVAL
public static final V3ActCode INTERVAL
Definition:The therapy action is being performed outside the bounds of the time period requested
-
MINFREQ
public static final V3ActCode MINFREQ
Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
-
HELD
public static final V3ActCode HELD
Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
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TOOLATE
public static final V3ActCode TOOLATE
The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
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TOOSOON
public static final V3ActCode TOOSOON
The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
-
HISTORIC
public static final V3ActCode HISTORIC
Description: While the record was accepted in the repository, there is a more recent version of a record of this type.
-
PATPREF
public static final V3ActCode PATPREF
Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
-
PATPREFALT
public static final V3ActCode PATPREFALT
Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.
-
KSUBJ
public static final V3ActCode KSUBJ
Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.
-
KSUBT
public static final V3ActCode KSUBT
Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.
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OINT
public static final V3ActCode OINT
Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
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ALG
public static final V3ActCode ALG
Hypersensitivity to an agent caused by an immunologic response to an initial exposure
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EALG
public static final V3ActCode EALG
An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
-
FALG
public static final V3ActCode FALG
An allergy to a substance generally consumed for nutritional purposes.
-
DINT
public static final V3ActCode DINT
Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
-
DNAINT
public static final V3ActCode DNAINT
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
-
EINT
public static final V3ActCode EINT
Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
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ENAINT
public static final V3ActCode ENAINT
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
-
FINT
public static final V3ActCode FINT
Hypersensitivity resulting in an adverse reaction upon exposure to food.
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FNAINT
public static final V3ActCode FNAINT
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
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NAINT
public static final V3ActCode NAINT
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
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SEV
public static final V3ActCode SEV
A subjective evaluation of the seriousness or intensity associated with another observation.
-
_FDALABELDATA
public static final V3ActCode _FDALABELDATA
FDA label data
-
FDACOATING
public static final V3ActCode FDACOATING
FDA label coating
-
FDAIMPRINTCD
public static final V3ActCode FDAIMPRINTCD
FDA label imprint code
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FDASCORING
public static final V3ActCode FDASCORING
FDA label scoring
-
_ROIOVERLAYSHAPE
public static final V3ActCode _ROIOVERLAYSHAPE
Shape of the region on the object being referenced
-
CIRCLE
public static final V3ActCode CIRCLE
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.
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ELLIPSE
public static final V3ActCode ELLIPSE
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.
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POINT
public static final V3ActCode POINT
A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
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POLY
public static final V3ActCode POLY
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.
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BR
public static final V3ActCode BR
A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
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DM
public static final V3ActCode DM
A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).
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FAST
public static final V3ActCode FAST
No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.
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FORMULA
public static final V3ActCode FORMULA
A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.
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LF
public static final V3ActCode LF
A diet low in fat, particularly to patients with hepatic diseases.
-
LQ
public static final V3ActCode LQ
A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.
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LS
public static final V3ActCode LS
A diet low in sodium for patients with congestive heart failure and/or renal failure.
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N
public static final V3ActCode N
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.
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PAR
public static final V3ActCode PAR
Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.
-
RD
public static final V3ActCode RD
A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
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SCH
public static final V3ActCode SCH
A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
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SUPPLEMENT
public static final V3ActCode SUPPLEMENT
A diet that is not intended to be complete but is added to other diets.
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T
public static final V3ActCode T
This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.
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VLI
public static final V3ActCode VLI
Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."
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DRUGPRG
public static final V3ActCode DRUGPRG
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.
-
F
public static final V3ActCode F
Description:Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.
-
PRLMN
public static final V3ActCode PRLMN
Description:Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.
-
SECOBS
public static final V3ActCode SECOBS
An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels. Rationale: According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted: The security policy identifiers shall be identical The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target. Examples: SecurityObservationType security label fields include: Confidentiality classification Compartment category Sensitivity category Security mechanisms used to ensure data integrity or to perform authorized data transformation Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance. Usage Note: SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the "security label tag".
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SECCATOBS
public static final V3ActCode SECCATOBS
Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone." Rationale: A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. [FIPS 199] Examples: Types of security categories include: Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)
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SECCLASSOBS
public static final V3ActCode SECCLASSOBS
Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure. Rationale: A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality. Examples: Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential. Usage Note: Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag".
