org.hl7.fhir.r4.model.codesystems

Enum V3ActCode

java.lang.Object

java.lang.Enum<V3ActCode>

org.hl7.fhir.r4.model.codesystems.V3ActCode

All Implemented Interfaces:

Serializable, Comparable<V3ActCode>

public enum V3ActCode
extends Enum<V3ActCode>

Enum Constant Summary

Enum Constants

Enum Constant and Description
_1 Confirmed drug therapy appropriate
_10 Provided education or training to the patient on appropriate therapy use
_11 Instituted an additional therapy to mitigate potential negative effects
_12 Suspended existing therapy that triggered interaction for the duration of this therapy
_13 Aborted existing therapy that triggered interaction.
_14 Confirmed supply action appropriate
_15 Patient's existing supply was lost/wasted
_16 Supply date is due to patient vacation
_17 Supply date is intended to carry patient over weekend
_18 Supply is intended for use during a leave of absence from an institution.
_19 Consulted other supplier/pharmacy, therapy confirmed
_2 Assessed patient, therapy is appropriate
_20 Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
_21 Description: Indicates that the permissions have been externally verified and the request should be processed.
_216119 Definition:Estimated age.
_216127 Definition:Reported age.
_22 Description: The patient has the appropriate indication or diagnosis for the action to be taken.
_23 Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
_295535 Definition:Calculated age.
_3 Patient gave adequate explanation
_305250 Definition:General specification of age with no implied method of determination.
_309724 Definition:Age at onset of associated adverse event; no implied method of determination.
_4 Consulted other supply source, therapy still appropriate
_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.
_5 Consulted prescriber, therapy confirmed
_6 Consulted prescriber and recommended change, prescriber declined
_7 Concurrent therapy triggering alert is no longer on-going or planned
_8 Order is performed as issued, but other action taken to mitigate potential adverse effects
_9 Arranged to monitor patient for adverse effects
_ACTACCOUNTCODE An account represents a grouping of financial transactions that are tracked and reported together with a single balance.
_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.
_ACTADJUDICATIONGROUPCODE Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
_ACTADJUDICATIONRESULTACTIONCODE Actions to be carried out by the recipient of the Adjudication Result information.
_ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODE ActAdministrativeAuthorizationDetectedIssueCode
_ACTADMINISTRATIVEDETECTEDISSUECODE Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
_ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODE Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
_ACTADMINISTRATIVERULEDETECTEDISSUECODE ActAdministrativeRuleDetectedIssueCode
_ACTBILLABLEMODIFIERCODE Definition:An identifying modifier code for healthcare interventions or procedures.
_ACTBILLABLESERVICECODE Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.
_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.
_ACTBOUNDEDROICODE Type of bounded ROI.
_ACTCAREPROVISIONCODE Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
_ACTCLAIMATTACHMENTCATEGORYCODE Description: Coded types of attachments included to support a healthcare claim.
_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.
_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.
_ACTCONTAINERREGISTRATIONCODE Constrains the ActCode to the domain of Container Registration
_ACTCONTROLVARIABLE An observation form that determines parameters or attributes of an Act.
_ACTCOVERAGEAUTHORIZATIONCONFIRMATIONCODE Indication of authorization for healthcare service(s) and/or product(s).
_ACTCOVERAGECONFIRMATIONCODE Response to an insurance coverage eligibility query or authorization request.
_ACTCOVERAGEELIGIBILITYCONFIRMATIONCODE Indication of eligibility coverage for healthcare service(s) and/or product(s).
_ACTCOVERAGELIMITCODE Criteria that are applicable to the authorized coverage.
_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.
_ACTCOVERAGETYPECODE Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
_ACTCOVEREDPARTYLIMITCODE Codes representing the types of covered parties that may receive covered benefits under a policy or program.
_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.
_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.
_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.
_ACTDETECTEDISSUEMANAGEMENTCODE Codes dealing with the management of Detected Issue observations
_ACTENCOUNTERACCOMMODATIONCODE Accommodation type.
_ACTENCOUNTERCODE Domain provides codes that qualify the ActEncounterClass (ENC)
_ACTEXPOSURECODE Concepts that identify the type or nature of exposure interaction.
_ACTFINANCIALTRANSACTIONCODE ActFinancialTransactionCode
_ACTHEALTHINSURANCETYPECODE Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties.
_ACTINCIDENTCODE Set of codes indicating the type of incident or accident.
_ACTINFORMATIONACCESSCODE Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.
_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.
_ACTINFORMATIONCATEGORYCODE Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
_ACTINFORMATIONSENSITIVITYPOLICY Types of sensitivity policies that apply to Acts.
_ACTINSURANCEPOLICYCODE Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
_ACTINSURANCETYPECODE Definition: Set of codes indicating the type of insurance policy.
_ACTINVOICEADJUDICATIONPAYMENTCODE Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA).
_ACTINVOICEADJUDICATIONPAYMENTGROUPCODE Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
_ACTINVOICEADJUDICATIONPAYMENTSUMMARYCODE Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA).
_ACTINVOICEDETAILCLINICALPRODUCTCODE An identifying data string for healthcare products.
_ACTINVOICEDETAILCLINICALSERVICECODE An identifying data string for healthcare procedures.
_ACTINVOICEDETAILCODE Codes representing a service or product that is being invoiced (billed).
_ACTINVOICEDETAILDRUGPRODUCTCODE An identifying data string for A substance used as a medication or in the preparation of medication.
_ACTINVOICEDETAILGENERICADJUDICATORCODE The billable item codes to identify adjudicator specified components to the total billing of a claim.
_ACTINVOICEDETAILGENERICCODE The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
_ACTINVOICEDETAILGENERICMODIFIERCODE The billable item codes to identify modifications to a billable item charge.
_ACTINVOICEDETAILGENERICPROVIDERCODE The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
_ACTINVOICEDETAILPREFERREDACCOMMODATIONCODE An identifying data string for medical facility accommodations.
_ACTINVOICEDETAILTAXCODE The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount.
_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.
_ACTINVOICEELEMENTSUMMARYCODE Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA).
_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.
_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.
_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.
_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.
_ACTLISTCODE Provides codes associated with ActClass value of LIST (working list)
_ACTMEDICALSERVICECODE General category of medical service provided to the patient during their encounter.
_ACTMEDICATIONTHERAPYDURATIONWORKINGLISTCODE Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists.
_ACTMONITORINGPROTOCOLCODE Identifies types of monitoring programs
_ACTNONOBSERVATIONINDICATIONCODE Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
_ACTOBSERVATIONLIST ActObservationList
_ACTOBSERVATIONVERIFICATIONTYPE Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.
_ACTPATIENTANNOTATIONTYPE Description:Provides a categorization for annotations recorded directly against the patient .
_ACTPATIENTTRANSPORTATIONMODECODE Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.
_ACTPAYMENTCODE Code identifying the method or the movement of payment instructions.
_ACTPHARMACYSUPPLYTYPE Identifies types of dispensing events
_ACTPOLICYTYPE Description:Types of policies that further specify the ActClassPolicy value set.
_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
_ACTPRIVACYPOLICY A policy deeming certain information to be private to an individual or organization.
_ACTPROCEDURECODE An identifying code for healthcare interventions/procedures.
_ACTPRODUCTACQUISITIONCODE The method that a product is obtained for use by the subject of the supply act (e.g.
_ACTPROGRAMTYPECODE Definition: A set of codes used to indicate coverage under a program.
_ACTSPECIMENTRANSPORTCODE Transportation of a specimen.
_ACTSPECIMENTREATMENTCODE Set of codes related to specimen treatments
_ACTSPECOBSCODE Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
_ACTSUBSTANCEADMINISTRATIONCODE Description: Describes the type of substance administration being performed.
_ACTSUPPLIEDITEMDETECTEDISSUECODE Identifies types of detected issues regarding the administration or supply of an item to a patient.
_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).
_ACTTHERAPYDURATIONWORKINGLISTCODE Codes used to identify different types of 'duration-based' working lists.
_ACTTRANSPORTATIONMODECODE Characterizes how a transportation act was or will be carried out.
_ACTUSPRIVACYLAW Definition: A jurisdictional mandate in the U.S.
_ADMINISTRATIONDETECTEDISSUECODE Administration of the proposed therapy may be inappropriate or contraindicated as proposed
_ANNOTATIONTYPE AnnotationType
_APPROPRIATENESSDETECTEDISSUECODE AppropriatenessDetectedIssueCode
_AUTHORIZATIONISSUEMANAGEMENTCODE Authorization Issue Management Code
_CASETRANSMISSIONMODE Code for the mechanism by which disease was acquired by the living subject involved in the public health case.
_ECGOBSERVATIONSERIESTYPE ECGObservationSeriesType
_ENTITYSENSITIVITYPOLICYTYPE Types of sensitivity policies that may apply to a sensitive attribute on an Entity.
_FDALABELDATA FDA label data
_GENETICOBSERVATIONTYPE Description: None provided
_HL7ACCOMMODATIONCODE Description:Accommodation type.
_HL7DEFINEDACTCODES Domain provides the root for HL7-defined detailed or rich codes for the Act classes.
_IMMUNIZATIONOBSERVATIONTYPE Description: Observation codes which describe characteristics of the immunization material.
_INDIVIDUALCASESAFETYREPORTTYPE A code that is used to indicate the type of case safety report received from sender.
_INFORMATIONSENSITIVITYPOLICY A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability.
_INTERACTIONDETECTEDISSUECODE InteractionDetectedIssueCode
_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.
_INVOICEELEMENTPAID Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
_INVOICEELEMENTSUBMITTED Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period.
_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.
_MEDICATIONOBSERVATIONTYPE MedicationObservationType
_OBSERVATIONISSUETRIGGERCODEDOBSERVATIONTYPE Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection.
_OBSERVATIONQUALITYMEASUREATTRIBUTE Codes used to define various metadata aspects of a health quality measure.
_OBSERVATIONSEQUENCETYPE ObservationSequenceType
_OBSERVATIONSERIESTYPE ObservationSeriesType
_OBSERVATIONTYPE Identifies the kinds of observations that can be performed
_PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPE Description: Reporting codes that are related to an immunization event.
_POPULATIONINCLUSIONOBSERVATIONTYPE Observation types for specifying criteria used to assert that a subject is included in a particular population.
_PREFERENCEOBSERVATIONTYPE Types of observations that can be made about Preferences.
_ROIOVERLAYSHAPE Shape of the region on the object being referenced
_ROLEINFORMATIONSENSITIVITYPOLICY Types of sensitivity policies that apply to Roles.
_SUPPLYDETECTEDISSUECODE Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
_TIMINGDETECTEDISSUECODE Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
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).
AALC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
AAMC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
ABHC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
ABUSE Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
ACAC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
ACADR Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.
ACALL Description: Provide consent to collect, use, disclose, or access all information for a patient.
ACALLG Description: Provide consent to collect, use, disclose, or access allergy information for a patient.
ACCESSCONSCHEME An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies.
ACCONS Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.
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.
ACDEMO Description: Provide consent to collect, use, disclose, or access demographics information for a patient.
ACDI Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.
ACH Automated Clearing House (ACH).
ACHC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
ACID The lowering of specimen pH through the addition of an acid
ACIMMUN Description: Provide consent to collect, use, disclose, or access immunization information for a patient.
ACLAB Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.
ACMED Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.
ACMEDC Definition: Provide consent to view or access medical condition information for a patient.
ACMEN Description:Provide consent to collect, use, disclose, or access mental health information for a patient.
ACOBS Description: Provide consent to collect, use, disclose, or access common observation information for a patient.
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.
ACPOLPRG Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.
ACPROV Description: Provide consent to collect, use, disclose, or access provider information for a patient.
ACPSERV Description: Provide consent to collect, use, disclose, or access professional service information for a patient.
ACSUBSTAB Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.
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.
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.
ACUTE An acute inpatient encounter.
ADALRT Proposed therapy is outside of the standard practice for an adult patient.
ADMDX Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
ADOL Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
AE American Express
AFOOT pedestrian transport
AFTHRS Premium paid on service fees in compensation for practicing outside of normal working hours.
AGE Proposed therapy may be inappropriate or contraindicated due to patient age
AGGREGATE Indicates that the observation is carrying out an aggregation calculation, contained in the value element.
AHOC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
AIRTRNS Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
ALC Provision of Alternate Level of Care to a patient in an acute bed.
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.
ALG Hypersensitivity to an agent caused by an immunologic response to an initial exposure
ALGY Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product.
ALK The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
ALLCAT Description: All patient information.
ALLDONE Definition:The requested action has already been performed and so this request has no effect
ALLERLE Description: A person enters a known allergy for a given patient.
ALLERLREV Description: A person reviews a list of known allergies of a given patient.
ALLGCAT Definition:All information pertaining to a patient's allergy and intolerance records.
ALRTENDLATE Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
ALRTSTRTLATE Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
ALTC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
AMB A comprehensive term for health care provided in a healthcare facility (e.g.
AMBAIR fixed-wing ambulance transport
AMBGRND ground ambulance transport
AMBHELO helicopter ambulance transport
AMBT ambulance transport
ANANTRNS Communication of an agent from one animal to another proximate animal.
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.
ANHUMTRNS Communication of an agent from an animal to a proximate person.
ANNDI Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.
ANNGEN Description:A general or uncategorized note.
ANNIMM A note that is specific to a patient's immunizations, either historical, current or planned.
ANNLAB Description:A note that is specific to a patient's laboratory results, either historical, current or planned.
ANNMED Description:A note that is specific to a patient's medications, either historical, current or planned.
ANNU Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.
ANONY Custodian system must remove any information that could result in identifying the information subject.
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.
AOSC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
AR The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.
ARCAT Description: All information pertaining to a patient's adverse drug reactions.
ARTBLD Describes the artificial blood identifier that is associated with the specimen.
AS The invoice element was/will be paid exactly as submitted, without financial adjustment(s).
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.
AUDIT Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.
AUDTR Custodian system must monitor and maintain retrievable log for each user and operation on information.
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.
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.
AUTO Specifies whether or not automatic repeat testing is to be initiated on specimens.
AUTOATTCH Description: Automobile Information Attachment
AUTOHIGH The dilution of a sample performed by automated equipment.
AUTOLOW The dilution of a sample performed by automated equipment.
AUTOPOL Insurance policy for injuries sustained in an automobile accident.
AVAILABLE The available quantity of specimen.
B Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality.
BDYFLDTRNS Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
BH Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality.
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.
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.
BONUS Bonus payments based on performance, volume, etc.
BOOSTER An additional immunization administration within a series intended to bolster or enhance immunity.
BR A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
BUS Description:A local business rule relating multiple elements has been violated.
C Description:Indicates that result data has been corrected.
CACC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CACS Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CAIC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CAMC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CAMI Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CANC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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.
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.
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).
CAPC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CARD Provision of diagnosis and treatment of diseases and disorders affecting the heart
CARELIST List of acts representing a care plan.
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.
CASH Cash
CAST Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CBAR Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CBGC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
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.
CCAD Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CCAR Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CCCC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CCGC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CCPC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CCSC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CDEC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CDEP Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CDGD Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CDIA Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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.
CDRC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CDSREV A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.
CEL Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality.
CEMC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CEPI Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CFEL Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CFPC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CFWD An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
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.
CHFC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CHK A written order to a bank to pay the amount specified from funds on deposit.
CHLDCARE Description: Exposure participants' interaction occurred in a child care setting
CHR Provision of recurring care for chronic illness.
CHRG A type of transaction that represents a charge for a service or product.
CHRO Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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.
CHYP Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CIMC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CIRCLE A circle defined by two (column,row) pairs.
CLINNOTEE A clinician enters a clinical note about a given patient
CLINNOTEREV A person reviews a clinical note of a given patient.
CLSSRM Description: The class room associated with the patient during the immunization event.
CMGC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CMIH Description:.
CMPMSRMTH Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.
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.
CMSC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CNEC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
CNMC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CNQC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CNSC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
COBSCAT Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
CODEDEPREC Description:The specified code has been deprecated and should no longer be used.
CODEINVAL Description:The specified code is not valid against the list of codes allowed for the element.
COGC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
COGN Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality.
COIN That portion of the eligible charges which a covered party must pay for each service and/or product.
COINS The covered party pays a percentage of the cost of covered services.
COJR Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
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.
COMC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
COMMONRULE U.S.
COMPLY There may be an issue with the patient complying with the intentions of the proposed therapy
COMPT This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program.
CONC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
COND Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
CONDLIST List of condition observations.
CONSUMPTION The quantity of specimen that is used each time the equipment uses this substance
CONT Transaction counts and value totals by Contract Identifier.
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.
CONVEYNC Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g.
COPAY null
COPAYMENT That portion of the eligible charges which a covered party must pay for each service and/or product.
COPC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
COPD Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
COPY Identifies the organization(s) who own the intellectual property represented by the eMeasure.
CORT Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
COSC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
COTC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
COVGE Insurance coverage problems have been encountered.
COVMX Definition: Codes representing the maximum coverate or financial participation requirements.
