V3ActRelationshipType (org.hl7.fhir.r4 5.4.0 API)

java.lang.Object
- java.lang.Enum<V3ActRelationshipType>
- - org.hl7.fhir.r4.model.codesystems.V3ActRelationshipType

All Implemented Interfaces:

Serializable, Comparable<V3ActRelationshipType>
```
public enum V3ActRelationshipType
extends Enum<V3ActRelationshipType>
```

Enum Constant Summary

Enum Constants
Enum Constant and Description
`_ACTCLASSTEMPORALLYPERTAINS` ActClassTemporallyPertains
`_ACTRELATIONSHIPACCOUNTING` Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
`_ACTRELATIONSHIPCONDITIONAL` Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred
`_ACTRELATIONSHIPCOSTTRACKING` Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.
`_ACTRELATIONSHIPPOSTING` Expresses values for describing the relationship between a FinancialTransaction and an Account.
`_ACTRELATIONSHIPTEMPORALLYPERTAINS` Abstract collector for ActRelationhsip types that relate two acts by their timing.
`_ACTRELATIONSHIPTEMPORALLYPERTAINSAPPROXIMATES` Abstract collector for ActRelationship types that relate two acts by their approximate timing.
`_ACTRELATIONSIPOBJECTIVE` The target act is a desired outcome of the source act.
`ACTIMM` Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)
`ADJUNCT` Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act.
`APND` An addendum (source) to an existing service object (target), containing supplemental information.
`ARR` The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act.
`ART` Description: A directed association between a source Act and a target Act.
`AUTH` A relationship in which the target act authorizes or certifies the source act.
`BLOCK` Definition: The source act is performed to block the effects of the target act.
`BSLN` Indicates that the target observation(s) provide an initial reference for the source observation or observation group.
`CAUS` Description: An assertion that an act was the cause of another act.This is stronger and more specific than the support link.
`CHRG` A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source).
`CIND` A contraindication is just a negation of a reason, i.e.
`COMP` The target act is a component of the source act, with no semantics regarding composition or aggregation implied.
`COMPLY` Description:The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act.
`CONCURRENT` A relationship in which the source act's effective time is the same as the target act's effective time.
`COST` A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source).
`COVBY` A relationship in which the source act is covered by or is under the authority of a target act.
`CREDIT` A credit relationship ties a financial transaction (target) to an account (source).
`CTRLV` A relationship from an Act to a Control Variable.
`CURE` curative indication
`CURE_ADJ` adjunct curative indication
`DEBIT` A debit relationship ties a financial transaction (target) to an account (source).
`DEP` The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act.
`DIAG` Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act.
`DOC` The source act documents the target act.
`DRIV` Associates a derived Act with its input parameters.
`DURING` A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAE
`EAE` A relationship in which the source act ends after the target act ends.
`EAEORECW` A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time.
`EAS` A relationship in which the source act ends after the target act starts.
`EASORECWS` A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time.
`EBE` The source Act ends before the end of the target Act (i.e.
`EBEORECW` A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time.
`EBS` A relationship in which the source act ends before the target act starts.
`EBSORECWS` A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time.
`ECW` A relationship in which the source act's effective time ends with the end of the target act's effective time.
`ECWS` The source Act ends when the target act starts (i.e.
`EDU` A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBEEAE
`ELNK` Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g.
`ENE` A relationship in which the source act's effective time ends near the end of the target act's effective time.
`ENS` A relationship in which the source act's effective time ends near the start of the target act's effective time.
`EVID` Indicates that the target Act provides evidence in support of the action represented by the source Act.
`EXACBY` Description:The source act is aggravated by the target act.
`EXPL` This is the inversion of support.
`FLFS` The source act fulfills (in whole or in part) the target act.
`GEN` The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).
`GEVL` A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal.
`GOAL` A goal that one defines given a patient's health condition.
`IMM` Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)
`INDEPENDENT` The source Act is independent of the time of the target Act.
`INST` Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service.
`INTF` the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act.
`ITEMSLOC` Items located
`LIMIT` A relationship that limits or restricts the source act by the elements of the target act.
`MBR` The target Acts are aggregated by the source Act.
`META` Definition: Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act.
`MFST` An assertion that a new observation may be the manifestation of another existing observation or action.
`MITGT` The source act removes or lessens the occurrence or effect of the target act.
`MOD` Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target).
`MTCH` A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood.
`MTGT_ADJ` adjunct mitigation
