http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction|3.0.0

name
ParticipationFunction
package
hl7.terminology.r5@6.3.0
content
complete
status
active
date
2019-03-20 00:00:00.0

ParticipationFunction

This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).

codedisplaydefinitionhierarchy
SUBCONsubject of consent author
**Description:**Subject of consent authorized to author a consent directive....
_OverriderParticipationFunctionOverriderParticipationFunction
This code is used to specify the exact function an actor is authorized to have in authoring a consen...
AUCOVconsent overrider
**Description:**Entity authorized to override a consent directive....
AUEMROVemergency overrider
**Description:**Entity authorized to override a consent directive or privacy policy in an emergency....
_CoverageParticipationFunctionCoverageParticipationFunction
**Definition:** Set of codes indicating the manner in which sponsors, underwriters, and payers parti...
_ConsenterParticipationFunctionConsenterParticipationFunction
This code is used to specify the exact function an actor is authorized to have in authoring a consen...
GRDCONlegal guardian consent author
**Description:**Legal guardian of the subject of consent authorized to author a consent directive fo...
POACONhealthcare power of attorney consent author
**Description:**Person authorized with healthcare power of attorney to author a consent directive fo...
PRCONpersonal representative consent author
**Description:**Personal representative of the subject of consent authorized to author a consent dir...
_AuthorizedParticipationFunctionAuthorizedParticipationFunction
This code is used to specify the exact function an actor is authorized to have in a service in all n...
_AuthorizedReceiverParticipationFunctionAuthorizedReceiverParticipationFunction
This code is used to specify the exact function an actor is authorized to have as a receiver of info...
AUCGcaregiver information receiver
**Description:**Caregiver authorized to receive patient health information....
AULRlegitimate relationship information receiver
**Description:**Provider with legitimate relationship authorized to receive patient health informati...
AUTMcare team information receiver
**Description:**Member of care team authorized to receive patient health information....
AUWAwork area information receiver
**Description:**Entities within specified work area authorized to receive patient health information...
PROMSKauthorized provider masking author
**Definition:**Provider authorized to mask information to protect the patient, a third party, or to ...
_PayorParticipationFunctionPayorParticipationFunction
**Definition:** Set of codes indicating the manner in which payors participate in a policy or progra...
CLMADJclaims adjudication
**Definition:** Manages all operations required to adjudicate fee for service claims or managed care...
ENROLLenrollment broker
**Definition:** Managing the enrollment of covered parties....
FFSMGTffs management
**Definition:** Managing all operations required to administer a fee for service or indemnity health...
MCMGTmanaged care management
**Definition:** Managing all operations required to administer a managed care plan including enrolli...
PROVMGTprovider management
**Definition:** Managing provider contracting, provider services, credentialing, profiling, performa...
UMGTutilization management
**Definition:** Managing utilization of services by ensuring that providers adhere to, e.g., payeraT...
_SponsorParticipationFunctionSponsorParticipationFunction
**Definition:** Set of codes indicating the manner in which sponsors participate in a policy or prog...
FULINRDfully insured
**Definition:** Responsibility taken by a sponsor to contract with one or more underwriters for the ...
SELFINRDself insured
**Definition:** Responsibility taken by a sponsor to organize the underwriting of risk and administr...
_UnderwriterParticipationFunctionUnderwriterParticipationFunction
**Definition:** Set of codes indicating the manner in which underwriters participate in a policy or ...
PAYORCNTRpayor contracting
**Definition:** Contracting for the provision and administration of health services to payors while ...
REINSreinsures
**Definition:** Underwriting reinsurance for another underwriter for the policy or program....
RETROCESretrocessionaires
**Definition:** Underwriting reinsurance for another reinsurer....
SUBCTRTsubcontracting risk
**Definition:** Delegating risk for a policy or program to one or more subcontracting underwriters, ...
UNDERWRTNGunderwriting
**Definition:** Provision of underwriting analysis for another underwriter without assumption of ris...
ADMPHYSadmitting physician
A physician who admitted a patient to a hospital or other care unit that is the context of this serv...
ANESTanesthesist
In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthes...
ANRSanesthesia nurse
In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the crit...
ASSEMBLERassembly software
A device that operates independently of an author on custodian's algorithms for data extraction of e...
ATTPHYSattending physician
A physician who is primarily responsible for a patient during the hospitalization, which is the cont...
COMPOSERcomposer software
A device used by an author to record new information, which may also be used by the author to select...
DISPHYSdischarging physician
A physician who discharged a patient from a hospital or other care unit that is the context of this ...
FASSTfirst assistant surgeon
In a typical surgery setting the assistant facing the primary surgeon. The first assistant performs ...
MDWFmidwife
A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging fro...
NASSTnurse assistant
In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards ...
PCPprimary care physician
The healthcare provider that holds primary responsibility for the overall care of a patient....
PRISURGprimary surgeon
In a typical surgery setting the primary performing surgeon....
REVIEWERreviewer
A verifier who is accountable for reviewing and asserting that the verification of an Act complies w...
RNDPHYSrounding physician
A physician who made rounds on a patient in a hospital or other care center....
SASSTsecond assistant surgeon
In a typical surgery setting the assistant who primarily holds the hooks....
SNRSscrub nurse
In a typical surgery setting the nurse in charge of the instrumentation....
TASSTthird assistant
In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the thi...