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.
COVPRD Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
CPAD Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CPEC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CPGC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CPHC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CPINV Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).
CPLYCC Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
CPLYCD Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
CPLYJPP Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
CPLYOPP Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
CPLYOSP Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
CPLYPOL Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
CPND Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CPNDDRGING A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced.
CPNDINDING A grouping of invoice element details including the one specifying an ingredient drug being invoiced.
CPNDSUPING A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced.
CPRC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CPSC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CPST Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CPTM Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
CPYC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CREACT Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.
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.
CRIT A clinical judgment as to the worst case result of a future exposure (including substance administration).
CROC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CRPC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CRS Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.
CSDM Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CSIC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CSINV Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.
CSLD Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CSPINV A clinical Invoice Grouping consisting of one or more services and one or more product.
CSPT Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CSUC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CTBU Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CTCOMPT Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow.
CTLSUB A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
CTMO An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.
CTSC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CURC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CURMEDLIST List of current medications.
CURRENT The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
CVDC Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CVSC Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
CWMA Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
CWOH Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
DACT Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
DALG An allergy to a pharmaceutical product.
DAY Transaction counts and value totals for each calendar day within the date range specified.
DDP Electronic Funds Transfer (EFT) deposit into the payee's bank account
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.
DEDUCT null
DEDUCTIBLE That portion of the eligible charges which a covered party must pay in a particular period (e.g.
DEF Description of individual terms, provided as needed.
DEFB The removal of fibrin from whole blood or plasma through physical or chemical means
DEID Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
DELAU Custodian system must remove target information from access after use.
DELEPOL Delegation policies specify which actions subjects are allowed to delegate to others.
DEMO Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality.
DEMOCAT Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
DENEX Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met.
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.
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).
DENTAL Definition: A health insurance policy that that covers benefits for dental services.
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.
DERMTRNS Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
DF A fill providing sufficient supply for one day
DIA Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality.
DIAGLISTE A clinician enters a diagnosis for a given patient.
DIAGLISTREV A person reviews a list of diagnoses of a given patient.
DICAT Definition:All information pertaining to a patient's diagnostic image records (orders & results).
DIET Code set to define specialized/allowed diets
DILUTION An observation that reports the dilution of a sample.
DINT Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
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.
DISC Disclaimer information for the eMeasure.
DISCHINSTE A person provides a discharge instruction to a patient.
DISCHSUME A clinician enters a discharge summary for a given patient.
DISCHSUMREV A person reviews a discharge summary of a given patient.
DISCMEDLIST List of discharge medications.
DISDX Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
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.
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.
DISPLAY The adjudication result associated is to be displayed to the receiver of the adjudication result.
DM A diet that uses carbohydrates sparingly.
DN Diner's Club
DNAINT Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
DNTL Provision of treatment for oral health and/or dental surgery.
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.
DOCUMENT Description: Document Attachment
DOSE Proposed dosage instructions for therapy differ from standard practice.
DOSECOND Description:Proposed dosage is inappropriate due to patient's medical condition.
DOSEDUR Proposed length of therapy differs from standard practice.
DOSEDURH Proposed length of therapy is longer than standard practice
DOSEDURHIND Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
DOSEDURL Proposed length of therapy is shorter than that necessary for therapeutic effect
DOSEDURLIND Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
DOSEH Proposed dosage exceeds standard practice
DOSEHIND High Dose for Indication Alert
DOSEHINDA Proposed dosage exceeds standard practice for the patient's age
DOSEHINDSA Proposed dosage exceeds standard practice for the patient's height or body surface area
DOSEHINDW Proposed dosage exceeds standard practice for the patient's weight
DOSEIND null
DOSEIVL Proposed dosage interval/timing differs from standard practice
DOSEIVLIND Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
DOSEL Proposed dosage is below suggested therapeutic levels
DOSELIND Low Dose for Indication Alert
DOSELINDA Proposed dosage is below suggested therapeutic levels for the patient's age
DOSELINDSA Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
DOSELINDW Proposed dosage is below suggested therapeutic levels for the patient's weight
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.
DRG Proposed therapy may interact with an existing or recent drug therapy
DRGIS Policy for handling information related to a drug, which will be afforded heightened confidentiality.
DRGRHB Provision of treatment for drug abuse.
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.
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.
DRUGING A grouping of invoice element details including the one specifying the drug being invoiced.
DRUGPOL Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
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.
DSC A reduction in the amount charged as a percentage of the amount.
DUPTHPCLS Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
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.
DUPTHPY The proposed therapy appears to duplicate an existing therapy
DV Discover Card
DVD Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality.
DX Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
EALG An allergy to a substance other than a drug or a food.
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.
EDU Fees deducted on behalf of a payee for tuition and continuing education.
EFORM Electronic form with supporting or additional information to follow.
EHCPOL Private insurance policy that provides coverage in addition to other policies (e.g.
EINT Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
ELG Insurance coverage is in effect for healthcare service(s) and/or product(s).
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.
EM A supply action where there is no 'valid' order for the supplied medication.
EMAUTH Used to temporarily override normal authorization rules to gain access to data in a case of emergency.
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.)
EMOTDIS Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality.
EMP Policy for handling information related to an employee, which will be afforded heightened confidentiality.
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.
EMRGONLY This general consent directive specifically limits disclosure of health information for purpose of emergency treatment.
ENAINT Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
ENCRYPT Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext.
ENCRYPTR Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
ENCRYPTT Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
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.
ENDC A baseline value for the measured test that is inherently contained in the diluent.
ENDLATE Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
ENDRENAL Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.
ENVTRNS Communication of an agent from an environmental surface or source to a living subject by direct contact.
EPYMT Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e.
ESA A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
ETH Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality.
ETHUD Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.
EVNFCTS Domain provides codes that qualify the ActLabObsEnvfctsCode domain.
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.
F Description:Indicates that a result is complete.
FALG An allergy to a substance generally consumed for nutritional purposes.
FALLRISK A person reviews a Falls Risk Assessment Instrument report of a given patient.
FAST No enteral intake of foot or liquids whatsoever, no smoking.
FAX Fax with supporting or additional information to follow.
FD Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g.
FDACOATING FDA label coating
FDACOLOR FDA label color
FDAIMPRINTCD FDA label imprint code
FDALOGO FDA label logo
FDASCORING FDA label scoring
FDASHAPE FDA label shape
FDASIZE FDA label size
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.
FF The initial fill against an order.
FFC A first fill where the quantity supplied is equal to one full repetition of the ordered amount.
FFCS A first fill where the quantity supplied is equal to one full repetition of the ordered amount.
FFP A first fill where the quantity supplied is less than one full repetition of the ordered amount.
FFPS A first fill where the quantity supplied is less than one full repetition of the ordered amount.
FFS A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.
FFSS A first fill where the strength supplied is less than the ordered strength.
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.
FIBRIN The Fibrin Index of the specimen.
FILT The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
FINALDT The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.
FINBILL A billing arrangement where a Provider charges for non-clinical items.
FININV Invoice Grouping without clinical justification.
FINT Hypersensitivity resulting in an adverse reaction upon exposure to food.
FLD A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence.
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.
FMCOMPT Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows.
FNAINT Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
FNLFEE Anticipated or actual final fee associated with treating a patient.
FOMTRNS Communication of an agent from an non-living material to a living subject through direct contact.
FOOD Proposed therapy may interact with certain foods
FOODTRNS Communication of an agent from a food source to a living subject via oral consumption.
FORM The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
FORMAT Description:The element does not follow the formatting or type rules defined for the field.
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.
FRAMEING A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
FRAUD Description:The request is suspected to have a fraudulent basis.
FRSTFEE Anticipated or actual initial fee associated with treating a patient.
FS A supply action to restock a smaller more local dispensary.
FST Federal tax on transactions such as the Goods and Services Tax (GST)
FULFIL Definition:The therapy being performed is in some way out of alignment with the requested therapy.
GARN Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g.
GDIS Policy for handling genetic disease information, which will be afforded heightened confidentiality.
GEALRT Proposed therapy is outside of standard practice for a geriatric patient.
GEN Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
GEND Proposed therapy may be inappropriate or contraindicated due to patient gender.
GENDER Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality.
GENE Description: A DNA segment that contributes to phenotype/function.
GENRL General care performed by a general practitioner or family doctor as a responsible provider for a patient.
GF Gluten free diet for celiac disease.
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.
GISTIER Description: Accuracy determined as per the GIS tier code system.
GOALLIST List of observations in goal mood.
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.
GRADE Description: The school grade or level the patient was in when immunized.
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.
GTIN Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
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.
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.
HEALTHREC Description: Health Record Attachment
HELD Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
HEMOLYSIS An observation of the hemolysis index of the specimen in g/L
HGHT null
HH Healthcare encounter that takes place in the residence of the patient or a designee
HHOBS Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.
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.
HIPAANOPP The U.S.
HIPAAPSYNOTES The U.S.
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.
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.
HISTMEDLIST Historical list of medications.
HISTORIC Description: While the record was accepted in the repository, there is a more recent version of a record of this type.
HIV Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality.
HIVAIDS Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria.
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.
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.
HOMECARE Description: Exposure interaction occurred in context of one providing care for the other, i.e.
HOSPPTNT Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
HOSPVSTR Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
HOUSEHLD Description: Exposure interaction occurred in context of domestic interaction, i.e.
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.
HSAPOL Insurance policy that provides for an allotment of funds replenished on a periodic (e.g.
HST Joint Federal/Provincial Sales Tax
HUAPRV Custodian system must require human review and approval for permission requested.
HUMHUMTRNS Communication of an agent from a person to a proximate person.
I Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
ICOL Definition: Consent to have healthcare information collected in an electronic health record.
ICTERUS An observation that describes the icterus index of the specimen.
ID Used by one system to inform another that it has received a container.
IDSCL Definition: Consent to have collected healthcare information disclosed.
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).
ILLEGAL Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
IMG Description: Image Attachment
IMMLE Description: A person enters an immunization due or received for a given patient.
IMMLREV Description: A person reviews a list of immunizations due or received for a given patient.
IMMUCAT Definition:All information pertaining to a patient's vaccination records.
IMMUNIZ The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
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.
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.
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.
IND Definition: Services provided directly and through contracted and operated indigenous peoples health programs.
IND01 Description:Contrast agent required for imaging study.
IND02 Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
IND03 Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
IND04 Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
IND05 Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.
INDTRNS Communication of an agent to a living subject via an undetermined route.
INFA Definition: Consent to access healthcare information.
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.
INFASO Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
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.
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.
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.
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.
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.
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.
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.
INITIAL The initial quantity of the specimen in inventory
INITIMMUNIZ The first immunization administration in a series intended to produce immunity
INMATE Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
INT Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product.
INTDX Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
INTERVAL Definition:The therapy action is being performed outside the bounds of the time period requested
INTFR An observation that relates to factors that may potentially cause interference with the observation
INTIMATE Description: Exposure interaction was intimate, i.e.
INTOLIST List of intolerance observations.
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
INVOICE Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
INVTYPE Transaction counts and value totals by invoice type (e.g.
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.).
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).
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).
IRDSCL Definition: Information re-disclosed without the patient's consent.
ISOL Premium paid on service fees in compensation for practicing in a remote location.
ISSUE There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.
ITMCNT Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)
KEY A significant word that aids in discoverability.
KEY204 The ID of the patient, order, etc., was not found.
KEY205 The ID of the patient, order, etc., already exists.
KEY206 Description: Metadata associated with the identification (e.g.
KSUBJ Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.
KSUBT Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.
L Used by one system to inform another that the container has been released from that system.
LAB Proposed therapy may be inappropriate or contraindicated due to recent lab test results
LABCAT Description: All information pertaining to a patient's lab test records (orders & results)
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.
LABOE A clinician creates a request for a laboratory test to be done for a given patient.
LABRESULTS Description: Lab Results Attachment
LABRREV A person reviews a list of laboratory results of a given patient.
LACT Proposed therapy may be inappropriate or contraindicated when breast-feeding
LACTTRNS Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
LATE Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing.
LAWENF law enforcement transport
LDLP LDL Precipitation
LENLONG Description:The length of the data specified is greater than the maximum length defined for the element.
LENRANGE Description:The length of the data specified falls out of the range defined for the element.
LENSHORT Description:The length of the data specified is less than the minimum length defined for the element.
LENSING A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
LF A diet low in fat, particularly to patients with hepatic diseases.
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.
LGPC Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.
LIFE Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death.
LIPEMIA An observation used to describe the Lipemia Index of the specimen.
LIVARG Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality.
LOAN Temporary supply of a product without transfer of ownership for the product.
LOC Transaction counts and value totals by service location (e.g clinic).
LOCIS Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality.
LP A low protein diet for patients with renal failure.
LQ A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber.
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.
LS A diet low in sodium for patients with congestive heart failure and/or renal failure.
LTC Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves.
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).
LU Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
M Used by one system to inform another that the container did not arrive at its next expected location.
MANDPOL mandatory health program
MANUAL Manual review of the invoice is requested.
MARKUP An increase in the amount charged as a percentage of the amount.
MARST Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality.
MARWLREV A clinician reviews a work list of medications to be administered to a given patient.
MASK Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext.
MAXOCCURS Description:The number of repeating elements is above the maximum number of repetitions allowed.
MC Master Card
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.
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.
MED Provision of diagnostic and/or therapeutic treatment.
MEDCCAT Definition:All information pertaining to a patient's medical condition records.
MEDLIST List of medications.
MEDOE A clinician creates a request for the administration of one or more medications to a given patient.
MEDT The end date of the measurement period.
MENCAT Description: All information pertaining to a patient's mental health records.
MENTPOL Definition: A health insurance policy that covers benefits for mental health services and prescriptions.
MENTPRG Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria.
MH Policy for handling information related to psychological disorders, which is afforded heightened confidentiality.
MICROORGRREV A person reviews organisms of microbiology results of a given patient.
MICRORREV A person reviews a list of microbiology results of a given patient.
MICROSENSRREV A person reviews the sensitivity test of microbiology results of a given patient.
MILITARY Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents.
MINEC Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use.
MINFREQ Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
MINOCCURS Description:The number of repeating elements is below the minimum number of repetitions allowed.
MISSAPT A charge to compensate the provider when a patient does not show for an appointment.
MISSCOND Description:The specified element must be specified with a non-null value under certain conditions.
MISSMAND Description:The specified element is mandatory and was not included in the instance.
MLREV A person reviews a list of medication orders submitted to a given patient
MODEL Description: Digital Model Attachment