`MTREAT` Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act.
`NAME` Used to assign a "name" to a condition thread.
`NULL` added to help the parsers
`OBJC` A desired state that a service action aims to maintain.
`OBJF` A desired outcome that a service action aims to meet finally.
`OCCR` The source act is a single occurrence of a repeatable target act.
`OPTN` A relationship between a source Act that provides more detailed properties to the target Act.
`OREF` Relates either an appointment request or an appointment to the order for the service being scheduled.
`OUTC` An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion.
`OVERLAP` A relationship in which the source act's effective time overlaps the target act's effective time in any way.
`PALLTREAT` Description: The source act is intended to provide palliation for the effects of the target act.
`PART` The source Act is a composite of the target Acts.
`PASSIMM` Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).
`PERT` This is a very unspecific relationship from one item of clinical information to another.
`PRCN` A requirement to be true before a service is performed.
`PREV` A relationship in which the target act is a predecessor instance to the source act.
`PRYLX` Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act.
`QUALF` The target observation qualifies (refines) the semantics of the source observation.
`RACT` null
`RCHAL` Description:A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.
`RCVY` Definition: The source act is performed to recover from the effects of the target act.
`REFR` A relationship in which the target act is referred to by the source act.
`REFV` Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion.
`RELVBY` Description:The source act is wholly or partially alleviated by the target act.
`REV` A relationship between a source Act that seeks to reverse or undo the action of the prior target Act.
`RISK` A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.
`RPLC` A replacement source act replaces an existing target act.
`RSON` Description: The reason or rationale for a service.
`SAE` A relationship in which the source act starts after the target act ends.
`SAEORSCWE` A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time.
`SAS` The source Act starts after the start of the target Act (i.e.
`SASEAE` The source Act starts after start of the target Act and ends after end of the target Act.
`SASECWE` The source Act starts after start of the target Act, and ends with the target Act.
`SASORSCW` A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time.
`SASSBEEAS` The source Act start after the start of the target Act, and contains the end of the target Act.
`SBE` The source Act starts before the end of the target Act (i.e.
`SBEEAE` The source Act contains the end of the target Act.
`SBEORSCWE` A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time.
`SBS` A relationship in which the source act begins before the target act begins.
`SBSEAE` The source Act contains the time of the target Act.
`SBSEAS` The source Act contains the start of the target Act.
`SBSEASEBE` The source Act contains the start of the target Act, and ends before the end of the target Act.
`SBSEBE` The source Act starts before the start of the target Act, and ends before the end of the target Act.
`SBSECWE` The source Act starts before the start of the target Act, and ends with the target Act.
`SBSORSCW` A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time.
`SCH` Associates a specific time (and associated resources) with a scheduling request or other intent.
`SCW` A relationship in which the source act's effective time starts with the start of the target act's effective time.
`SCWE` The source Act starts when the target act ends (i.e.
`SCWSEAE` The source Act starts with the target Act, and ends after the end of the target Act.
`SCWSEBE` The source Act starts with.the target Act and ends before the end of the target Act.
`SDU` A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAS
`SEQL` An act relationship indicating that the source act follows the target act.
`SNE` A relationship in which the source act's effective time starts near the end of the target act's effective time.
`SNS` A relationship in which the source act's effective time starts near the start of the target act's effective time.
`SPRT` Used to indicate that an existing service is suggesting evidence for a new observation.
`SPRTBND` A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area.
`STEP` A collection of sub-services as steps or subtasks performed for the source service.
`SUBJ` Relates an Act to its subject Act that the first Act is primarily concerned with.
`SUCC` Definition: A new act that carries forward the intention of the original act, but does not completely replace it.
`SUGG` null
`SUMM` An act that contains summary values for a list or set of subordinate acts.
`SYMP` Description: The source act is intented to provide symptomatic relief for the effects of the target act.
`TREAT` Description: The source act is intended to improve a pre-existing adverse situation described by the target act.
`TRIG` A pre-condition that if true should result in the source Act being executed.
`UPDT` A condition thread relationship specifically links condition nodes together to form a condition thread.
`USE` Indicates that the source act makes use of (or will make use of) the information content of the target act.
`VALUE` Description:Indicates that the target Act represents the result of the source observation Act.
`VRXCRPT` The source is a direct quote from the target.
`XCRPT` The source is an excerpt from the target.
`XFRM` Used when the target Act is a transformation of the source Act.

