http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0

name
ActCode
package
hl7.terminology.r4@6.3.0
content
complete
status
active
date
2023-05-30 00:00:00.0

ActCode

A code specifying the particular kind of Act that the Act-instance represents within its class.\r\n\r\n*Constraints:* The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc.\r\n\r\nConceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure.\r\n\r\nAct.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code \"potassium\" together with and Act.classCode for \"laboratory observation\" to somehow mean \"potassium laboratory observation\" and then use the same Act.code for \"potassium\" together with Act.classCode for \"medication\" to mean \"substitution of potassium\". This mutually modifying use of Act.code and Act.classCode is not permitted.

codedisplaydefinitionhierarchy
SUBSTNCECommon Substance Interaction
**Description:** An interaction where the exposure participants shared or co-used a common substance...
TRAVINTCommon Travel Interaction
**Description:** An interaction where the exposure participants traveled together in/on the same veh...
WORK2Work Interaction
**Description:** Exposure interaction occurred in a work setting, i.e. participants are co-workers....
CHRGStandard Charge
A type of transaction that represents a charge for a service or product. Expressed in monetary terms...
REVStandard Charge Reversal
A type of transaction that represents a reversal of a previous charge for a service or product. Expr...
GDPRCDGDPR Consent Directive
A consent directive compliant with the European Union General Data Protection Regulation (GDPR) defi...
PDNPSPELCTpaid non-payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDNPSPMNATpaid non-payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
GDPRResearchCDGDPR Research Consent Directive
A consent directive that complies with regulatory requirements for a consent directive compliant wit...
PDNPSPMNCTpaid non-payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDPPPPELATpaid payee payable prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDPPPPELCTpaid payee payable prior-period electronic count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDPPPPMNATpaid payee payable prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDPPPPMNCTpaid payee payable prior-period manual count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDPPSPELATpaid payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
PDPPSPELCTpaid payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDPPSPMNATpaid payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
PDPPSPMNCTpaid payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
SBBLELATsubmitted billed electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings within a time period and ...
REP_RANGErepetitions out of range
**Description:**The number of repeating elements falls outside the range of the allowed number of re...
NONRXNon-Prescription Interaction Alert
Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)...
SALESale
Transfer of ownership for a product for financial compensation....
_ActAccountCodeActAccountCode
An account represents a grouping of financial transactions that are tracked and reported together wi...
_ActAdjudicationCodeActAdjudicationCode
Includes coded responses that will occur as a result of the adjudication of an electronic invoice at...
_ActAdjudicationResultActionCodeActAdjudicationResultActionCode
Actions to be carried out by the recipient of the Adjudication Result information....
_ActBillableModifierCodeActBillableModifierCode
**Definition:**An identifying modifier code for healthcare interventions or procedures....
_ActBillingArrangementCodeActBillingArrangementCode
The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods pr...
AVAILABLEAvailable Volume
The available quantity of specimen. This is the current quantity minus any planned consumption (e.g....
_ActBoundedROICodeActBoundedROICode
Type of bounded ROI....
_ActCareProvisionCodeact care provision
**Description:**The type and scope of responsibility taken-on by the performer of the Act for a spec...
_ActClaimAttachmentCategoryCodeActClaimAttachmentCategoryCode
**Description:** Coded types of attachments included to support a healthcare claim....
_ActConsentTypeActConsentType
**Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or us...
_ActContainerRegistrationCodeActContainerRegistrationCode
Constrains the ActCode to the domain of Container Registration...
_ActControlVariableActControlVariable
An observation form that determines parameters or attributes of an Act. Examples are the settings of...
_ActCoverageConfirmationCodeActCoverageConfirmationCode
Response to an insurance coverage eligibility query or authorization request....
_ActCoverageLimitCodeActCoverageLimitCode
Criteria that are applicable to the authorized coverage....
_ActCoverageTypeCodeActCoverageTypeCode
**Definition:** Set of codes indicating the type of insurance policy or program that pays for the co...
_ActDetectedIssueManagementCodeActDetectedIssueManagementCode
Codes dealing with the management of Detected Issue observations...