MONTH Transaction counts and value totals for each calendar month within the date range specified.
MS A supply of a manufacturer sample
MSD The start date of the measurement period.
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.
MSRAGG Describes how to combine information calculated based on logic in each of several populations into one summarized result.
MSRIMPROV Information on whether an increase or decrease in score is the preferred result.
MSRJUR The list of jurisdiction(s) for which the measure applies.
MSROBS Defines the observation to be performed for each patient or event in the measure population.
MSRPOPL Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period).
MSRPOPLEX Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population.
MSRRPTR Type of person or organization that is expected to report the issue.
MSRRPTTIME The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.
MSRSCORE Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)
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).
MSRTOPIC health quality measure topic type
MSRTP The time period for which the eMeasure applies.
MSRTYPE Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).
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.
MVA Incident or accident as the result of a motor vehicle accident
N A normal diet, i.e.
NAINT Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
NAT The requesting party has insufficient authorization to invoke the interaction.
NAUTH Authorization for specified healthcare service(s) and/or product(s) denied.
NELG Insurance coverage is not in effect for healthcare service(s) and/or product(s).
NETAMT Maximum net amount that will be covered for the product or service specified.
NEUT The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
NF A no fat diet for acute hepatic diseases.
NHP Proposed therapy may interact with existing or recent natural health product therapy
NOAUTH Prohibition on disclosure without information subject's authorization.
NOCOLLECT Prohibition on collection or storage of the information.
NOCONSENT No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.
NODSCLCD Prohibition on disclosure without organizational approved patient restriction.
NODSCLCDS Prohibition on disclosure without a consent directive from the information subject.
NODUPS Description:More than one element with the same value exists in the set.
NOI The type of injury that the injury coding specifies.
NOINTEGRATE Prohibition on Integration into other records.
NOLIST Prohibition on disclosure except to entities on specific access list.
NOMOU Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
NON Non-Payment Data.
NONAC Any category of inpatient encounter except 'acute'
NONRX Proposed therapy may interact with a non-prescription drug (e.g.
NOORGPOL Prohibition on disclosure without organizational authorization.
NOPAT Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.
NOPERSIST Description: Element in submitted message will not persist in data storage based on detected issue.
NOPERSISTP Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
NOPP Acknowledgement of custodian notice of privacy practices.
NORDSCLCD Prohibition on redisclosure without patient consent directive.
NORDSCLCDS Prohibition on redisclosure without a consent directive from the information subject.
NORDSCLW Prohibition on disclosure without authorization under jurisdictional law.
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.
NOREUSE Prohibition on use of the information beyond the purpose of use initially authorized.
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.
NOTACTN Definition:The status of the request being fulfilled has changed such that it is no longer actionable.
NOTEQUIV Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
NOTEQUIVGEN Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
NOTEQUIVTHER Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
NOVIP Prohibition on disclosure except to principals with access permission to specific VIP information.
NULL added to help the parsers
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).
NUMEX Criteria for specifying instances that should not be included in the numerator data.
O Used by one system to inform another that the specific container is being processed by the equipment.
OBLIGATIONPOLICY Conveys the mandated workflow action that an information custodian, receiver, or user must perform.
OBS Provision of care of women during pregnancy, childbirth and immediate postpartum period.
OBSA Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
OBSANTC Description: Indicates the valid antigen count.
OBSANTV Description: Indicates whether an antigen is valid or invalid.
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.
OBSOLETE Description: One or more records in the query response have a status of 'obsolete'.
OE A clinician creates a request for a service to be performed for a given patient.
OHSINV A clinical Invoice Grouping consisting of one or more oral health services.
OINT Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
ONC Provision of treatment and/or diagnosis related to tumors and/or cancer.
ONET Definition:A list of medications which the patient is intended to be administered only once.
OOJ The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
OOO Premium paid on service fees in compensation for practicing at a location other than normal working location.
OPIOIDUD Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.
OPTIN A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.
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.
OPTOUT A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.
OPTOUTE A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.
ORCON Prohibition on disclosure except as permitted by the information originator.
OREV A person reviews a list of orders submitted to a given patient.
ORTHO The service provided is required for orthodontic purposes.
OTC Medicines designated in this way may be supplied for patient use without a prescription.
P Accommodations in which there is only 1 bed.
PACOMPT Patient administration members who have access to healthcare consumer information as part of a patient administration workflows.
PAF Phenylketonuria diet.
PAINV HealthCare facility preferred accommodation invoice.
PALL Provision of care for patients who are living or dying from an advanced illness.
PAPER Paper documentation (or other physical format) with supporting or additional information to follow.
PAR Patient is supplied with parenteral nutrition, typically described in terms of i.v.
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.
PATADVEVNT Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.
PATDOC A person enters documentation about a given patient.
PATEDUE A person provides a patient-specific education handout to a patient.
PATINFO A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
PATPREF Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATPREFALT Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
PATREPE A pathologist enters a report for a given patient.
PATREPREV A person reviews a pathology report of a given patient.
PAY The guarantor, who may be the patient, pays the entire charge for a service.
PAYEE Transaction counts and value totals by each instance of an invoice payee.
PAYOR Transaction counts and value totals by each instance of an invoice payor.
PBILLACCT An account representing charges and credits (financial transactions) for a patient's encounter.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
PEALRT Proposed therapy is outside of the standard practice for a pediatric patient.
PED Provision of diagnosis and treatment of diseases and disorders affecting children.
PERFEE Anticipated or actual periodic fee associated with treating a patient.
PERIOD Transaction counts and value totals for the date range specified.
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.
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.
PHAR Pharmaceutical care performed by a pharmacist.
PHY Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive.
PHYRHB Provision of treatment for physical injury.
PIE Public Insurance has been exhausted.
PINV Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
PLACE Description: An interaction where the exposure participants were both present in the same location/place/space.
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.
PLYDOC A similar or identical therapy was recently ordered by a different practitioner.
PLYPHRM This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
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.
POINT A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
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.
POS Definition: A policy for a health plan that has features of both an HMO and a FFS plan.
PPO Definition: A network-based, managed care plan that allows a covered party to choose any health care provider.
PPRD An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
PRA null
PRDING A grouping of invoice element details including the one specifying the product (good or supply) being invoiced.
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.
PRE The dilution of the specimen made prior to being loaded onto analytical equipment
PREFSTRENGTH An observation about how important a preference is to the target of the preference.
PREG Proposed therapy may be inappropriate or contraindicated during pregnancy
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.
PREVINEF Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
PRIVMARK Custodian must create and/or maintain human readable security label tags as required by policy.
PRLMN Description:Indicates that a result is incomplete.
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.
PROA Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
PROBLIST List of problem observations.
PROBLISTE A clinician enters a problem for a given patient.
PROBLISTREV A person reviews a list of problems of a given patient.
PROV Transaction counts and value totals by Provider Identifier.
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.
PRVTRN private transport
PSEUD Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
PST Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
PSVCCAT Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
PSY Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality.
PSYCH Provision of treatment of psychiatric disorder relating to mental illness.
PSYTHPN Policy for handling psychotherapy note information, which is afforded heightened confidentiality.
PTNTCARE Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g.
PUBLICPOL Insurance policy funded by a public health system such as a provincial or national health plan.
PUBTRN public transport
PYRDELAY Allows provider to explain lateness of invoice to a subsequent payor.
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.
RACE Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality.
RADREPE A radiologist enters a report for a given patient.
RADREPREV A person reviews a radiology report of a given patient.
RALG Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product.
RAR Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
RAT Succinct statement of the need for the measure.
RD A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
REACT Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
RECA The addition of calcium back to a specimen after it was removed by chelating agents
RECOV Retroactive adjustment such as fee rate adjustment due to contract negotiations.
REDACT Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.
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.
REFLEX Specifies whether or not further testing may be automatically or manually initiated on specimens.
REFNR Rules of practice do not require a physician's referral for the provider to perform a billable service.
REFRAINPOLICY Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.
REI Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned.
REL Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality.
REMLE Description: A person enters a health care reminder for a given patient.
REMLREV Description: A person reviews a list of health care reminders for a given patient.
RENT Temporary supply of a product with financial compensation, without transfer of ownership for the product.
REPHALFLIFE Description:This observation represents an 'average' or 'expected' half-life typical of the product.
REPRANGE Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
REPRESENTATIVEBEAT This Observation Series type contains waveforms of a "representative beat" (a.k.a.
REPSERV The same service was delivered within a time period that would usually indicate a duplicate billing.
RERUN The value of the dilution of a sample after it had been analyzed at a prior dilution value
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.
RESEARCH Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
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.
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.
RETRO Bonus payments based on performance, volume, etc.
REV A type of transaction that represents a reversal of a previous charge for a service or product.
RF A fill against an order that has already been filled (or partially filled) at least once.
RFC A refill where the quantity supplied is equal to one full repetition of the ordered amount.
RFCS A refill where the quantity supplied is equal to one full repetition of the ordered amount.
RFF The first fill against an order that has already been filled at least once at another facility.
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.
RFP A refill where the quantity supplied is less than one full repetition of the ordered amount.
RFPS A refill where the quantity supplied is less than one full repetition of the ordered amount.
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.
RHYTHM This Observation type contains ECG "rhythm" waveforms.
RINT Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product.
RISKASSESS A person reviews a Risk Assessment Instrument report of a given patient.
RISKLIST List of risk factor observations.
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.
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.
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.
ROST A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
RREACT Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
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.
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.
RX Some form of prescription is required before the related medicine can be supplied for a patient.
RXCAT Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
RXCINV Pharmacy dispense invoice for a compound.
RXDINV Pharmacy dispense invoice not involving a compound
S Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
SA Definition:A drug that requires prior approval (to be reimbursed) before being dispensed
SAC Description:A drug that requires special access permission to be prescribed and dispensed.
SAFNET Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics.
SALE Transfer of ownership for a product for financial compensation.
SBBLELAT Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically.
SBBLELCT Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically.
SBFINV Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
SBNFELAT Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically.
SBNFELCT Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically.
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.
SBPDELCT Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically.
SCA Policy for handling sickle cell disease information, which is afforded heightened confidentiality.
SCH A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
SCHL Description: The school the patient attended when immunized.
SCHLDIV Description: The school division or district associated with the patient during the immunization event.
SCHOOL Incident or accident is the result of a school place accident.
SCHOOL2 Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
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.
SDV Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
SECURITYPOLICY Types of security policies that further specify the ActClassPolicy value set.
SENDAPP Transaction counts and value totals by each instance of a messaging application on a single processor.
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.
SEV A subjective evaluation of the seriousness or intensity associated with another observation.
SEX Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality.
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.
SICKLE Types of sensitivity policies that apply to Acts.
SO An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
SOCIAL Definition: A social service program funded by a public or governmental entity.
SOCIAL2 Description: An interaction where the exposure participants are social associates or members of the same extended family
SP Accommodations in which there are 2 beds.
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.
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.
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.
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.
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.
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.
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).
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.
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).
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.
SPT Incident or accident is the result of a sporting accident.
SREC Description:Specimen has been received by the participating organization/department.
SS An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
SSP Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality.
SSTOR Description:Specimen has been placed into storage at a participating location.
STD Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality.
STORE The act of putting something away for safe keeping.
STRAN Description:Specimen has been put in transit to a participating receiver.
STRAT Describes the strata for which the measure is to be evaluated.
STRTLATE Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
SUBPOL Definition: A health insurance policy that covers benefits for substance use services.
SUBPRG Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria.
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.
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.
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.
SUBSTNCE Description: An interaction where the exposure participants shared or co-used a common substance (e.g.
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.
SUD Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.
SUPPLEMENT A diet that is not intended to be complete but is added to other diets.
SUPPRESSED Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
SURG Provision of surgical treatment.
SURPL Definition: A risk or part of a risk for which there is no normal insurance market available.
T This is not really a diet, since it contains little nutritional value, but is essentially just water.
TB A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
TBOO Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case.
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.
TEACHER Description: The patient's teacher when immunized.
TF A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
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.
TIME Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
TIMEABSOLUTE A sequence of values in the "absolute" time domain.
TIMERELATIVE A sequence of values in a "relative" time domain.
TIMING Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
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.
TLIFE Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period.
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
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
TPROD Proposed therapy may interact with an existing or recent therapeutic product
TRAN Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g.
TRANF Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.
TRANSFER Transfer of ownership for a product.
TRAVEL A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product.
TRAVINT Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g.
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.
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.
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.
TRSTAGRE Type of security metadata about privacy and security requirements with which a security domain must comply.
TRSTAGREOBS Type of security metadata observation made about privacy and security requirements with which a security domain must comply.
TRSTASSUR Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
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).
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).
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.
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.
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.
TRSTMEC Type of security metadata about a security architecture system component that supports enforcement of security policies.
TRSTMECOBS Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.
UD A supply action that provides sufficient material for a single dose.
UDE A supply action that provides sufficient material for a single dose via multiple products.
UFIL The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
ULIFE Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness.
UMBRL Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached.
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.
UNITPRICE Maximum unit price that will be covered for the authorized product or service.
UNITQTY Maximum number of items that will be covered of the product or service specified.
UNRELAT The service provided is not related to another billed service.
UNSPSC Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
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.
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.
URGENT Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
USE Usage notes.
V Visa
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.
VALIDAT Description:The specified element did not pass business-rule validation.
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.
VERBAUTH The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
VET Definition: Services provided directly and through contracted and operated veteran health programs.
VFPAPER Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.
VIO Policy for handling information related to harm by violence, which is afforded heightened confidentiality.
VISPOL Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services.
VLI Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."
VOLUME An observation that reports the volume of a sample.
VR A patient encounter where the patient and the practitioner(s) are not in the same physical location.
VRXINV Vision dispense invoice for up to 2 lens (left and right), frame and optional discount.
W Accommodations in which there are 3 or more beds.
WATTRNS Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not.
WCBPOL Insurance policy for injuries sustained in the work place or in the course of employment.
WEEK Transaction counts and value totals for each calendar week within the date range specified.
WELLREMLE Description: A person enters a wellness or preventive care reminder for a given patient.
WELLREMLREV Description: A person reviews a list of wellness or preventive care reminders for a given patient.
WGHT null
WIATTCH Description: Work Injury related additional Information Attachment
WORK2 Description: Exposure interaction occurred in a work setting, i.e.
WPA Incident or accident is the result of a work place accident
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.
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).
XRAY Description: Digital X-Ray Attachment
YEAR Transaction counts and value totals for each calendar year within the date range specified.