Method Summary

All Methods Static Methods Instance Methods Concrete Methods
Modifier and Type	Method and Description
`static V3ActRelationshipType`	`fromCode(String codeString)`
`String`	`getDefinition()`
`String`	`getDisplay()`
`String`	`getSystem()`
`String`	`toCode()`
`static V3ActRelationshipType`	`valueOf(String name)` Returns the enum constant of this type with the specified name.
`static V3ActRelationshipType[]`	`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
  - ART
```
public static final V3ActRelationshipType ART
```
    Description: A directed association between a source Act and a target Act. Usage Note: This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)
  - _ACTCLASSTEMPORALLYPERTAINS
```
public static final V3ActRelationshipType _ACTCLASSTEMPORALLYPERTAINS
```
    ActClassTemporallyPertains
  - _ACTRELATIONSHIPACCOUNTING
```
public static final V3ActRelationshipType _ACTRELATIONSHIPACCOUNTING
```
    Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
  - _ACTRELATIONSHIPCOSTTRACKING
```
public static final V3ActRelationshipType _ACTRELATIONSHIPCOSTTRACKING
```
    Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.
  - CHRG
```
public static final V3ActRelationshipType CHRG
```
    A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service. The financial transaction will define the charge (bill) for delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.
  - COST
```
public static final V3ActRelationshipType COST
```
    A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service. The financial transaction will define the cost of delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.
  - _ACTRELATIONSHIPPOSTING
```
public static final V3ActRelationshipType _ACTRELATIONSHIPPOSTING
```
    Expresses values for describing the relationship between a FinancialTransaction and an Account.
  - CREDIT
```
public static final V3ActRelationshipType CREDIT
```
    A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance.
  - DEBIT
```
public static final V3ActRelationshipType DEBIT
```
    A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance.
  - _ACTRELATIONSHIPCONDITIONAL
```
public static final V3ActRelationshipType _ACTRELATIONSHIPCONDITIONAL
```
    Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred
  - CIND
```
public static final V3ActRelationshipType CIND
```
    A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.
  - PRCN
```
public static final V3ActRelationshipType PRCN
```
    A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.
  - RSON
```
public static final V3ActRelationshipType RSON
```
    Description: The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication. Discussion: In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.
  - BLOCK
```
public static final V3ActRelationshipType BLOCK
```
    Definition: The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.
  - DIAG
```
public static final V3ActRelationshipType DIAG
```
    Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
  - IMM
```
public static final V3ActRelationshipType IMM
```
    Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)
  - ACTIMM
```
public static final V3ActRelationshipType ACTIMM
```
    Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)
  - PASSIMM
```
public static final V3ActRelationshipType PASSIMM
```
    Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).
  - MITGT
```
public static final V3ActRelationshipType MITGT
```
    The source act removes or lessens the occurrence or effect of the target act.
  - RCVY
```
public static final V3ActRelationshipType RCVY
```
    Definition: The source act is performed to recover from the effects of the target act.
  - PRYLX
```
public static final V3ActRelationshipType PRYLX
```
    Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
  - TREAT
```
public static final V3ActRelationshipType TREAT
```
    Description: The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
  - ADJUNCT
```
public static final V3ActRelationshipType ADJUNCT
```
    Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified.
  - MTREAT
```
public static final V3ActRelationshipType MTREAT
```
    Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
  - PALLTREAT
```
public static final V3ActRelationshipType PALLTREAT
```
    Description: The source act is intended to provide palliation for the effects of the target act.
  - SYMP
```
public static final V3ActRelationshipType SYMP
```
    Description: The source act is intented to provide symptomatic relief for the effects of the target act.
  - TRIG
```
public static final V3ActRelationshipType TRIG
```
    A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified. Discussion: This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.
  - _ACTRELATIONSHIPTEMPORALLYPERTAINS
```
public static final V3ActRelationshipType _ACTRELATIONSHIPTEMPORALLYPERTAINS
```
    Abstract collector for ActRelationhsip types that relate two acts by their timing.
  - _ACTRELATIONSHIPTEMPORALLYPERTAINSAPPROXIMATES
```
public static final V3ActRelationshipType _ACTRELATIONSHIPTEMPORALLYPERTAINSAPPROXIMATES
```
    Abstract collector for ActRelationship types that relate two acts by their approximate timing.
  - ENE
```
public static final V3ActRelationshipType ENE
```
    A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is ENS
  - ECW
```
public static final V3ActRelationshipType ECW
```
    A relationship in which the source act's effective time ends with the end of the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.
  - CONCURRENT
```
public static final V3ActRelationshipType CONCURRENT
```
    A relationship in which the source act's effective time is the same as the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.
  - SBSECWE
```
public static final V3ActRelationshipType SBSECWE
```
    The source Act starts before the start of the target Act, and ends with the target Act. UsageNote: Inverse code is SASECWE
  - ENS
```
public static final V3ActRelationshipType ENS
```
    A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is ENE
  - ECWS
```
public static final V3ActRelationshipType ECWS
```
    The source Act ends when the target act starts (i.e. if we say "ActOne ECWS ActTwo", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SCWE