_ActExposureCodeActExposureCode
Concepts that identify the type or nature of exposure interaction. Examples include \"household\", \...
_ActFinancialTransactionCodeActFinancialTransactionCode
_ActIncidentCodeActIncidentCode
Set of codes indicating the type of incident or accident....
_ActInformationAccessCodeActInformationAccessCode
**Description:** The type of health information to which the subject of the information or the subje...
_ActInformationAccessContextCodeActInformationAccessContextCode
Concepts conveying the context in which authorization given under jurisdictional law, by organizatio...
_ActInformationCategoryCodeActInformationCategoryCode
**Definition:**Indicates the set of information types which may be manipulated or referenced, such a...
_ActInvoiceElementCodeActInvoiceElementCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
_ActInvoiceElementSummaryCodeActInvoiceElementSummaryCode
Identifies the different types of summary information that can be reported by queries dealing with S...
_ActInvoiceOverrideCodeActInvoiceOverrideCode
Includes coded responses that will occur as a result of the adjudication of an electronic invoice at...
_ActListCodeActListCode
Provides codes associated with ActClass value of LIST (working list)...
_ActMonitoringProtocolCodeActMonitoringProtocolCode
Identifies types of monitoring programs...
_ActNonObservationIndicationCodeActNonObservationIndicationCode
**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis...
BUSbusiness constraint violation
**Description:**A local business rule relating multiple elements has been violated....
_ActObservationVerificationTypeact observation verification
Identifies the type of verification investigation being undertaken with respect to the subject of th...
_ActPaymentCodeActPaymentCode
Code identifying the method or the movement of payment instructions.\r\n\r\nCodes are drawn from X12...
_ActPharmacySupplyTypeActPharmacySupplyType
Identifies types of dispensing events...
_ActPolicyTypeActPolicyType
A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is ...
_ActProductAcquisitionCodeActProductAcquisitionCode
The method that a product is obtained for use by the subject of the supply act (e.g. patient). Produ...
_ActSpecimenTransportCodeActSpecimenTransportCode
Transportation of a specimen....
_ActSpecimenTreatmentCodeActSpecimenTreatmentCode
Set of codes related to specimen treatments...
_ActSubstanceAdministrationCodeActSubstanceAdministrationCode
**Description:** Describes the type of substance administration being performed. This should not be ...
_ActTaskCodeActTaskCode
**Description:** A task or action that a user may perform in a clinical information system (e.g., me...
_ActTransportationModeCodeActTransportationModeCode
Characterizes how a transportation act was or will be carried out.\r\n\r\n*Examples:* Via private tr...
_ObservationTypeObservationType
Identifies the kinds of observations that can be performed...
_ROIOverlayShapeROIOverlayShape
Shape of the region on the object being referenced...
Ccorrected
**Description:**Indicates that result data has been corrected....
DIETDiet
Code set to define specialized/allowed diets...
DRUGPRGdrug program
**Definition:** A public or government health program that administers and funds coverage for prescr...
Ffinal
**Description:**Indicates that a result is complete. No further results are to come. This maps to th...
PRLMNpreliminary
**Description:**Indicates that a result is incomplete. There are further results to come. This maps ...
SECOBSSecurityObservationType
An observation identifying security metadata about an IT resource (data, information object, service...
SUBSIDFFSsubsidized fee for service program
**Definition:** A government health program that provides coverage on a fee for service basis for he...
WRKCOMP(workers compensation program
**Definition:** Government mandated program providing coverage, disability income, and vocational re...
_ActAdjudicationInformationCodeActAdjudicationInformationCode
Explanatory codes that provide information derived by an Adjudicator during the course of adjudicati...
_ActBillableTreatmentPlanCodeActBillableTreatmentPlanCode
_ActCognitiveProfessionalServiceCodeActCognitiveProfessionalServiceCode
Denotes the specific service that has been performed. This is obtained from the professional service...
_ActIdentityDocumentCodeActIdentityDocumentCode
Code identifying the type of identification document (e.g. passport, drivers license)\r\n\r\n**Imple...
_ActOrderCodeActOrderCode
The type of order that was fulfilled by the clinical service...