Method Summary

Modifier and Type	Method and Description
static V3ActCode	fromCode(String codeString)
String	getDefinition()
String	getDisplay()
String	getSystem()
String	toCode()
static V3ActCode	valueOf(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.

Methods inherited from class java.lang.Enum

clone, compareTo, equals, finalize, getDeclaringClass, hashCode, name, ordinal, toString, valueOf

Methods inherited from class java.lang.Object

getClass, notify, notifyAll, wait, wait, wait

Enum Constant Detail

_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.

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.

CASH

public static final V3ActCode CASH

Cash

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.

AE

public static final V3ActCode AE

American Express

DN

public static final V3ActCode DN

Diner's Club

DV

public static final V3ActCode DV

Discover Card

MC

public static final V3ActCode MC

Master Card

V

public static final V3ActCode V

Visa

PBILLACCT

public static final V3ActCode PBILLACCT

An account representing charges and credits (financial transactions) for a patient's encounter.

_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.

_ACTADJUDICATIONGROUPCODE

public static final V3ActCode _ACTADJUDICATIONGROUPCODE

Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).

CONT

public static final V3ActCode CONT

Transaction counts and value totals by Contract Identifier.

DAY

public static final V3ActCode DAY

Transaction counts and value totals for each calendar day within the date range specified.

LOC

public static final V3ActCode LOC

Transaction counts and value totals by service location (e.g clinic).

MONTH

public static final V3ActCode MONTH

Transaction counts and value totals for each calendar month within the date range specified.

PERIOD

public static final V3ActCode PERIOD

Transaction counts and value totals for the date range specified.

PROV

public static final V3ActCode PROV

Transaction counts and value totals by Provider Identifier.

WEEK

public static final V3ActCode WEEK

Transaction counts and value totals for each calendar week within the date range specified.

YEAR

public static final V3ActCode YEAR

Transaction counts and value totals for each calendar year within the date range specified.

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).

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).

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).

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).

_ACTADJUDICATIONRESULTACTIONCODE

public static final V3ActCode _ACTADJUDICATIONRESULTACTIONCODE

Actions to be carried out by the recipient of the Adjudication Result information.

DISPLAY

public static final V3ActCode DISPLAY

The adjudication result associated is to be displayed to the receiver of the adjudication result.

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.

_ACTBILLABLEMODIFIERCODE

public static final V3ActCode _ACTBILLABLEMODIFIERCODE

Definition:An identifying modifier code for healthcare interventions or procedures.

CPTM

public static final V3ActCode CPTM

Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.

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.

_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.

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.

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).

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.

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.

ROST

public static final V3ActCode ROST

A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.

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.

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.

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)

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).

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).

_ACTBOUNDEDROICODE

public static final V3ActCode _ACTBOUNDEDROICODE

Type of bounded ROI.

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.

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.

_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.

_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.

_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.

CACC

public static final V3ActCode CACC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CAIC

public static final V3ActCode CAIC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CAMC

public static final V3ActCode CAMC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CANC

public static final V3ActCode CANC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CAPC

public static final V3ActCode CAPC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CBGC

public static final V3ActCode CBGC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CCCC

public static final V3ActCode CCCC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CCGC

public static final V3ActCode CCGC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CCPC

public static final V3ActCode CCPC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CCSC

public static final V3ActCode CCSC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CDEC

public static final V3ActCode CDEC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CDRC

public static final V3ActCode CDRC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CEMC

public static final V3ActCode CEMC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CFPC

public static final V3ActCode CFPC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CIMC

public static final V3ActCode CIMC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CMGC

public static final V3ActCode CMGC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CNEC

public static final V3ActCode CNEC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board

CNMC

public static final V3ActCode CNMC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CNQC

public static final V3ActCode CNQC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CNSC

public static final V3ActCode CNSC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

COGC

public static final V3ActCode COGC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

COMC

public static final V3ActCode COMC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

COPC

public static final V3ActCode COPC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

COSC

public static final V3ActCode COSC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

COTC

public static final V3ActCode COTC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CPEC

public static final V3ActCode CPEC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CPGC

public static final V3ActCode CPGC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CPHC

public static final V3ActCode CPHC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CPRC

public static final V3ActCode CPRC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CPSC

public static final V3ActCode CPSC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CPYC

public static final V3ActCode CPYC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CROC

public static final V3ActCode CROC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CRPC

public static final V3ActCode CRPC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CSUC

public static final V3ActCode CSUC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CTSC

public static final V3ActCode CTSC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CURC

public static final V3ActCode CURC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

CVSC

public static final V3ActCode CVSC

Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

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.

_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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

CMIH

public static final V3ActCode CMIH

Description:.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

_ACTENCOUNTERCODE

public static final V3ActCode _ACTENCOUNTERCODE

Domain provides codes that qualify the ActEncounterClass (ENC)

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.