  - SNE
```
public static final V3ActRelationshipType SNE
```
    A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is SNS
  - SCWE
```
public static final V3ActRelationshipType SCWE
```
    The source Act starts when the target act ends (i.e. if we say "ActOne SCWE ActTwo", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SBSECWS
  - SNS
```
public static final V3ActRelationshipType SNS
```
    A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is SNE
  - SCW
```
public static final V3ActRelationshipType SCW
```
    A relationship in which the source act's effective time starts with the start of the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.
  - SCWSEBE
```
public static final V3ActRelationshipType SCWSEBE
```
    The source Act starts with.the target Act and ends before the end of the target Act. UsageNote: Inverse code is SCWSEAE
  - SCWSEAE
```
public static final V3ActRelationshipType SCWSEAE
```
    The source Act starts with the target Act, and ends after the end of the target Act.
  - EAS
```
public static final V3ActRelationshipType EAS
```
    A relationship in which the source act ends after the target act starts. UsageNote: Inverse code is SBE
  - EAE
```
public static final V3ActRelationshipType EAE
```
    A relationship in which the source act ends after the target act ends. UsageNote: Inverse code is EBE
  - SASEAE
```
public static final V3ActRelationshipType SASEAE
```
    The source Act starts after start of the target Act and ends after end of the target Act. UsageNote: Inverse code is SBSEBE
  - SBEEAE
```
public static final V3ActRelationshipType SBEEAE
```
    The source Act contains the end of the target Act. UsageNote: Inverse code is EDU
  - SASSBEEAS
```
public static final V3ActRelationshipType SASSBEEAS
```
    The source Act start after the start of the target Act, and contains the end of the target Act. UsageNote: Inverse code is SBSEASEBE
  - SBSEAE
```
public static final V3ActRelationshipType SBSEAE
```
    The source Act contains the time of the target Act. UsageNote: Inverse code is DURING
  - SAS
```
public static final V3ActRelationshipType SAS
```
    The source Act starts after the start of the target Act (i.e. if we say "ActOne SAS ActTwo", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SBS
  - SAE
```
public static final V3ActRelationshipType SAE
```
    A relationship in which the source act starts after the target act ends. UsageNote: Inverse code is EBS
  - DURING
```
public static final V3ActRelationshipType DURING
```
    A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAE
  - SASECWE
```
public static final V3ActRelationshipType SASECWE
```
    The source Act starts after start of the target Act, and ends with the target Act. UsageNote: Inverse code is SBSECWE
  - EASORECWS
```
public static final V3ActRelationshipType EASORECWS
```
    A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time. Usage Note: Inverse code is EBSORECWS
  - EAEORECW
```
public static final V3ActRelationshipType EAEORECW
```
    A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time. Usage Note: Inverse code is EBEORECW
  - INDEPENDENT
```
public static final V3ActRelationshipType INDEPENDENT
```
    The source Act is independent of the time of the target Act. UsageNote: This code is reflexive. Therefore its inverse code is itself.
  - SAEORSCWE
```
public static final V3ActRelationshipType SAEORSCWE
```
    A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time. Usage Note: Inverse code is SBEORSCWE
  - SASORSCW
```
public static final V3ActRelationshipType SASORSCW
```
    A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time. Usage Note: Inverse code is SBSORSCW
  - SBEORSCWE
```
public static final V3ActRelationshipType SBEORSCWE
```
    A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time. Usage Note: Inverse code is SAEORSCWE
  - OVERLAP
```
public static final V3ActRelationshipType OVERLAP
```
    A relationship in which the source act's effective time overlaps the target act's effective time in any way. UsageNote: This code is reflexive. Therefore its inverse code is itself.
  - EDU
```
public static final V3ActRelationshipType EDU
```
    A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBEEAE
  - SBSEASEBE
```
public static final V3ActRelationshipType SBSEASEBE
```
    The source Act contains the start of the target Act, and ends before the end of the target Act. UsageNote: Inverse code is SASSBEEAS
  - SBSEAS
```
public static final V3ActRelationshipType SBSEAS
```
    The source Act contains the start of the target Act. UsageNote: Inverse code is SDU
  - SDU
```
public static final V3ActRelationshipType SDU
```
    A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAS
  - SBE
```
public static final V3ActRelationshipType SBE
```
    The source Act starts before the end of the target Act (i.e. if we say "ActOne SBE ActTwo", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is EAS
  - EBE
```
public static final V3ActRelationshipType EBE
```
    The source Act ends before the end of the target Act (i.e. if we say "ActOne EBE ActTwo", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is EAE
  - SBSEBE
```
public static final V3ActRelationshipType SBSEBE
```
    The source Act starts before the start of the target Act, and ends before the end of the target Act. UsageNote: Inverse code is SASEAE
  - EBSORECWS
```
public static final V3ActRelationshipType EBSORECWS
```
    A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time. Usage Note: Inverse code is EASORECWS
  - EBS
```
public static final V3ActRelationshipType EBS
```
    A relationship in which the source act ends before the target act starts. UsageNote: Inverse code is SAE
  - EBEORECW
```
public static final V3ActRelationshipType EBEORECW
```
    A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time. Usage Note: Inverse code is EAEORECW
  - SBSORSCW
```
public static final V3ActRelationshipType SBSORSCW
```
    A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time. Usage Note: Inverse code is SASORSCW
  - SBS
```
public static final V3ActRelationshipType SBS
```
    A relationship in which the source act begins before the target act begins. UsageNote: Inverse code is SAS
  - AUTH
```