_ActPrivilegeCategorizationActPrivilegeCategorization
An Act which characterizes a Privilege can have additional observations to provide a finer definitio...
_ActProcedureCodeActProcedureCode
An identifying code for healthcare interventions/procedures....
_ActRegistryCodeActRegistryCode
This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Empl...
_ActSecurityObjectCodeActSecurityObjectCode
**Description:**An access control object used to manage permissions and capabilities of users within...
_AdvanceBeneficiaryNoticeTypeAdvanceBeneficiaryNoticeType
**Description:**\r\n\r\nRepresents types of consent that patient must sign prior to receipt of servi...
_CPT4CPT4
**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive t...
_ExternallyDefinedActCodesExternallyDefinedActCodes
_HL7DefinedActCodesHL7DefinedActCodes
Domain provides the root for HL7-defined detailed or rich codes for the Act classes....
_IndividualCaseSafetyReportCriteriaIndividualCaseSafetyReportCriteria
**Description:** Includes those concepts that are provided to justify the fact that an adverse event...
_IndividualCaseSafetyReportProductCharacteristicIndividualCaseSafetyReportProductCharacteristic
**Description:** Includes relevant pieces of information about a product or its process of creation....
_ObservationActAgeGroupTypeObservationActAgeGroupType
**Description:**To allow queries to specify useful information about the age of the patient without ...
COPAY
DEDUCT
DOSEIND
PRA
STOREStorage
The act of putting something away for safe keeping. The \"something\" may be physical object such as...
ACCTRECEIVABLEaccount receivable
An account for collecting charges, reversals, adjustments and payments, including deductibles, copay...
CASHCash
CCcredit card
**Description:** Types of advance payment to be made on a plastic card usually issued by a financial...
PBILLACCTpatient billing account
An account representing charges and credits (financial transactions) for a patient's encounter....
_CreditCardCreditCard
_ActAdjudicationGroupCodeActAdjudicationGroupCode
Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotal...
AAadjudicated with adjustments
The invoice element has been accepted for payment but one or more adjustment(s) have been made to on...
ARadjudicated as refused
The invoice element has passed through the adjudication process but payment is refused due to one or...
ASadjudicated as submitted
The invoice element was/will be paid exactly as submitted, without financial adjustment(s).\r\n\r\nI...
CONTcontract
Transaction counts and value totals by Contract Identifier....
DAYday
Transaction counts and value totals for each calendar day within the date range specified....
LOClocation
Transaction counts and value totals by service location (e.g clinic)....
MONTHmonth
Transaction counts and value totals for each calendar month within the date range specified....
PERIODperiod
Transaction counts and value totals for the date range specified....
PROVprovider
Transaction counts and value totals by Provider Identifier....
WEEKweek
Transaction counts and value totals for each calendar week within the date range specified....
YEARyear
Transaction counts and value totals for each calendar year within the date range specified....
DISPLAYDisplay
The adjudication result associated is to be displayed to the receiver of the adjudication result....
FORMPrint on Form
The adjudication result associated is to be printed on the specified form, which is then provided to...
NATInsufficient authorization
The requesting party has insufficient authorization to invoke the interaction....
SUPPRESSEDrecord suppressed
**Description:** One or more records in the query response have been suppressed due to consent or pr...
VALIDATvalidation issue
**Description:**The specified element did not pass business-rule validation....
_ActAdministrativeAuthorizationDetectedIssueCodeActAdministrativeAuthorizationDetectedIssueCode
_ActAdministrativeRuleDetectedIssueCodeActAdministrativeRuleDetectedIssueCode
_AuthorizationIssueManagementCodeAuthorization Issue Management Code
KEY204Unknown key identifier
The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. ...
KEY205Duplicate key identifier
The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit...
KEY206non-matching identification
**Description:** Metadata associated with the identification (e.g. name or gender) does not match th...
OBSOLETEobsolete record returned
**Description:** One or more records in the query response have a status of 'obsolete'....
CPTMCPT modifier codes
**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition....
HCPCSAHCPCS Level II and Carrier-assigned
**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are report...
_ActMedicalBillableServiceCodeActMedicalBillableServiceCode
**Definition:** An identifying code for billable medical services, as opposed to codes for similar s...
_ActNonMedicalBillableServiceCodeActNonMedicalBillableServiceCode
**Definition:** An identifying code for billable services that are not medical procedures, such as s...
BLKblock funding
A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of ...