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.)

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.

HH

public static final V3ActCode HH

Healthcare encounter that takes place in the residence of the patient or a designee

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.

ACUTE

public static final V3ActCode ACUTE

An acute inpatient encounter.

NONAC

public static final V3ActCode NONAC

Any category of inpatient encounter except 'acute'

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.

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.

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.

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.

_ACTMEDICALSERVICECODE

public static final V3ActCode _ACTMEDICALSERVICECODE

General category of medical service provided to the patient during their encounter.

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.

CARD

public static final V3ActCode CARD

Provision of diagnosis and treatment of diseases and disorders affecting the heart

CHR

public static final V3ActCode CHR

Provision of recurring care for chronic illness.

DNTL

public static final V3ActCode DNTL

Provision of treatment for oral health and/or dental surgery.

DRGRHB

public static final V3ActCode DRGRHB

Provision of treatment for drug abuse.

GENRL

public static final V3ActCode GENRL

General care performed by a general practitioner or family doctor as a responsible provider for a patient.

MED

public static final V3ActCode MED

Provision of diagnostic and/or therapeutic treatment.

OBS

public static final V3ActCode OBS

Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.

ONC

public static final V3ActCode ONC

Provision of treatment and/or diagnosis related to tumors and/or cancer.

PALL

public static final V3ActCode PALL

Provision of care for patients who are living or dying from an advanced illness.

PED

public static final V3ActCode PED

Provision of diagnosis and treatment of diseases and disorders affecting children.

PHAR

public static final V3ActCode PHAR

Pharmaceutical care performed by a pharmacist.

PHYRHB

public static final V3ActCode PHYRHB

Provision of treatment for physical injury.

PSYCH

public static final V3ActCode PSYCH

Provision of treatment of psychiatric disorder relating to mental illness.

SURG

public static final V3ActCode SURG

Provision of surgical treatment.

_ACTCLAIMATTACHMENTCATEGORYCODE

public static final V3ActCode _ACTCLAIMATTACHMENTCATEGORYCODE

Description: Coded types of attachments included to support a healthcare claim.

AUTOATTCH

public static final V3ActCode AUTOATTCH

Description: Automobile Information Attachment

DOCUMENT

public static final V3ActCode DOCUMENT

Description: Document Attachment

HEALTHREC

public static final V3ActCode HEALTHREC

Description: Health Record Attachment

IMG

public static final V3ActCode IMG

Description: Image Attachment

LABRESULTS

public static final V3ActCode LABRESULTS

Description: Lab Results Attachment

MODEL

public static final V3ActCode MODEL

Description: Digital Model Attachment

WIATTCH

public static final V3ActCode WIATTCH

Description: Work Injury related additional Information Attachment

XRAY

public static final V3ActCode XRAY

Description: Digital X-Ray Attachment

_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.

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.

IDSCL

public static final V3ActCode IDSCL

Definition: Consent to have collected healthcare information disclosed.

INFA

public static final V3ActCode INFA

Definition: Consent to access healthcare information.

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.

INFASO

public static final V3ActCode INFASO

Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.

IRDSCL

public static final V3ActCode IRDSCL

Definition: Information re-disclosed without the patient's consent.

RESEARCH

public static final V3ActCode RESEARCH

Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.

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.

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.

_ACTCONTAINERREGISTRATIONCODE

public static final V3ActCode _ACTCONTAINERREGISTRATIONCODE

Constrains the ActCode to the domain of Container Registration

ID

public static final V3ActCode ID

Used by one system to inform another that it has received a container.

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.).

L

public static final V3ActCode L

Used by one system to inform another that the container has been released from that system.

M

public static final V3ActCode M

Used by one system to inform another that the container did not arrive at its next expected location.

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.

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.

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).

_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).

AUTO

public static final V3ActCode AUTO

Specifies whether or not automatic repeat testing is to be initiated on specimens.

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.

REFLEX

public static final V3ActCode REFLEX

Specifies whether or not further testing may be automatically or manually initiated on specimens.

_ACTCOVERAGECONFIRMATIONCODE

public static final V3ActCode _ACTCOVERAGECONFIRMATIONCODE

Response to an insurance coverage eligibility query or authorization request.

_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.

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.

NAUTH

public static final V3ActCode NAUTH

Authorization for specified healthcare service(s) and/or product(s) denied.

_ACTCOVERAGEELIGIBILITYCONFIRMATIONCODE

public static final V3ActCode _ACTCOVERAGEELIGIBILITYCONFIRMATIONCODE

Indication of eligibility coverage for healthcare service(s) and/or product(s).

ELG

public static final V3ActCode ELG

Insurance coverage is in effect for healthcare service(s) and/or product(s).

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.

_ACTCOVERAGELIMITCODE

public static final V3ActCode _ACTCOVERAGELIMITCODE

Criteria that are applicable to the authorized coverage.

_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.

COVPRD

public static final V3ActCode COVPRD

Codes representing the time period during which coverage is available; or financial participation requirements are in effect.

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.

NETAMT

public static final V3ActCode NETAMT

Maximum net amount that will be covered for the product or service specified.

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.

UNITPRICE

public static final V3ActCode UNITPRICE

Maximum unit price that will be covered for the authorized product or service.

UNITQTY

public static final V3ActCode UNITQTY

Maximum number of items that will be covered of the product or service specified.

COVMX

public static final V3ActCode COVMX

Definition: Codes representing the maximum coverate or financial participation requirements.

_ACTCOVEREDPARTYLIMITCODE

public static final V3ActCode _ACTCOVEREDPARTYLIMITCODE

Codes representing the types of covered parties that may receive covered benefits under a policy or program.

_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.

_ACTINSURANCEPOLICYCODE

public static final V3ActCode _ACTINSURANCEPOLICYCODE

Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.

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).

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.

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.

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.

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.

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).

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.

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.

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.

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.

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.

MANDPOL

public static final V3ActCode MANDPOL

mandatory health program

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).

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.

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).

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.

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.

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.

WCBPOL

public static final V3ActCode WCBPOL

Insurance policy for injuries sustained in the work place or in the course of employment.

_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.

_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).

DENTAL

public static final V3ActCode DENTAL

Definition: A health insurance policy that that covers benefits for dental services.

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.

DRUGPOL

public static final V3ActCode DRUGPOL

Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.

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.

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

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.

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.

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.

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.

MENTPOL

public static final V3ActCode MENTPOL

Definition: A health insurance policy that covers benefits for mental health services and prescriptions.

SUBPOL

public static final V3ActCode SUBPOL

Definition: A health insurance policy that covers benefits for substance use services.

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.

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.

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.

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.

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).

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.

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.

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

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.

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.

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.

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.

_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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

VET

public static final V3ActCode VET

Definition: Services provided directly and through contracted and operated veteran health programs.

_ACTDETECTEDISSUEMANAGEMENTCODE

public static final V3ActCode _ACTDETECTEDISSUEMANAGEMENTCODE

Codes dealing with the management of Detected Issue observations

_ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODE

public static final V3ActCode _ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODE

Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.

_AUTHORIZATIONISSUEMANAGEMENTCODE

public static final V3ActCode _AUTHORIZATIONISSUEMANAGEMENTCODE

Authorization Issue Management Code

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.

_21

public static final V3ActCode _21

Description: Indicates that the permissions have been externally verified and the request should be processed.

_1

public static final V3ActCode _1

Confirmed drug therapy appropriate

_19

public static final V3ActCode _19

Consulted other supplier/pharmacy, therapy confirmed

_2

public static final V3ActCode _2

Assessed patient, therapy is appropriate

_22

public static final V3ActCode _22

Description: The patient has the appropriate indication or diagnosis for the action to be taken.

_23

public static final V3ActCode _23

Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.

_3

public static final V3ActCode _3

Patient gave adequate explanation

_4

public static final V3ActCode _4

Consulted other supply source, therapy still appropriate

_5

public static final V3ActCode _5

Consulted prescriber, therapy confirmed

_6

public static final V3ActCode _6

Consulted prescriber and recommended change, prescriber declined

_7

public static final V3ActCode _7

Concurrent therapy triggering alert is no longer on-going or planned

_14

public static final V3ActCode _14

Confirmed supply action appropriate

_15

public static final V3ActCode _15

Patient's existing supply was lost/wasted

_16

public static final V3ActCode _16

Supply date is due to patient vacation

_17

public static final V3ActCode _17

Supply date is intended to carry patient over weekend

_18

public static final V3ActCode _18

Supply is intended for use during a leave of absence from an institution.

_20

public static final V3ActCode _20

Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.

_8

public static final V3ActCode _8

Order is performed as issued, but other action taken to mitigate potential adverse effects

_10

public static final V3ActCode _10

Provided education or training to the patient on appropriate therapy use

_11

public static final V3ActCode _11

Instituted an additional therapy to mitigate potential negative effects

_12

public static final V3ActCode _12

Suspended existing therapy that triggered interaction for the duration of this therapy

_13

public static final V3ActCode _13

Aborted existing therapy that triggered interaction.

_9

public static final V3ActCode _9

Arranged to monitor patient for adverse effects

_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.

CHLDCARE

public static final V3ActCode CHLDCARE

Description: Exposure participants' interaction occurred in a child care setting

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).

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).

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.

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.

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.

HOUSEHLD

public static final V3ActCode HOUSEHLD

Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.

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

INTIMATE

public static final V3ActCode INTIMATE

Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).

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).

PLACE

public static final V3ActCode PLACE

Description: An interaction where the exposure participants were both present in the same location/place/space.

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).

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).

SOCIAL2

public static final V3ActCode SOCIAL2

Description: An interaction where the exposure participants are social associates or members of the same extended family

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).

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).

WORK2

public static final V3ActCode WORK2

Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.

_ACTFINANCIALTRANSACTIONCODE

public static final V3ActCode _ACTFINANCIALTRANSACTIONCODE

ActFinancialTransactionCode

CHRG

public static final V3ActCode CHRG

A type of transaction that represents a charge for a service or product. Expressed in monetary terms.

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.

_ACTINCIDENTCODE

public static final V3ActCode _ACTINCIDENTCODE

Set of codes indicating the type of incident or accident.

MVA

public static final V3ActCode MVA

Incident or accident as the result of a motor vehicle accident

SCHOOL

public static final V3ActCode SCHOOL

Incident or accident is the result of a school place accident.

SPT

public static final V3ActCode SPT

Incident or accident is the result of a sporting accident.

WPA

public static final V3ActCode WPA

Incident or accident is the result of a work place accident

_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.

ACADR

public static final V3ActCode ACADR

Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.

ACALL

public static final V3ActCode ACALL

Description: Provide consent to collect, use, disclose, or access all information for a patient.

ACALLG

public static final V3ActCode ACALLG

Description: Provide consent to collect, use, disclose, or access allergy information for a patient.

ACCONS

public static final V3ActCode ACCONS

Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.

ACDEMO

public static final V3ActCode ACDEMO

Description: Provide consent to collect, use, disclose, or access demographics information for a patient.

ACDI

public static final V3ActCode ACDI

Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.

ACIMMUN

public static final V3ActCode ACIMMUN

Description: Provide consent to collect, use, disclose, or access immunization information for a patient.

ACLAB

public static final V3ActCode ACLAB

Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.

ACMED

public static final V3ActCode ACMED

Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.

ACMEDC

public static final V3ActCode ACMEDC

Definition: Provide consent to view or access medical condition information for a patient.

ACMEN

public static final V3ActCode ACMEN

Description:Provide consent to collect, use, disclose, or access mental health information for a patient.

ACOBS

public static final V3ActCode ACOBS

Description: Provide consent to collect, use, disclose, or access common observation information for a patient.

ACPOLPRG

public static final V3ActCode ACPOLPRG

Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.

ACPROV

public static final V3ActCode ACPROV

Description: Provide consent to collect, use, disclose, or access provider information for a patient.

ACPSERV

public static final V3ActCode ACPSERV

Description: Provide consent to collect, use, disclose, or access professional service information for a patient.

ACSUBSTAB

public static final V3ActCode ACSUBSTAB

Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.

_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.

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.

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.

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.

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.

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.

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.

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.

_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.

ALLCAT

public static final V3ActCode ALLCAT

Description: All patient information.

ALLGCAT

public static final V3ActCode ALLGCAT

Definition:All information pertaining to a patient's allergy and intolerance records.

ARCAT

public static final V3ActCode ARCAT

Description: All information pertaining to a patient's adverse drug reactions.

COBSCAT

public static final V3ActCode COBSCAT

Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).

DEMOCAT

public static final V3ActCode DEMOCAT

Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).