public static final V3ActRelationshipType AUTH
```
    A relationship in which the target act authorizes or certifies the source act.
  - CAUS
```
public static final V3ActRelationshipType CAUS
```
    Description: An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act. Examples: a growth of Staphylococcus aureus may be considered the cause of an abscess contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the bed-sides had not been put up which caused the night patient to fall out of bed
  - COMP
```
public static final V3ActRelationshipType COMP
```
    The target act is a component of the source act, with no semantics regarding composition or aggregation implied.
  - CTRLV
```
public static final V3ActRelationshipType CTRLV
```
    A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation.
  - MBR
```
public static final V3ActRelationshipType MBR
```
    The target Acts are aggregated by the source Act. Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source. UsageNotes: This explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST
  - STEP
```
public static final V3ActRelationshipType STEP
```
    A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently. UsageNotes: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode. OpenIssue: Need Additional guidelines on when each approach should be used.
  - ARR
```
public static final V3ActRelationshipType ARR
```
    The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act.
  - DEP
```
public static final V3ActRelationshipType DEP
```
    The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act.
  - PART
```
public static final V3ActRelationshipType PART
```
    The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act. UsageNote: In UML 1.1, this is a "composition" defined as: "A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive."
  - COVBY
```
public static final V3ActRelationshipType COVBY
```
    A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy.
  - DRIV
```
public static final V3ActRelationshipType DRIV
```
    Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts.
  - ELNK
```
public static final V3ActRelationshipType ELNK
```
    Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.
  - EVID
```
public static final V3ActRelationshipType EVID
```
    Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc. Rationale: Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies.
  - EXACBY
```
public static final V3ActRelationshipType EXACBY
```
    Description:The source act is aggravated by the target act. (Example "chest pain" EXACBY "exercise")
  - EXPL
```
public static final V3ActRelationshipType EXPL
```
    This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.
  - INTF
```
public static final V3ActRelationshipType INTF
```
    the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act. UsageNote: This provides the semantics to document barriers to care
  - ITEMSLOC
```
public static final V3ActRelationshipType ITEMSLOC
```
    Items located
  - LIMIT
```
public static final V3ActRelationshipType LIMIT
```
    A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood.
  - META
```
public static final V3ActRelationshipType META
```
    Definition: Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act. Constraint: Source act must have either a mood code that is not "EVN" (event) or its "isCriterion" attribute must set to "true". Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to "true".
  - MFST
```
public static final V3ActRelationshipType MFST
```
    An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation.
  - NAME
```
public static final V3ActRelationshipType NAME
```
    Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.
  - OUTC
```
public static final V3ActRelationshipType OUTC
```
    An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment.
  - _ACTRELATIONSIPOBJECTIVE
```
public static final V3ActRelationshipType _ACTRELATIONSIPOBJECTIVE
```
    The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood.
  - OBJC
```
public static final V3ActRelationshipType OBJC
```
    A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood.
  - OBJF
```
public static final V3ActRelationshipType OBJF
```
    A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood.
  - GOAL
```
public static final V3ActRelationshipType GOAL
```
    A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood.
  - RISK
```
public static final V3ActRelationshipType RISK
```
    A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.
  - PERT
```
public static final V3ActRelationshipType PERT
```
    This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays.
  - PREV
```
public static final V3ActRelationshipType PREV
```
    A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services.
  - REFR
```
public static final V3ActRelationshipType REFR
```
    A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.
  - USE
```
public static final V3ActRelationshipType USE
```
    Indicates that the source act makes use of (or will make use of) the information content of the target act. UsageNotes: A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate. Rationale: There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications. This is stronger than the assertion of "references". References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference.
  - REFV
```
public static final V3ActRelationshipType REFV
```
    Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results.
  - RELVBY
```
public static final V3ActRelationshipType RELVBY
```
    Description:The source act is wholly or partially alleviated by the target act. (Example "chest pain" RELVBY "sublingual nitroglycerin administration")
  - SEQL
```
public static final V3ActRelationshipType SEQL
```
    An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation.
  - APND
```
public static final V3ActRelationshipType APND
```
    An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered.
  - BSLN
```
public static final V3ActRelationshipType BSLN
```
    Indicates that the target observation(s) provide an initial reference for the source observation or observation group. UsageConstraints: Both source and target must be Observations or specializations thereof.
  - COMPLY
```
public static final V3ActRelationshipType COMPLY