CAPcapitation funding
A billing arrangement where the payment made to a Provider is determined by analyzing one or more de...
CONTFcontract funding
A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or m...
FINBILLfinancial
A billing arrangement where a Provider charges for non-clinical items. This includes interest in arr...
ROSTroster funding
A billing arrangement where funding is based on a list of individuals registered as patients of the ...
SESSsessional funding
A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/pr...
FFSfee for service
A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event ...
ROIFSfully specified ROI
A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions p...
ROIPSpartially specified ROI
A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values ...
SBBLATsubmitted billed electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings within a time period and ...
_ActCredentialedCareCodeact credentialed care
**Description:**The type and scope of legal and/or professional responsibility taken-on by the perfo...
_ActEncounterCodeActEncounterCode
Domain provides codes that qualify the ActEncounterClass (ENC)...
_ActMedicalServiceCodeActMedicalServiceCode
General category of medical service provided to the patient during their encounter....
AUTOATTCHauto attachment
**Description:** Automobile Information Attachment...
DOCUMENTdocument
**Description:** Document Attachment...
HEALTHREChealth record
**Description:** Health Record Attachment...
IMGimage attachment
**Description:** Image Attachment...
LABRESULTSlab results
**Description:** Lab Results Attachment...
MODELmodel
**Description:** Digital Model Attachment...
WIATTCHwork injury report attachment
**Description:** Work Injury related additional Information Attachment...
XRAYx-ray
**Description:** Digital X-Ray Attachment...
_ActDecision_ActDecision
Specifies the type of agreement between one or more grantor and grantee in which rights and obligati...
_ActPrivacyConsentDirective_ActPrivacyConsentDirective
Specifies types of consent directives governing the collection, access, use, or disclosure of person...
EMRGONLYemergency only
Privacy consent directive restricting or prohibiting access, use, or disclosure of personal informat...
GRANTORCHOICEgrantor choice
A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an op...
IMPLIEDimplied consent
A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, ...
IMPLIEDDimplied consent with opportunity to dissent
A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's beh...
NOCONSENTno consent
No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms o...
NOPPnotice of privacy practices
An implied privacy consent directive or notification, which the data subject may or may not acknowle...
OPTINopt-in
A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to d...
OPTINRopt-in with restrictions
A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to cert...
OPTOUTop-out
A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to ass...
OPTOUTEopt-out with exceptions
A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee select...
ICOLinformation collection
**Definition:** Consent to have healthcare information collected in an electronic health record. Thi...
IDSCLinformation disclosure
**Definition:** Consent to have collected healthcare information disclosed....
INFAinformation access
**Definition:** Consent to access healthcare information....
IRDSCLinformation redisclosure
**Definition:** Information re-disclosed without the patient's consent....
RESEARCHresearch information access
**Definition:** Consent to have healthcare information in an electronic health record accessed for r...
IDIdentified
Used by one system to inform another that it has received a container....
IPIn Position
Used by one system to inform another that the container is in position for specimen transfer (e.g., ...
LLeft Equipment
Used by one system to inform another that the container has been released from that system....
MMissing
Used by one system to inform another that the container did not arrive at its next expected location...
OIn Process
Used by one system to inform another that the specific container is being processed by the equipment...
RProcess Completed
Status is used by one system to inform another that the processing has been completed, but the conta...
XContainer Unavailable
Used by one system to inform another that the container is no longer available within the scope of t...
AUTOauto-repeat permission
Specifies whether or not automatic repeat testing is to be initiated on specimens....
ENDCendogenous content
A baseline value for the measured test that is inherently contained in the diluent. In the calculati...
REFLEXreflex permission
Specifies whether or not further testing may be automatically or manually initiated on specimens....
_ECGControlVariableECGControlVariable
AUTHAuthorized
Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/...
NAUTHNot Authorized
Authorization for specified healthcare service(s) and/or product(s) denied....
_ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCode
Indication of authorization for healthcare service(s) and/or product(s). If authorization is approve...
_ActCoverageEligibilityConfirmationCodeActCoverageEligibilityConfirmationCode
Indication of eligibility coverage for healthcare service(s) and/or product(s)....
ELGEligible
Insurance coverage is in effect for healthcare service(s) and/or product(s)....
NELGNot Eligible
Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally incl...
_ActCoverageQuantityLimitCodeActCoverageQuantityLimitCode
Maximum amount paid or maximum number of services/products covered; or maximum amount or number cove...
COVMXcoverage maximum
**Definition:** Codes representing the maximum coverate or financial participation requirements....
_ActCoveredPartyLimitCodeActCoveredPartyLimitCode
Codes representing the types of covered parties that may receive covered benefits under a policy or ...
COVPRDcoverage period
Codes representing the time period during which coverage is available; or financial participation re...
LFEMXlife time maximum
**Definition:** Maximum amount paid by payer or covered party; or maximum number of services or prod...
NETAMTNet Amount
Maximum net amount that will be covered for the product or service specified....
PRDMXperiod maximum
**Definition:** Maximum amount paid by payer or covered party; or maximum number of services/product...
UNITPRICEUnit Price
Maximum unit price that will be covered for the authorized product or service....
UNITQTYUnit Quantity
Maximum number of items that will be covered of the product or service specified....
_ActInsurancePolicyCodeActInsurancePolicyCode
Set of codes indicating the type of insurance policy or other source of funds to cover healthcare co...
_ActInsuranceTypeCodeActInsuranceTypeCode
**Definition:** Set of codes indicating the type of insurance policy. Insurance, in law and economic...
_ActProgramTypeCodeActProgramTypeCode
**Definition:** A set of codes used to indicate coverage under a program. A program is an organized ...
_ActCoveragePartyLimitGroupCodeActCoveragePartyLimitGroupCode
Codes representing the level of coverage provided under the policy or program in terms of the types ...
_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron
**Description:**The type and scope of legal and/or professional responsibility taken-on by the perfo...
_ActCredentialedCareProvisionProgramCodeact credentialed care provision program
**Description:**The type and scope of legal and/or professional responsibility taken-on by the perfo...
CACCcertified anatomic pathology and clinical pathology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CAICcertified allergy and immunology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CAMCcertified aerospace medicine care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CANCcertified anesthesiology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CAPCcertified anatomic pathology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CBGCcertified clinical biochemical genetics care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CCCCcertified clinical cytogenetics care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CCGCcertified clinical genetics (M.D.) care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CCPCcertified clinical pathology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CCSCcertified colon and rectal surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CDECcertified dermatology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CDRCcertified diagnostic radiology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CEMCcertified emergency medicine care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CFPCcertified family practice care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CIMCcertified internal medicine care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CMGCcertified clinical molecular genetics care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CNECcertified neurology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CNMCcertified nuclear medicine care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CNQCcertified neurology with special qualifications in child neurology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CNSCcertified neurological surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
COGCcertified obstetrics and gynecology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
COMCcertified occupational medicine care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
COPCcertified ophthalmology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
COSCcertified orthopaedic surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
COTCcertified otolaryngology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CPECcertified pediatrics care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CPGCcertified Ph.D. medical genetics care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CPHCcertified public health and general preventive medicine care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CPRCcertified physical medicine and rehabilitation care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CPSCcertified plastic surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CPYCcertified psychiatry care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CROCcertified radiation oncology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CRPCcertified radiological physics care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CSUCcertified surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CTSCcertified thoracic surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CURCcertified urology care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