DICAT

public static final V3ActCode DICAT

Definition:All information pertaining to a patient's diagnostic image records (orders & results).

IMMUCAT

public static final V3ActCode IMMUCAT

Definition:All information pertaining to a patient's vaccination records.

LABCAT

public static final V3ActCode LABCAT

Description: All information pertaining to a patient's lab test records (orders & results)

MEDCCAT

public static final V3ActCode MEDCCAT

Definition:All information pertaining to a patient's medical condition records.

MENCAT

public static final V3ActCode MENCAT

Description: All information pertaining to a patient's mental health records.

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).

RXCAT

public static final V3ActCode RXCAT

Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).

_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.

_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.

_ACTINVOICEADJUDICATIONPAYMENTGROUPCODE

public static final V3ActCode _ACTINVOICEADJUDICATIONPAYMENTGROUPCODE

Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.

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).

BONUS

public static final V3ActCode BONUS

Bonus payments based on performance, volume, etc. as agreed to by the payor.

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.

EDU

public static final V3ActCode EDU

Fees deducted on behalf of a payee for tuition and continuing education.

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.

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.

INVOICE

public static final V3ActCode INVOICE

Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..

PINV

public static final V3ActCode PINV

Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.

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

PROA

public static final V3ActCode PROA

Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association

RECOV

public static final V3ActCode RECOV

Retroactive adjustment such as fee rate adjustment due to contract negotiations.

RETRO

public static final V3ActCode RETRO

Bonus payments based on performance, volume, etc. as agreed to by the payor.

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.

_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.

INVTYPE

public static final V3ActCode INVTYPE

Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)

PAYEE

public static final V3ActCode PAYEE

Transaction counts and value totals by each instance of an invoice payee.

PAYOR

public static final V3ActCode PAYOR

Transaction counts and value totals by each instance of an invoice payor.

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.

_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.

_ACTINVOICEDETAILCLINICALPRODUCTCODE

public static final V3ActCode _ACTINVOICEDETAILCLINICALPRODUCTCODE

An identifying data string for healthcare products.

UNSPSC

public static final V3ActCode UNSPSC

Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org

_ACTINVOICEDETAILDRUGPRODUCTCODE

public static final V3ActCode _ACTINVOICEDETAILDRUGPRODUCTCODE

An identifying data string for A substance used as a medication or in the preparation of medication.

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).

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.

_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.

_ACTINVOICEDETAILGENERICADJUDICATORCODE

public static final V3ActCode _ACTINVOICEDETAILGENERICADJUDICATORCODE

The billable item codes to identify adjudicator specified components to the total billing of a claim.

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.

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.

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.

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.

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

COINS

public static final V3ActCode COINS

The covered party pays a percentage of the cost of covered services.

_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.

AFTHRS

public static final V3ActCode AFTHRS

Premium paid on service fees in compensation for practicing outside of normal working hours.

ISOL

public static final V3ActCode ISOL

Premium paid on service fees in compensation for practicing in a remote location.

OOO

public static final V3ActCode OOO

Premium paid on service fees in compensation for practicing at a location other than normal working location.

_ACTINVOICEDETAILGENERICPROVIDERCODE

public static final V3ActCode _ACTINVOICEDETAILGENERICPROVIDERCODE

The billable item codes to identify provider supplied charges or changes to the total billing of a claim.

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.

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.

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.

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.

FNLFEE

public static final V3ActCode FNLFEE

Anticipated or actual final fee associated with treating a patient.

FRSTFEE

public static final V3ActCode FRSTFEE

Anticipated or actual initial fee associated with treating a patient.

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.

MISSAPT

public static final V3ActCode MISSAPT

A charge to compensate the provider when a patient does not show for an appointment.

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.

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.

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.

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.

URGENT

public static final V3ActCode URGENT

Premium paid on service fees in compensation for providing an expedited response to an urgent situation.

_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.

FST

public static final V3ActCode FST

Federal tax on transactions such as the Goods and Services Tax (GST)

HST

public static final V3ActCode HST

Joint Federal/Provincial Sales Tax

PST

public static final V3ActCode PST

Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax

_ACTINVOICEDETAILPREFERREDACCOMMODATIONCODE

public static final V3ActCode _ACTINVOICEDETAILPREFERREDACCOMMODATIONCODE

An identifying data string for medical facility accommodations.

_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.

_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.

I

public static final V3ActCode I

Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.

P

public static final V3ActCode P

Accommodations in which there is only 1 bed.

S

public static final V3ActCode S

Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.

SP

public static final V3ActCode SP

Accommodations in which there are 2 beds.

W

public static final V3ActCode W

Accommodations in which there are 3 or more beds.

_ACTINVOICEDETAILCLINICALSERVICECODE

public static final V3ActCode _ACTINVOICEDETAILCLINICALSERVICECODE

An identifying data string for healthcare procedures.

_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.

_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.

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.

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.

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.

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.

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.

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.

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.

_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.

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.

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).

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).

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.

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.

PAINV

public static final V3ActCode PAINV

HealthCare facility preferred accommodation invoice.

RXCINV

public static final V3ActCode RXCINV

Pharmacy dispense invoice for a compound.

RXDINV

public static final V3ActCode RXDINV

Pharmacy dispense invoice not involving a compound

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.

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.

_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.

_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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

_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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

_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.

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.

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.

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.

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.

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.

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.

_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.

COVGE

public static final V3ActCode COVGE

Insurance coverage problems have been encountered. Additional explanation information to be supplied.

EFORM

public static final V3ActCode EFORM

Electronic form with supporting or additional information to follow.

FAX

public static final V3ActCode FAX

Fax with supporting or additional information to follow.

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.

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.

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.

OOJ

public static final V3ActCode OOJ

The medical service and/or product was provided to a patient that has coverage in another jurisdiction.

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.

PAPER

public static final V3ActCode PAPER

Paper documentation (or other physical format) with supporting or additional information to follow.

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.

PYRDELAY

public static final V3ActCode PYRDELAY

Allows provider to explain lateness of invoice to a subsequent payor.

REFNR

public static final V3ActCode REFNR

Rules of practice do not require a physician's referral for the provider to perform a billable service.

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.

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.

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.

_ACTLISTCODE

public static final V3ActCode _ACTLISTCODE

Provides codes associated with ActClass value of LIST (working list)

_ACTOBSERVATIONLIST

public static final V3ActCode _ACTOBSERVATIONLIST

ActObservationList

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.

CONDLIST

public static final V3ActCode CONDLIST

List of condition observations.

INTOLIST

public static final V3ActCode INTOLIST

List of intolerance observations.

PROBLIST

public static final V3ActCode PROBLIST

List of problem observations.

RISKLIST

public static final V3ActCode RISKLIST

List of risk factor observations.

GOALLIST

public static final V3ActCode GOALLIST

List of observations in goal mood.

_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".

_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"

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.

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.

ONET

public static final V3ActCode ONET

Definition:A list of medications which the patient is intended to be administered only once.

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.

MEDLIST

public static final V3ActCode MEDLIST

List of medications.

CURMEDLIST

public static final V3ActCode CURMEDLIST

List of current medications.

DISCMEDLIST

public static final V3ActCode DISCMEDLIST

List of discharge medications.

HISTMEDLIST

public static final V3ActCode HISTMEDLIST

Historical list of medications.

_ACTMONITORINGPROTOCOLCODE

public static final V3ActCode _ACTMONITORINGPROTOCOLCODE

Identifies types of monitoring programs

CTLSUB

public static final V3ActCode CTLSUB

A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.

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

LU

public static final V3ActCode LU

Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.

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.

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.

SA

public static final V3ActCode SA

Definition:A drug that requires prior approval (to be reimbursed) before being dispensed

SAC

public static final V3ActCode SAC

Description:A drug that requires special access permission to be prescribed and dispensed.

_ACTNONOBSERVATIONINDICATIONCODE

public static final V3ActCode _ACTNONOBSERVATIONINDICATIONCODE

Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.

IND01

public static final V3ActCode IND01

Description:Contrast agent required for imaging study.

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.

IND03

public static final V3ActCode IND03

Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.

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.

IND05

public static final V3ActCode IND05

Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.

_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)

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.

_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)

ACH

public static final V3ActCode ACH

Automated Clearing House (ACH).

CHK

public static final V3ActCode CHK

A written order to a bank to pay the amount specified from funds on deposit.

DDP

public static final V3ActCode DDP

Electronic Funds Transfer (EFT) deposit into the payee's bank account

NON

public static final V3ActCode NON

Non-Payment Data.

_ACTPHARMACYSUPPLYTYPE

public static final V3ActCode _ACTPHARMACYSUPPLYTYPE

Identifies types of dispensing events

DF

public static final V3ActCode DF

A fill providing sufficient supply for one day

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)

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.

FF

public static final V3ActCode FF

The initial fill against an order. (This includes initial fills against refill orders.)

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).

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.)

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).

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.

FS

public static final V3ActCode FS

A supply action to restock a smaller more local dispensary.

MS

public static final V3ActCode MS

A supply of a manufacturer sample

RF

public static final V3ActCode RF

A fill against an order that has already been filled (or partially filled) at least once.

UD

public static final V3ActCode UD

A supply action that provides sufficient material for a single dose.

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.)

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).

RFF

public static final V3ActCode RFF

The first fill against an order that has already been filled at least once at another facility.

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).

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.)

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).

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).

TB

public static final V3ActCode TB

A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.

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).

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.

_ACTPOLICYTYPE

public static final V3ActCode _ACTPOLICYTYPE

Description:Types of policies that further specify the ActClassPolicy value set.

_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.

_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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

_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

_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.

_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.

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.

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.

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.

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.

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.

_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.

_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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

_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."

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.

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.

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.

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.

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.

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.

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.

_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."

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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."

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

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

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.

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.

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.

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.

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.

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.

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.

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.

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]

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.

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]

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]

TRSTMEC

public static final V3ActCode TRSTMEC

Type of security metadata about a security architecture system component that supports enforcement of security policies.

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.

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

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)

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) >

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)

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.

ANONY

public static final V3ActCode ANONY

Custodian system must remove any information that could result in identifying the information subject.

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.

AUDIT

public static final V3ActCode AUDIT

Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.

AUDTR

public static final V3ActCode AUDTR

Custodian system must monitor and maintain retrievable log for each user and operation on information.

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.

CPLYCD

public static final V3ActCode CPLYCD

Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.

CPLYJPP

public static final V3ActCode CPLYJPP

Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.

CPLYOPP

public static final V3ActCode CPLYOPP

Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.

CPLYOSP

public static final V3ActCode CPLYOSP

Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.

CPLYPOL

public static final V3ActCode CPLYPOL

Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.

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.

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.

DELAU

public static final V3ActCode DELAU

Custodian system must remove target information from access after use.

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.

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.

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.)

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.

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.

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.

HUAPRV

public static final V3ActCode HUAPRV

Custodian system must require human review and approval for permission requested.

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.

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".

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.

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.

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."

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.

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.

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.

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.

NOAUTH

public static final V3ActCode NOAUTH

Prohibition on disclosure without information subject's authorization.

NOCOLLECT

public static final V3ActCode NOCOLLECT

Prohibition on collection or storage of the information.

NODSCLCD

public static final V3ActCode NODSCLCD

Prohibition on disclosure without organizational approved patient restriction.

NODSCLCDS

public static final V3ActCode NODSCLCDS

Prohibition on disclosure without a consent directive from the information subject.

NOINTEGRATE

public static final V3ActCode NOINTEGRATE

Prohibition on Integration into other records.

NOLIST

public static final V3ActCode NOLIST

Prohibition on disclosure except to entities on specific access list.

NOMOU

public static final V3ActCode NOMOU

Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).

NOORGPOL

public static final V3ActCode NOORGPOL

Prohibition on disclosure without organizational authorization.

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).

NOPERSISTP

public static final V3ActCode NOPERSISTP

Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.

NORDSCLCD

public static final V3ActCode NORDSCLCD

Prohibition on redisclosure without patient consent directive.

NORDSCLCDS

public static final V3ActCode NORDSCLCDS

Prohibition on redisclosure without a consent directive from the information subject.

NORDSCLW

public static final V3ActCode NORDSCLW

Prohibition on disclosure without authorization under jurisdictional law.

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.

NOREUSE

public static final V3ActCode NOREUSE

Prohibition on use of the information beyond the purpose of use initially authorized.

NOVIP

public static final V3ActCode NOVIP

Prohibition on disclosure except to principals with access permission to specific VIP information.

ORCON

public static final V3ActCode ORCON

Prohibition on disclosure except as permitted by the information originator.

_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.

LOAN

public static final V3ActCode LOAN

Temporary supply of a product without transfer of ownership for the product.

