Package org.hl7.fhir.r4.model.codesystems

Enum V3ParticipationFunction

    • Enum Constant Summary

      Enum Constants 
      Enum Constant Description
      _AUTHORIZEDPARTICIPATIONFUNCTION
      This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.
      _AUTHORIZEDRECEIVERPARTICIPATIONFUNCTION
      This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.
      _CONSENTERPARTICIPATIONFUNCTION
      This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.
      _COVERAGEPARTICIPATIONFUNCTION
      Definition: Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.
      _OVERRIDERPARTICIPATIONFUNCTION
      This code is used to specify the exact function an actor is authorized to have in authoring a consent override.
      _PAYORPARTICIPATIONFUNCTION
      Definition: Set of codes indicating the manner in which payors participate in a policy or program.
      _SPONSORPARTICIPATIONFUNCTION
      Definition: Set of codes indicating the manner in which sponsors participate in a policy or program.
      _UNDERWRITERPARTICIPATIONFUNCTION
      Definition: Set of codes indicating the manner in which underwriters participate in a policy or program.
      ADMPHYS
      A physician who admitted a patient to a hospital or other care unit that is the context of this service.
      ANEST
      In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself.
      ANRS
      In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods.
      ASSEMBLER
      A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact.
      ATTPHYS
      A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service.
      AUCG
      Description:Caregiver authorized to receive patient health information.
      AUCOV
      Description:Entity authorized to override a consent directive.
      AUEMROV
      Description:Entity authorized to override a consent directive or privacy policy in an emergency.
      AULR
      Description:Provider with legitimate relationship authorized to receive patient health information.
      AUTM
      Description:Member of care team authorized to receive patient health information.
      AUWA
      Description:Entities within specified work area authorized to receive patient health information.
      CLMADJ
      Definition: Manages all operations required to adjudicate fee for service claims or managed care encounter reports.
      COMPOSER
      A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact.
      DISPHYS
      A physician who discharged a patient from a hospital or other care unit that is the context of this service.
      ENROLL
      Definition: Managing the enrollment of covered parties.
      FASST
      In a typical surgery setting the assistant facing the primary surgeon.
      FFSMGT
      Definition: Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review.
      FULINRD
      Definition: Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program.
      GRDCON
      Description:Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent.
      MCMGT
      Definition: Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review.
      MDWF
      A person (usually female) helping a woman deliver a baby.
      NASST
      In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.).
      NULL
      added to help the parsers
      PAYORCNTR
      Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage.
      PCP
      The healthcare provider that holds primary responsibility for the overall care of a patient.
      POACON
      Description:Person authorized with healthcare power of attorney to author a consent directive for the subject of consent.
      PRCON
      Description:Personal representative of the subject of consent authorized to author a consent directive for the subject of consent.
      PRISURG
      In a typical surgery setting the primary performing surgeon.
      PROMSK
      Definition:Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information.
      PROVMGT
      Definition: Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy.
      REINS
      Definition: Underwriting reinsurance for another underwriter for the policy or program.
      RETROCES
      Definition: Underwriting reinsurance for another reinsurer.
      REVIEWER
      A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy.
      RNDPHYS
      A physician who made rounds on a patient in a hospital or other care center.
      SASST
      In a typical surgery setting the assistant who primarily holds the hooks.
      SELFINRD
      Definition: Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program.
      SNRS
      In a typical surgery setting the nurse in charge of the instrumentation.
      SUBCON
      Description:Subject of consent authorized to author a consent directive.
      SUBCTRT
      Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region .
      TASST
      In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg).
      UMGT
      Definition: Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity.
      UNDERWRTNG
      Definition: Provision of underwriting analysis for another underwriter without assumption of risk.

    • Enum Constant Detail

      • AULR

        public static final V3ParticipationFunction AULR
        Description:Provider with legitimate relationship authorized to receive patient health information.

      • AUTM

        public static final V3ParticipationFunction AUTM
        Description:Member of care team authorized to receive patient health information.

      • AUWA

        public static final V3ParticipationFunction AUWA
        Description:Entities within specified work area authorized to receive patient health information.

      • GRDCON

        public static final V3ParticipationFunction GRDCON
        Description:Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent.

      • POACON

        public static final V3ParticipationFunction POACON
        Description:Person authorized with healthcare power of attorney to author a consent directive for the subject of consent.

      • PRCON

        public static final V3ParticipationFunction PRCON
        Description:Personal representative of the subject of consent authorized to author a consent directive for the subject of consent.