CVSCcertified vascular surgery care
**Description:**Scope of responsibility taken on for specialty care as defined by the respective Spe...
LGPClicensed general physician care
**Description:**Scope of responsibility taken-on for physician care of a patient as defined by a gov...
AALCaccredited assisted living care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
AAMCaccredited ambulatory care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
ABHCaccredited behavioral health care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
ACACaccredited critical access hospital care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
ACHCaccredited hospital care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
AHOCaccredited home care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
ALTCaccredited long term care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
AOSCaccredited office-based surgery care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CACScertified acute coronary syndrome care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CAMIcertified acute myocardial infarction care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CASTcertified asthma care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CBARcertified bariatric surgery care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CCADcertified coronary artery disease care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CCARcertified cardiac care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CDEPcertified depression care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CDGDcertified digestive/gastrointestinal disorders care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CDIAcertified diabetes care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CEPIcertified epilepsy care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CFELcertified frail elderly care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CHFCcertified heart failure care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CHROcertified high risk obstetrics care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CHYPcertified hyperlipidemia care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CMIHcertified migraine headache care
**Description:**....
CMSCcertified multiple sclerosis care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
COJRcertified orthopedic joint replacement care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CONCcertified oncology care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CONSUMPTIONConsumption Volume
The quantity of specimen that is used each time the equipment uses this substance...
COPDcertified chronic obstructive pulmonary disease care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CORTcertified organ transplant care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CPADcertified parkinsons disease care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CPNDcertified pneumonia disease care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CPSTcertified primary stroke center care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CSDMcertified stroke disease management care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CSICcertified sickle cell care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CSLDcertified sleep disorders care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CSPTcertified spine treatment care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CTBUcertified trauma/burn center care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CVDCcertified vascular diseases care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CWMAcertified wound management care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
CWOHcertified women's health care
**Description:**Scope of responsibility taken on by an organization for care of a patient as defined...
_ActAdministrativeDetectedIssueManagementCodeActAdministrativeDetectedIssueManagementCode
Codes dealing with the management of Detected Issue observations for the administrative and patient ...
1Therapy Appropriate
Confirmed drug therapy appropriate...
14Supply Appropriate
Confirmed supply action appropriate...
8Other Action Taken
Order is performed as issued, but other action taken to mitigate potential adverse effects...
_ActFinancialDetectedIssueManagementCodeActFinancialDetectedIssueManagementCode
Codes dealing with the management of Detected Issue observations for the financial acts domain....
_HL7AccommodationCodeHL7AccommodationCode
**Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In ...
_HCPCSAccommodationCodeHCPCSAccommodationCode
**Description:**External value set for accommodation types used in the U.S. Health Care Financing Ad...
AMBambulatory
A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs offi...
EMERemergency
A patient encounter that takes place at a dedicated healthcare service delivery location where the p...
FLDfield
A patient encounter that takes place both outside a dedicated service delivery location and outside ...
HHhome health
Healthcare encounter that takes place in the residence of the patient or a designee...
IMPinpatient encounter
A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a ...
OBSENCobservation encounter
An encounter where the patient usually will start in different encounter, such as one in the emergen...
PRENCpre-admission
A patient encounter where patient is scheduled or planned to receive service delivery in the future,...
SSshort stay
An encounter where the patient is admitted to a health care facility for a predetermined length of t...
VRvirtual
A patient encounter where the patient and the practitioner(s) are not in the same physical location....
CHLDCAREDay care - Child care Interaction
**Description:** Exposure participants' interaction occurred in a child care setting...
CONVEYNCCommon Conveyance Interaction
**Description:** An interaction where the exposure participants traveled in/on the same vehicle (not...
HLTHCAREHealth Care Interaction - Not Patient Care
**Description:** Exposure participants' interaction occurred during the course of health care delive...
HOMECARECare Giver Interaction
**Description:** Exposure interaction occurred in context of one providing care for the other, i.e. ...
HOSPPTNTHospital Patient Interaction
**Description:** Exposure participants' interaction occurred when both were patients being treated i...
HOSPVSTRHospital Visitor Interaction
**Description:** Exposure participants' interaction occurred when one visited the other who was a pa...
HOUSEHLDHousehold Interaction
**Description:** Exposure interaction occurred in context of domestic interaction, i.e. both partici...
INMATEInmate Interaction
**Description:** Exposure participants' interaction occurred in the course of one or both participan...
INTIMATEIntimate Interaction
**Description:** Exposure interaction was intimate, i.e. participants are intimate companions (e.g. ...
LTRMCARELong Term Care Facility Interaction
**Description:** Exposure participants' interaction occurred in the course of one or both participan...
PLACECommon Space Interaction
**Description:** An interaction where the exposure participants were both present in the same locati...
PTNTCAREHealth Care Interaction - Patient Care
**Description:** Exposure participants' interaction occurred during the course of health care delive...
SCHOOL2School Interaction
**Description:** Exposure participants' interaction occurred in an academic setting (e.g., participa...
SOCIAL2Social/Extended Family Interaction
**Description:** An interaction where the exposure participants are social associates or members of ...
GDPRCONSENTGDPR Consent
Processing of personal data, inclusive of the special categories of data, is lawful only if the data...