RENT

public static final V3ActCode RENT

Temporary supply of a product with financial compensation, without transfer of ownership for the product.

TRANSFER

public static final V3ActCode TRANSFER

Transfer of ownership for a product.

SALE

public static final V3ActCode SALE

Transfer of ownership for a product for financial compensation.

_ACTSPECIMENTRANSPORTCODE

public static final V3ActCode _ACTSPECIMENTRANSPORTCODE

Transportation of a specimen.

SREC

public static final V3ActCode SREC

Description:Specimen has been received by the participating organization/department.

SSTOR

public static final V3ActCode SSTOR

Description:Specimen has been placed into storage at a participating location.

STRAN

public static final V3ActCode STRAN

Description:Specimen has been put in transit to a participating receiver.

_ACTSPECIMENTREATMENTCODE

public static final V3ActCode _ACTSPECIMENTREATMENTCODE

Set of codes related to specimen treatments

ACID

public static final V3ActCode ACID

The lowering of specimen pH through the addition of an acid

ALK

public static final V3ActCode ALK

The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.

DEFB

public static final V3ActCode DEFB

The removal of fibrin from whole blood or plasma through physical or chemical means

FILT

public static final V3ActCode FILT

The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).

LDLP

public static final V3ActCode LDLP

LDL Precipitation

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.

RECA

public static final V3ActCode RECA

The addition of calcium back to a specimen after it was removed by chelating agents

UFIL

public static final V3ActCode UFIL

The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.

_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.

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.

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).

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.

BOOSTER

public static final V3ActCode BOOSTER

An additional immunization administration within a series intended to bolster or enhance immunity.

INITIMMUNIZ

public static final V3ActCode INITIMMUNIZ

The first immunization administration in a series intended to produce immunity

_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).

OE

public static final V3ActCode OE

A clinician creates a request for a service to be performed for a given patient.

LABOE

public static final V3ActCode LABOE

A clinician creates a request for a laboratory test to be done for a given patient.

MEDOE

public static final V3ActCode MEDOE

A clinician creates a request for the administration of one or more medications to a given patient.

PATDOC

public static final V3ActCode PATDOC

A person enters documentation about a given patient.

ALLERLREV

public static final V3ActCode ALLERLREV

Description: A person reviews a list of known allergies of a given patient.

CLINNOTEE

public static final V3ActCode CLINNOTEE

A clinician enters a clinical note about a given patient

DIAGLISTE

public static final V3ActCode DIAGLISTE

A clinician enters a diagnosis for a given patient.

DISCHINSTE

public static final V3ActCode DISCHINSTE

A person provides a discharge instruction to a patient.

DISCHSUME

public static final V3ActCode DISCHSUME

A clinician enters a discharge summary for a given patient.

PATEDUE

public static final V3ActCode PATEDUE

A person provides a patient-specific education handout to a patient.

PATREPE

public static final V3ActCode PATREPE

A pathologist enters a report for a given patient.

PROBLISTE

public static final V3ActCode PROBLISTE

A clinician enters a problem for a given patient.

RADREPE

public static final V3ActCode RADREPE

A radiologist enters a report for a given patient.

IMMLREV

public static final V3ActCode IMMLREV

Description: A person reviews a list of immunizations due or received for a given patient.

REMLREV

public static final V3ActCode REMLREV

Description: A person reviews a list of health care reminders for a given patient.

WELLREMLREV

public static final V3ActCode WELLREMLREV

Description: A person reviews a list of wellness or preventive care reminders for a given patient.

PATINFO

public static final V3ActCode PATINFO

A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.

ALLERLE

public static final V3ActCode ALLERLE

Description: A person enters a known allergy for a given patient.

CDSREV

public static final V3ActCode CDSREV

A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.

CLINNOTEREV

public static final V3ActCode CLINNOTEREV

A person reviews a clinical note of a given patient.

DISCHSUMREV

public static final V3ActCode DISCHSUMREV

A person reviews a discharge summary of a given patient.

DIAGLISTREV

public static final V3ActCode DIAGLISTREV

A person reviews a list of diagnoses of a given patient.

IMMLE

public static final V3ActCode IMMLE

Description: A person enters an immunization due or received for a given patient.

LABRREV

public static final V3ActCode LABRREV

A person reviews a list of laboratory results of a given patient.

MICRORREV

public static final V3ActCode MICRORREV

A person reviews a list of microbiology results of a given patient.

MICROORGRREV

public static final V3ActCode MICROORGRREV

A person reviews organisms of microbiology results of a given patient.

MICROSENSRREV

public static final V3ActCode MICROSENSRREV

A person reviews the sensitivity test of microbiology results of a given patient.

MLREV

public static final V3ActCode MLREV

A person reviews a list of medication orders submitted to a given patient

MARWLREV

public static final V3ActCode MARWLREV

A clinician reviews a work list of medications to be administered to a given patient.

OREV

public static final V3ActCode OREV

A person reviews a list of orders submitted to a given patient.

PATREPREV

public static final V3ActCode PATREPREV

A person reviews a pathology report of a given patient.

PROBLISTREV

public static final V3ActCode PROBLISTREV

A person reviews a list of problems of a given patient.

RADREPREV

public static final V3ActCode RADREPREV

A person reviews a radiology report of a given patient.

REMLE

public static final V3ActCode REMLE

Description: A person enters a health care reminder for a given patient.

WELLREMLE

public static final V3ActCode WELLREMLE

Description: A person enters a wellness or preventive care reminder for a given patient.

RISKASSESS

public static final V3ActCode RISKASSESS

A person reviews a Risk Assessment Instrument report of a given patient.

FALLRISK

public static final V3ActCode FALLRISK

A person reviews a Falls Risk Assessment Instrument report of a given patient.

_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.

_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.

AFOOT

public static final V3ActCode AFOOT

pedestrian transport

AMBT

public static final V3ActCode AMBT

ambulance transport

AMBAIR

public static final V3ActCode AMBAIR

fixed-wing ambulance transport

AMBGRND

public static final V3ActCode AMBGRND

ground ambulance transport

AMBHELO

public static final V3ActCode AMBHELO

helicopter ambulance transport

LAWENF

public static final V3ActCode LAWENF

law enforcement transport

PRVTRN

public static final V3ActCode PRVTRN

private transport

PUBTRN

public static final V3ActCode PUBTRN

public transport

_OBSERVATIONTYPE

public static final V3ActCode _OBSERVATIONTYPE

Identifies the kinds of observations that can be performed

_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

ARTBLD

public static final V3ActCode ARTBLD

Describes the artificial blood identifier that is associated with the specimen.

DILUTION

public static final V3ActCode DILUTION

An observation that reports the dilution of a sample.

AUTOHIGH

public static final V3ActCode AUTOHIGH

The dilution of a sample performed by automated equipment. The value is specified by the equipment

AUTOLOW

public static final V3ActCode AUTOLOW

The dilution of a sample performed by automated equipment. The value is specified by the equipment

PRE

public static final V3ActCode PRE

The dilution of the specimen made prior to being loaded onto analytical equipment

RERUN

public static final V3ActCode RERUN

The value of the dilution of a sample after it had been analyzed at a prior dilution value

EVNFCTS

public static final V3ActCode EVNFCTS

Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)

INTFR

public static final V3ActCode INTFR

An observation that relates to factors that may potentially cause interference with the observation

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

HEMOLYSIS

public static final V3ActCode HEMOLYSIS

An observation of the hemolysis index of the specimen in g/L

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

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).

VOLUME

public static final V3ActCode VOLUME

An observation that reports the volume of a sample.

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)

CONSUMPTION

public static final V3ActCode CONSUMPTION

The quantity of specimen that is used each time the equipment uses this substance

CURRENT

public static final V3ActCode CURRENT

The current quantity of the specimen, i.e., initial quantity minus what has been actually used.

INITIAL

public static final V3ActCode INITIAL

The initial quantity of the specimen in inventory

_ANNOTATIONTYPE

public static final V3ActCode _ANNOTATIONTYPE

AnnotationType

_ACTPATIENTANNOTATIONTYPE

public static final V3ActCode _ACTPATIENTANNOTATIONTYPE

Description:Provides a categorization for annotations recorded directly against the patient .

ANNDI

public static final V3ActCode ANNDI

Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.

ANNGEN

public static final V3ActCode ANNGEN

Description:A general or uncategorized note.

ANNIMM

public static final V3ActCode ANNIMM

A note that is specific to a patient's immunizations, either historical, current or planned.

ANNLAB

public static final V3ActCode ANNLAB

Description:A note that is specific to a patient's laboratory results, either historical, current or planned.

ANNMED

public static final V3ActCode ANNMED

Description:A note that is specific to a patient's medications, either historical, current or planned.

_GENETICOBSERVATIONTYPE

public static final V3ActCode _GENETICOBSERVATIONTYPE

Description: None provided

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

_IMMUNIZATIONOBSERVATIONTYPE

public static final V3ActCode _IMMUNIZATIONOBSERVATIONTYPE

Description: Observation codes which describe characteristics of the immunization material.

OBSANTC

public static final V3ActCode OBSANTC

Description: Indicates the valid antigen count.

OBSANTV

public static final V3ActCode OBSANTV

Description: Indicates whether an antigen is valid or invalid.

_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.

PATADVEVNT

public static final V3ActCode PATADVEVNT

Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.

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.

_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.

_216119

public static final V3ActCode _216119

Definition:Estimated age.

_216127

public static final V3ActCode _216127

Definition:Reported age.

_295535

public static final V3ActCode _295535

Definition:Calculated age.

_305250

public static final V3ActCode _305250

Definition:General specification of age with no implied method of determination.

_309724

public static final V3ActCode _309724

Definition:Age at onset of associated adverse event; no implied method of determination.

_MEDICATIONOBSERVATIONTYPE

public static final V3ActCode _MEDICATIONOBSERVATIONTYPE

MedicationObservationType

REPHALFLIFE

public static final V3ActCode REPHALFLIFE

Description:This observation represents an 'average' or 'expected' half-life typical of the product.

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.

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.

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.

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.

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).

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.

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.

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:

_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.

_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.

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.

ANANTRNS

public static final V3ActCode ANANTRNS

Communication of an agent from one animal to another proximate animal.

ANHUMTRNS

public static final V3ActCode ANHUMTRNS

Communication of an agent from an animal to a proximate person.

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.

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.

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.

ENVTRNS

public static final V3ActCode ENVTRNS

Communication of an agent from an environmental surface or source to a living subject by direct contact.

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.

FOMTRNS

public static final V3ActCode FOMTRNS

Communication of an agent from an non-living material to a living subject through direct contact.

FOODTRNS

public static final V3ActCode FOODTRNS

Communication of an agent from a food source to a living subject via oral consumption.

HUMHUMTRNS

public static final V3ActCode HUMHUMTRNS

Communication of an agent from a person to a proximate person.

INDTRNS

public static final V3ActCode INDTRNS

Communication of an agent to a living subject via an undetermined route.

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.

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.

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.

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.

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.

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.

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.

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.

_OBSERVATIONQUALITYMEASUREATTRIBUTE

public static final V3ActCode _OBSERVATIONQUALITYMEASUREATTRIBUTE

Codes used to define various metadata aspects of a health quality measure.

AGGREGATE

public static final V3ActCode AGGREGATE

Indicates that the observation is carrying out an aggregation calculation, contained in the value element.

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.

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.

COPY

public static final V3ActCode COPY

Identifies the organization(s) who own the intellectual property represented by the eMeasure.

CRS

public static final V3ActCode CRS

Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.

DEF

public static final V3ActCode DEF

Description of individual terms, provided as needed.

DISC

public static final V3ActCode DISC

Disclaimer information for the eMeasure.

FINALDT

public static final V3ActCode FINALDT

The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.

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.

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).

ITMCNT

public static final V3ActCode ITMCNT

Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)

KEY

public static final V3ActCode KEY

A significant word that aids in discoverability.

MEDT

public static final V3ActCode MEDT

The end date of the measurement period.

MSD

public static final V3ActCode MSD

The start date of the measurement period.

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.

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.

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.

MSRJUR

public static final V3ActCode MSRJUR

The list of jurisdiction(s) for which the measure applies.

MSRRPTR

public static final V3ActCode MSRRPTR

Type of person or organization that is expected to report the issue.

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.

MSRSCORE

public static final V3ActCode MSRSCORE

Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)

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).

MSRTOPIC

public static final V3ActCode MSRTOPIC

health quality measure topic type

MSRTP

public static final V3ActCode MSRTP

The time period for which the eMeasure applies.

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).

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.

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.

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.

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]).