```
    Description:The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act. Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy.
  - DOC
```
public static final V3ActRelationshipType DOC
```
    The source act documents the target act.
  - FLFS
```
public static final V3ActRelationshipType FLFS
```
    The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act.
  - OCCR
```
public static final V3ActRelationshipType OCCR
```
    The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the "completion track" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa).
  - OREF
```
public static final V3ActRelationshipType OREF
```
    Relates either an appointment request or an appointment to the order for the service being scheduled.
  - SCH
```
public static final V3ActRelationshipType SCH
```
    Associates a specific time (and associated resources) with a scheduling request or other intent.
  - GEN
```
public static final V3ActRelationshipType GEN
```
    The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).
  - GEVL
```
public static final V3ActRelationshipType GEVL
```
    A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a "goal distance" (e.g., goal to observation) can be "calculated" and need not be sent explicitly.
  - INST
```
public static final V3ActRelationshipType INST
```
    Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults.
  - MOD
```
public static final V3ActRelationshipType MOD
```
    Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target). Usage:The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead. Name from source to target = "modifiesPrior" Name from target to source = "modifiesByNew"
  - MTCH
```
public static final V3ActRelationshipType MTCH
```
    A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is "observation of pain" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger.
  - OPTN
```
public static final V3ActRelationshipType OPTN
```
    A relationship between a source Act that provides more detailed properties to the target Act. The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements. The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements. Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options.
  - RCHAL
```
public static final V3ActRelationshipType RCHAL
```
    Description:A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.
  - REV
```
public static final V3ActRelationshipType REV
```
    A relationship between a source Act that seeks to reverse or undo the action of the prior target Act. Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction. Constraints: the "completion track" mood of the target Act must be equally or more "actual" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT.
  - RPLC
```
public static final V3ActRelationshipType RPLC
```
    A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.
  - SUCC
```
public static final V3ActRelationshipType SUCC
```
    Definition: A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source act.
  - UPDT
```
public static final V3ActRelationshipType UPDT
```
    A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread.
  - XCRPT
```
public static final V3ActRelationshipType XCRPT
```
    The source is an excerpt from the target.
  - VRXCRPT
```
public static final V3ActRelationshipType VRXCRPT
```
    The source is a direct quote from the target.
  - XFRM
```
public static final V3ActRelationshipType XFRM
```
    Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)
  - SPRT
```
public static final V3ActRelationshipType SPRT
```
    Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post).
  - SPRTBND
```
public static final V3ActRelationshipType SPRTBND
```
    A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used.
  - SUBJ
```
public static final V3ActRelationshipType SUBJ
```
    Relates an Act to its subject Act that the first Act is primarily concerned with. Examples The first Act may be a ControlAct manipulating the subject Act The first act is a region of interest (ROI) that defines a region within the subject Act. The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose. Constraints An Act may have multiple subject acts. Rationale The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.
  - QUALF
```
public static final V3ActRelationshipType QUALF
```
    The target observation qualifies (refines) the semantics of the source observation. UsageNote: This is not intended to replace concept refinement and qualification via vocabulary. It is used when there are multiple components which together provide the complete understanding of the source Act.
  - SUMM
```
public static final V3ActRelationshipType SUMM
```
    An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period.
  - VALUE
```
public static final V3ActRelationshipType VALUE
```
    Description:Indicates that the target Act represents the result of the source observation Act. FormalConstraint: Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified UsageNote: This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute. For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation. The valueNegationInd attribute on the source Act has the same semantics of "negated finding" when it applies to the target of a VALUE ActRelationship as it does to the value attribute. On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding. Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd. OpenIssue: The implications of negationInd on ActRelationship and the valueNegationind on Observation.
  - CURE
```
public static final V3ActRelationshipType CURE
```
    curative indication
  - CURE_ADJ
```
public static final V3ActRelationshipType CURE_ADJ
```
    adjunct curative indication
  - MTGT_ADJ
```
public static final V3ActRelationshipType MTGT_ADJ
```
    adjunct mitigation
  - RACT
```
public static final V3ActRelationshipType RACT
```
    null
  - SUGG
```
public static final V3ActRelationshipType SUGG
```
    null
  - NULL
```
public static final V3ActRelationshipType NULL
```
    added to help the parsers
- Method Detail
  - values
```
public static V3ActRelationshipType[] 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 (V3ActRelationshipType c : V3ActRelationshipType.values())
    System.out.println(c);
```
    Returns:
    