OICopt-in to personal information or effect collection in a registry or repository
An expressed privacy consent directive permitting the collection of a some or all personal informati...
OISopt-in to personal information or effect sharing via a registry or repository
An expressed privacy consent directive permitting access, use, or disclosure of a some or all person...
OOCopt-out of personal information or effect collection in a registry or repository
An expressed privacy consent directive restricting or prohibiting collection of personal information...
SBBLELCTsubmitted billed electronic count
Identifies the total number of submitted Invoice Groupings within a time period and submitted electr...
OOSopt-out of personal information or effect sharing via a registry or repository
An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of pers...
DENTALdental care policy
**Definition:** A health insurance policy that that covers benefits for dental services....
DISEASEdisease specific policy
**Definition:** A health insurance policy that covers benefits for healthcare services provided for ...
DRUGPOLdrug policy
**Definition:** A health insurance policy that covers benefits for prescription drugs, pharmaceutica...
EHCPOLextended healthcare
Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a...
HIPhealth insurance plan policy
**Definition:** A health insurance policy that covers healthcare benefits by protecting covered part...
CURRENTCurrent Volume
The current quantity of the specimen, i.e., initial quantity minus what has been actually used....
HSAPOLhealth spending account
Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) bas...
LTClong term care policy
**Definition:** An insurance policy that covers benefits for long-term care services people need whe...
MCPOLmanaged care policy
**Definition:** Government mandated program providing coverage, disability income, and vocational re...
MENTPOLmental health policy
**Definition:** A health insurance policy that covers benefits for mental health services and prescr...
POSpoint of service policy
**Definition:** A policy for a health plan that has features of both an HMO and a FFS plan. Like an ...
SUBPOLsubstance use policy
**Definition:** A health insurance policy that covers benefits for substance use services....
VISPOLvision care policy
**Definition:** Set of codes for a policy that provides coverage for health care expenses arising fr...
MVAMotor vehicle accident
Incident or accident as the result of a motor vehicle accident...
SCHOOLSchool Accident
Incident or accident is the result of a school place accident....
SPTSporting Accident
Incident or accident is the result of a sporting accident....
WPAWorkplace accident
Incident or accident is the result of a work place accident...
_ActPatientSafetyIncidentCodeActPatientSafetyIncidentCode
**Definition:** A code specifying the particular kind of Patient Safety Incident that the Incident c...
ACADRadverse drug reaction access
**Description:** Provide consent to collect, use, disclose, or access adverse drug reaction informat...
ACALLall access
**Description:** Provide consent to collect, use, disclose, or access all information for a patient....
ACALLGallergy access
**Description:** Provide consent to collect, use, disclose, or access allergy information for a pati...
ACCONSinformational consent access
**Description:** Provide consent to collect, use, disclose, or access informational consent informat...
ACDEMOdemographics access
**Description:** Provide consent to collect, use, disclose, or access demographics information for a...
ACDIdiagnostic imaging access
**Description:** Provide consent to collect, use, disclose, or access diagnostic imaging information...
ACIMMUNimmunization access
**Description:** Provide consent to collect, use, disclose, or access immunization information for a...
ACLABlab test result access
**Description:** Provide consent to collect, use, disclose, or access lab test result information fo...
ACMEDmedication access
**Description:** Provide consent to collect, use, disclose, or access medical condition information ...
ACMEDCmedical condition access
**Definition:** Provide consent to view or access medical condition information for a patient....
ACMENmental health access
**Description:**Provide consent to collect, use, disclose, or access mental health information for a...
ACOBScommon observations access
**Description:** Provide consent to collect, use, disclose, or access common observation information...
ACPOLPRGpolicy or program information access
**Description:** Provide consent to collect, use, disclose, or access coverage policy or program for...
ACPROVprovider information access
**Description:** Provide consent to collect, use, disclose, or access provider information for a pat...
ACPSERVprofessional service access
**Description:** Provide consent to collect, use, disclose, or access professional service informati...
ACSUBSTABsubstance abuse access
**Description:**Provide consent to collect, use, disclose, or access substance abuse information for...
INFAUTauthorized information transfer
Authorization to collect, access, use, or disclose specified patient health information in accordanc...