      • PROMSK

        public static final V3ParticipationFunction PROMSK
        Definition:Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information.

      • AUEMROV

        public static final V3ParticipationFunction AUEMROV
        Description:Entity authorized to override a consent directive or privacy policy in an emergency.

      • CLMADJ

        public static final V3ParticipationFunction CLMADJ
        Definition: Manages all operations required to adjudicate fee for service claims or managed care encounter reports.

      • FFSMGT

        public static final V3ParticipationFunction FFSMGT
        Definition: Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review.

      • MCMGT

        public static final V3ParticipationFunction MCMGT
        Definition: Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review.

      • PROVMGT

        public static final V3ParticipationFunction PROVMGT
        Definition: Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy.

      • UMGT

        public static final V3ParticipationFunction UMGT
        Definition: Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity. May include management of authorizations for services and referrals.

      • _SPONSORPARTICIPATIONFUNCTION

        public static final V3ParticipationFunction _SPONSORPARTICIPATIONFUNCTION
        Definition: Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.

      • FULINRD

        public static final V3ParticipationFunction FULINRD
        Definition: Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program.

      • SELFINRD

        public static final V3ParticipationFunction SELFINRD
        Definition: Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program.

      • PAYORCNTR

        public static final V3ParticipationFunction PAYORCNTR
        Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage. Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management. Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions. The underwriter may act as the payor in some, but not all of the regions in which coverage is provided.

      • REINS

        public static final V3ParticipationFunction REINS
        Definition: Underwriting reinsurance for another underwriter for the policy or program.

      • SUBCTRT

        public static final V3ParticipationFunction SUBCTRT
        Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region .

      • UNDERWRTNG

        public static final V3ParticipationFunction UNDERWRTNG
        Definition: Provision of underwriting analysis for another underwriter without assumption of risk.

      • ADMPHYS

        public static final V3ParticipationFunction ADMPHYS
        A physician who admitted a patient to a hospital or other care unit that is the context of this service.

      • ANEST

        public static final V3ParticipationFunction ANEST
        In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself. To clarify responsibilities anesthesia should always be represented as a separate service related to the surgery.

      • ANRS

        public static final V3ParticipationFunction ANRS
        In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods.

      • ASSEMBLER

        public static final V3ParticipationFunction ASSEMBLER
        A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact. UsageConstraint: ASSEMBLER ParticipationFunction should be used with DEV (device) ParticipationType.

      • ATTPHYS

        public static final V3ParticipationFunction ATTPHYS
        A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service.

      • COMPOSER

        public static final V3ParticipationFunction COMPOSER
        A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact. UsageConstraint: COMPOSER ParticipationFunction should be used with DEV (device) ParticipationType. Usage Note: This code will enable implementers to more specifically represent the manner in which a Device participated in and facilitated the generation of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised of the Author's newly entered content, and may include the pre-existing content selected by the Author, for the purpose of establishing the provenance and accountability for these acts.

      • DISPHYS

        public static final V3ParticipationFunction DISPHYS
        A physician who discharged a patient from a hospital or other care unit that is the context of this service.

      • FASST

        public static final V3ParticipationFunction FASST
        In a typical surgery setting the assistant facing the primary surgeon. The first assistant performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering, ligatures, sutures).

      • MDWF

        public static final V3ParticipationFunction MDWF
        A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging from a mere optional assistant to a full required participant, responsible for (normal) births and pre- and post-natal care for both mother and baby.

      • NASST

        public static final V3ParticipationFunction NASST
        In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.).

      • PCP

        public static final V3ParticipationFunction PCP
        The healthcare provider that holds primary responsibility for the overall care of a patient.

      • REVIEWER

        public static final V3ParticipationFunction REVIEWER
        A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy. UsageConstraint: UsageConstraint: Specifies the exact function that an actor is authorized to have as a verifier of an Act. Connotes that a specialized verifier asserts compliance for veracity of the review per jurisdictional or organizational policy. E.g., The Provider who takes responsibility for authenticity of a record submitted to a payer. REVIEW ParticipationFunction should be used with VFR (verifier)

      • TASST

        public static final V3ParticipationFunction TASST
        In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg).

    • Method Detail

      • values

        public static V3ParticipationFunction[] 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 (V3ParticipationFunction c : V3ParticipationFunction.values())
    System.out.println(c);
        Returns:
        an array containing the constants of this enum type, in the order they are declared

      • valueOf

        public static V3ParticipationFunction 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 name
        NullPointerException - if the argument is null