    an array containing the constants of this enum type, in the order they are declared
  - valueOf
```
public static V3ActRelationshipType 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 V3ActRelationshipType 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()
```

Enum V3ActRelationshipType

Enum Constant Summary

Method Summary

Methods inherited from class java.lang.Enum

Methods inherited from class java.lang.Object

Enum Constant Detail

ART

_ACTCLASSTEMPORALLYPERTAINS

_ACTRELATIONSHIPACCOUNTING

_ACTRELATIONSHIPCOSTTRACKING

CHRG

COST

_ACTRELATIONSHIPPOSTING

CREDIT

DEBIT

_ACTRELATIONSHIPCONDITIONAL

CIND

PRCN

RSON

BLOCK

DIAG

IMM

ACTIMM

PASSIMM

MITGT

RCVY

PRYLX

TREAT

ADJUNCT

MTREAT

PALLTREAT

SYMP

TRIG

_ACTRELATIONSHIPTEMPORALLYPERTAINS

_ACTRELATIONSHIPTEMPORALLYPERTAINSAPPROXIMATES

ENE

ECW

CONCURRENT

SBSECWE

ENS

ECWS

SNE

SCWE

SNS

SCW

SCWSEBE

SCWSEAE

EAS

EAE

SASEAE

SBEEAE

SASSBEEAS

SBSEAE

SAS

SAE

DURING

SASECWE

EASORECWS

EAEORECW

INDEPENDENT

SAEORSCWE

SASORSCW

SBEORSCWE

OVERLAP

EDU

SBSEASEBE

SBSEAS

SDU

SBE

EBE

SBSEBE

EBSORECWS

EBS

EBEORECW

SBSORSCW

SBS

AUTH

CAUS

COMP

CTRLV