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.

USE

public static final V3ActCode USE

Usage notes.

_OBSERVATIONSEQUENCETYPE

public static final V3ActCode _OBSERVATIONSEQUENCETYPE

ObservationSequenceType

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

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.

_OBSERVATIONSERIESTYPE

public static final V3ActCode _OBSERVATIONSERIESTYPE

ObservationSeriesType

_ECGOBSERVATIONSERIESTYPE

public static final V3ActCode _ECGOBSERVATIONSERIESTYPE

ECGObservationSeriesType

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.

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.

_PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPE

public static final V3ActCode _PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPE

Description: Reporting codes that are related to an immunization event.

CLSSRM

public static final V3ActCode CLSSRM

Description: The class room associated with the patient during the immunization event.

GRADE

public static final V3ActCode GRADE

Description: The school grade or level the patient was in when immunized.

SCHL

public static final V3ActCode SCHL

Description: The school the patient attended when immunized.

SCHLDIV

public static final V3ActCode SCHLDIV

Description: The school division or district associated with the patient during the immunization event.

TEACHER

public static final V3ActCode TEACHER

Description: The patient's teacher when immunized.

_POPULATIONINCLUSIONOBSERVATIONTYPE

public static final V3ActCode _POPULATIONINCLUSIONOBSERVATIONTYPE

Observation types for specifying criteria used to assert that a subject is included in a particular population.

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.

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

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.

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).

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.

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

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.

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).

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).

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.

_PREFERENCEOBSERVATIONTYPE

public static final V3ActCode _PREFERENCEOBSERVATIONTYPE

Types of observations that can be made about Preferences.

PREFSTRENGTH

public static final V3ActCode PREFSTRENGTH

An observation about how important a preference is to the target of the preference.

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.

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.

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.

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.

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.

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.

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.

ADMDX

public static final V3ActCode ADMDX

Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.

DISDX

public static final V3ActCode DISDX

Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.

INTDX

public static final V3ActCode INTDX

Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.

NOI

public static final V3ActCode NOI

The type of injury that the injury coding specifies.

GISTIER

public static final V3ActCode GISTIER

Description: Accuracy determined as per the GIS tier code system.

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.

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)

_ACTADMINISTRATIVEDETECTEDISSUECODE

public static final V3ActCode _ACTADMINISTRATIVEDETECTEDISSUECODE

Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.

_ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODE

public static final V3ActCode _ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODE

ActAdministrativeAuthorizationDetectedIssueCode

NAT

public static final V3ActCode NAT

The requesting party has insufficient authorization to invoke the interaction.

SUPPRESSED

public static final V3ActCode SUPPRESSED

Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.

VALIDAT

public static final V3ActCode VALIDAT

Description:The specified element did not pass business-rule validation.

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.

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.).

COMPLY

public static final V3ActCode COMPLY

There may be an issue with the patient complying with the intentions of the proposed therapy

DUPTHPY

public static final V3ActCode DUPTHPY

The proposed therapy appears to duplicate an existing therapy

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.

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.

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.

FRAUD

public static final V3ActCode FRAUD

Description:The request is suspected to have a fraudulent basis.

PLYDOC

public static final V3ActCode PLYDOC

A similar or identical therapy was recently ordered by a different practitioner.

PLYPHRM

public static final V3ActCode PLYPHRM

This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.

DOSE

public static final V3ActCode DOSE

Proposed dosage instructions for therapy differ from standard practice.

DOSECOND

public static final V3ActCode DOSECOND

Description:Proposed dosage is inappropriate due to patient's medical condition.

DOSEDUR

public static final V3ActCode DOSEDUR

Proposed length of therapy differs from standard practice.

DOSEDURH

public static final V3ActCode DOSEDURH

Proposed length of therapy is longer than standard practice

DOSEDURHIND

public static final V3ActCode DOSEDURHIND

Proposed length of therapy is longer than standard practice for the identified indication or diagnosis

DOSEDURL

public static final V3ActCode DOSEDURL

Proposed length of therapy is shorter than that necessary for therapeutic effect

DOSEDURLIND

public static final V3ActCode DOSEDURLIND

Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis

DOSEH

public static final V3ActCode DOSEH

Proposed dosage exceeds standard practice

DOSEHINDA

public static final V3ActCode DOSEHINDA

Proposed dosage exceeds standard practice for the patient's age

DOSEHIND

public static final V3ActCode DOSEHIND

High Dose for Indication Alert

DOSEHINDSA

public static final V3ActCode DOSEHINDSA

Proposed dosage exceeds standard practice for the patient's height or body surface area

DOSEHINDW

public static final V3ActCode DOSEHINDW

Proposed dosage exceeds standard practice for the patient's weight

DOSEIVL

public static final V3ActCode DOSEIVL

Proposed dosage interval/timing differs from standard practice

DOSEIVLIND

public static final V3ActCode DOSEIVLIND

Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis

DOSEL

public static final V3ActCode DOSEL

Proposed dosage is below suggested therapeutic levels

DOSELINDA

public static final V3ActCode DOSELINDA

Proposed dosage is below suggested therapeutic levels for the patient's age

DOSELIND

public static final V3ActCode DOSELIND

Low Dose for Indication Alert

DOSELINDSA

public static final V3ActCode DOSELINDSA

Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area

DOSELINDW

public static final V3ActCode DOSELINDW

Proposed dosage is below suggested therapeutic levels for the patient's weight

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.

OBSA

public static final V3ActCode OBSA

Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient

AGE

public static final V3ActCode AGE

Proposed therapy may be inappropriate or contraindicated due to patient age

ADALRT

public static final V3ActCode ADALRT

Proposed therapy is outside of the standard practice for an adult patient.

GEALRT

public static final V3ActCode GEALRT

Proposed therapy is outside of standard practice for a geriatric patient.

PEALRT

public static final V3ActCode PEALRT

Proposed therapy is outside of the standard practice for a pediatric patient.

COND

public static final V3ActCode COND

Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis

HGHT

public static final V3ActCode HGHT

null

LACT

public static final V3ActCode LACT

Proposed therapy may be inappropriate or contraindicated when breast-feeding

PREG

public static final V3ActCode PREG

Proposed therapy may be inappropriate or contraindicated during pregnancy

WGHT

public static final V3ActCode WGHT

null

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.

GEN

public static final V3ActCode GEN

Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.

GEND

public static final V3ActCode GEND

Proposed therapy may be inappropriate or contraindicated due to patient gender.

LAB

public static final V3ActCode LAB

Proposed therapy may be inappropriate or contraindicated due to recent lab test results

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

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.)

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.)

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.

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.)

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.

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.)

BUS

public static final V3ActCode BUS

Description:A local business rule relating multiple elements has been violated.

CODEINVAL

public static final V3ActCode CODEINVAL

Description:The specified code is not valid against the list of codes allowed for the element.

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.

FORMAT

public static final V3ActCode FORMAT

Description:The element does not follow the formatting or type rules defined for the field.

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.

LENRANGE

public static final V3ActCode LENRANGE

Description:The length of the data specified falls out of the range defined for the element.

LENLONG

public static final V3ActCode LENLONG

Description:The length of the data specified is greater than the maximum length defined for the element.

LENSHORT

public static final V3ActCode LENSHORT

Description:The length of the data specified is less than the minimum length defined for the element.

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.

MISSMAND

public static final V3ActCode MISSMAND

Description:The specified element is mandatory and was not included in the instance.

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.

NOPERSIST

public static final V3ActCode NOPERSIST

Description: Element in submitted message will not persist in data storage based on detected issue.

REPRANGE

public static final V3ActCode REPRANGE

Description:The number of repeating elements falls outside the range of the allowed number of repetitions.

MAXOCCURS

public static final V3ActCode MAXOCCURS

Description:The number of repeating elements is above the maximum number of repetitions allowed.

MINOCCURS

public static final V3ActCode MINOCCURS

Description:The number of repeating elements is below the minimum number of repetitions allowed.

_ACTADMINISTRATIVERULEDETECTEDISSUECODE

public static final V3ActCode _ACTADMINISTRATIVERULEDETECTEDISSUECODE

ActAdministrativeRuleDetectedIssueCode

KEY206

public static final V3ActCode KEY206

Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.

OBSOLETE

public static final V3ActCode OBSOLETE

Description: One or more records in the query response have a status of 'obsolete'.

_ACTSUPPLIEDITEMDETECTEDISSUECODE

public static final V3ActCode _ACTSUPPLIEDITEMDETECTEDISSUECODE

Identifies types of detected issues regarding the administration or supply of an item to a patient.

_ADMINISTRATIONDETECTEDISSUECODE

public static final V3ActCode _ADMINISTRATIONDETECTEDISSUECODE

Administration of the proposed therapy may be inappropriate or contraindicated as proposed

_APPROPRIATENESSDETECTEDISSUECODE

public static final V3ActCode _APPROPRIATENESSDETECTEDISSUECODE

AppropriatenessDetectedIssueCode

_INTERACTIONDETECTEDISSUECODE

public static final V3ActCode _INTERACTIONDETECTEDISSUECODE

InteractionDetectedIssueCode

FOOD

public static final V3ActCode FOOD

Proposed therapy may interact with certain foods

TPROD

public static final V3ActCode TPROD

Proposed therapy may interact with an existing or recent therapeutic product

DRG

public static final V3ActCode DRG

Proposed therapy may interact with an existing or recent drug therapy

NHP

public static final V3ActCode NHP

Proposed therapy may interact with existing or recent natural health product therapy

NONRX

public static final V3ActCode NONRX

Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)

PREVINEF

public static final V3ActCode PREVINEF

Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.

DACT

public static final V3ActCode DACT

Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.

TIME

public static final V3ActCode TIME

Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

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.

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.

_TIMINGDETECTEDISSUECODE

public static final V3ActCode _TIMINGDETECTEDISSUECODE

Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

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.

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.)

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.

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

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.

OINT

public static final V3ActCode OINT

Hypersensitivity resulting in an adverse reaction upon exposure to an agent.

ALG

public static final V3ActCode ALG

Hypersensitivity to an agent caused by an immunologic response to an initial exposure

DALG

public static final V3ActCode DALG

An allergy to a pharmaceutical product.

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.

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.

FNAINT

public static final V3ActCode FNAINT

Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

NAINT

public static final V3ActCode NAINT

Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

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

FDACOLOR

public static final V3ActCode FDACOLOR

FDA label color

FDAIMPRINTCD

public static final V3ActCode FDAIMPRINTCD

FDA label imprint code

FDALOGO

public static final V3ActCode FDALOGO

FDA label logo

FDASCORING

public static final V3ActCode FDASCORING

FDA label scoring

FDASHAPE

public static final V3ActCode FDASHAPE

FDA label shape

FDASIZE

public static final V3ActCode FDASIZE

FDA label size

_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.

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.

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.

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.

C

public static final V3ActCode C

Description:Indicates that result data has been corrected.

DIET

public static final V3ActCode DIET

Code set to define specialized/allowed diets

BR

public static final V3ActCode BR

A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.

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).

FAST

public static final V3ActCode FAST

No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.

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.

GF

public static final V3ActCode GF

Gluten free diet for celiac disease.

LF

public static final V3ActCode LF

A diet low in fat, particularly to patients with hepatic diseases.

LP

public static final V3ActCode LP

A low protein diet for patients with renal failure.

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.

LS

public static final V3ActCode LS

A diet low in sodium for patients with congestive heart failure and/or renal failure.

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.

NF

public static final V3ActCode NF

A no fat diet for acute hepatic diseases.

PAF

public static final V3ActCode PAF

Phenylketonuria diet.

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).

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).

SUPPLEMENT

public static final V3ActCode SUPPLEMENT

A diet that is not intended to be complete but is added to other diets.

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.

VLI

public static final V3ActCode VLI

Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."

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".

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)

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".

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

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

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

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.

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.

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

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

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

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.

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.

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.

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]

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.]

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]

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.

TRSTMECOBS

public static final V3ActCode TRSTMECOBS

Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.

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.

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.

_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.

COPAY

public static final V3ActCode COPAY

null

DEDUCT

public static final V3ActCode DEDUCT

null

DOSEIND

public static final V3ActCode DOSEIND

null

PRA

public static final V3ActCode PRA

null

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.

NULL

public static final V3ActCode NULL

added to help the parsers

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 name

NullPointerException - if the argument is null

fromCode

public static V3ActCode fromCode(String codeString)
                          throws org.hl7.fhir.exceptions.FHIRException

Throws:

org.hl7.fhir.exceptions.FHIRException

toCode

public String toCode()

getSystem

public String getSystem()

getDefinition

public String getDefinition()

getDisplay

public String getDisplay()