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SECCONOBS
public static final V3ActCode SECCONOBS
Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource. Rationale: A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. [FIPS 199] Examples: Types of security control metadata include: handling caveats dissemination controls obligations refrain policies purpose of use constraints
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SECINTOBS
public static final V3ActCode SECINTOBS
Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Rationale: A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542) Examples: Types of security integrity metadata include: Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability) Integrity confidence, which indicates the reliability and trustworthiness of an IT resource Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8) Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource Integrity provenance, which indicates the entity responsible for a report or assertion relayed "second-hand" about an IT resource
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SECALTINTOBS
public static final V3ActCode SECALTINTOBS
Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource. Examples: Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including: translation syntactic transformation semantic mapping redaction masking pseudonymization anonymization
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SECDATINTOBS
public static final V3ActCode SECDATINTOBS
Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made." Examples: Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.
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SECINTCONOBS
public static final V3ActCode SECINTCONOBS
Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Examples: Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable. Usage Note: A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.
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SECINTPRVOBS
public static final V3ActCode SECINTPRVOBS
Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness. Examples: Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include: completeness or workflow status, such as authentication the entity responsible for original authoring or informing about an IT resource the entity responsible for a report or assertion about an IT resource relayed “second-hand� the entity responsible for excerpting, transforming, or compiling an IT resource
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SECINTPRVABOBS
public static final V3ActCode SECINTPRVABOBS
Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource. Examples: Types of security integrity provenance asserted by observation metadata, which may value the observation, including: assertions about an IT resource by a patient assertions about an IT resource by a clinician assertions about an IT resource by a device
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SECINTPRVRBOBS
public static final V3ActCode SECINTPRVRBOBS
Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource. Examples: Types of security integrity provenance reported by observation metadata, which may value the observation, include: reports about an IT resource by a patient reports about an IT resource by a clinician reports about an IT resource by a device
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SECINTSTOBS
public static final V3ActCode SECINTSTOBS
Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource. Examples: Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.
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SECTRSTOBS
public static final V3ActCode SECTRSTOBS
An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.
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TRSTACCRDOBS
public static final V3ActCode TRSTACCRDOBS
Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
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TRSTAGREOBS
public static final V3ActCode TRSTAGREOBS
Type of security metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
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TRSTCERTOBS
public static final V3ActCode TRSTCERTOBS
Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants. A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.]
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TRSTFWKOBS
public static final V3ActCode TRSTFWKOBS
Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
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TRSTLOAOBS
public static final V3ActCode TRSTLOAOBS
Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
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TRSTMECOBS
public static final V3ActCode TRSTMECOBS
Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.
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SUBSIDFFS
public static final V3ActCode SUBSIDFFS
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.
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WRKCOMP
public static final V3ActCode WRKCOMP
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.
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_ACTPROCEDURECODE
public static final V3ActCode _ACTPROCEDURECODE
An identifying code for healthcare interventions/procedures.
-
_ACTBILLABLESERVICECODE
public static final V3ActCode _ACTBILLABLESERVICECODE
Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.
-
_HL7DEFINEDACTCODES
public static final V3ActCode _HL7DEFINEDACTCODES
Domain provides the root for HL7-defined detailed or rich codes for the Act classes.
-
STORE
public static final V3ActCode STORE
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.
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Method Detail
-
values
public static V3ActCode[] values()
Returns an array containing the constants of this enum type, in the order they are declared. This method may be used to iterate over the constants as follows:for (V3ActCode c : V3ActCode.values()) System.out.println(c);
- Returns:
- an array containing the constants of this enum type, in the order they are declared
-
valueOf
public static V3ActCode valueOf(String name)
Returns the enum constant of this type with the specified name. The string must match exactly an identifier used to declare an enum constant in this type. (Extraneous whitespace characters are not permitted.)- Parameters:
name- the name of the enum constant to be returned.- Returns:
- the enum constant with the specified name
- Throws:
IllegalArgumentException- if this enum type has no constant with the specified nameNullPointerException- if the argument is null
-
fromCode
public static V3ActCode fromCode(String codeString) throws org.hl7.fhir.exceptions.FHIRException
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
getDefinition
public String getDefinition()
-
getDisplay
public String getDisplay()
-
-