INFCRTonly on court order
Authorization to collect, access, use, or disclose specified patient health information in accordanc...
INFDNGonly if danger to others
Authorization to collect, access, use, or disclose specified patient health information where deemed...
INFEMERonly in an emergency
Authorization to collect, access, use, or disclose specified patient health information in accordanc...
INFPWRonly if public welfare risk
Authorization to collect, access, use, or disclose specified patient health information necessary to...
INFREGregulatory information transfer
Authorization to collect, access, use, or disclose specified patient health information for public h...
INFOACCESSaccess information
Authorization to obtain information with no further permission to collect and store it....
INFOCOLLECTcollect information
Authorization to gather and store information....
INFODEIDENTIFIYdeidentify information
Authorization to alter or remove identifying characteristics of an entity or individual that is a su...
INFODISCLOSEdisclose information
Authorization to make information known to another party....
INFOMASKmask information
Authorization to alter information in order to conceal it from unauthorized recipients....
INFOREADONLYread only information
Authorization to access information within a specific context for communication purposes only. Stori...
INFOREDACTredact information
Authorization to remove information that a recipient is not authorized to access....
INFOREDISCLOSEredisclose information
Authorization to make disclosed information known to another party....
INFOREIDENTIFYreidentify information
Authorization to alter or relink deidentified information so that an entity or individual that is th...
INFOUSEuse information
Authorization to employ or alter information....
ALLCATall categories
**Description:** All patient information....
ALLGCATallergy category
**Definition:**All information pertaining to a patient's allergy and intolerance records....
ARCATadverse drug reaction category
**Description:** All information pertaining to a patient's adverse drug reactions....
COBSCATcommon observation category
**Definition:**All information pertaining to a patient's common observation records (height, weight,...
DEMOCATdemographics category
**Definition:**All information pertaining to a patient's demographics (such as name, date of birth, ...
DICATdiagnostic image category
**Definition:**All information pertaining to a patient's diagnostic image records (orders & results)...
IMMUCATimmunization category
**Definition:**All information pertaining to a patient's vaccination records....
LABCATlab test category
**Description:** All information pertaining to a patient's lab test records (orders & results)...
MEDCCATmedical condition category
**Definition:**All information pertaining to a patient's medical condition records....
MENCATmental health category
**Description:** All information pertaining to a patient's mental health records....
PSVCCATprofessional service category
**Definition:**All information pertaining to a patient's professional service records (such as smoki...
RXCATmedication category
**Definition:**All information pertaining to a patient's medication records (orders, dispenses and o...
JurisIPjurisdictional information policy
Jurisdictional policy on collection, access, use, or disclosure of information as defined by applica...
OrgIPorganizational information policy
Organizational policy on collection, access, use, or disclosure of information, which does not confl...
PersIPpersonal information policy
Personal policy on collection, access, use, or disclosure of information....
ETHsubstance abuse information sensitivity
Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentia...
GDISgenetic disease information sensitivity
Policy for handling genetic disease information, which will be afforded heightened confidentiality. ...
HIVHIV/AIDS information sensitivity
Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Info...
SBBLCTsubmitted billed electronic count
Identifies the total number of submitted Invoice Groupings within a time period and submitted electr...
MSTmilitary sexual trauma information sensitivity
Policy for handling information related to sexual assault or repeated, threatening sexual harassment...
PREGNANTpregnancy information sensitivity
Policy for handling information about an individual's current or past pregnancy status, deemed sensi...
SCAsickle cell anemia information sensitivity
Policy for handling sickle cell disease information, which is afforded heightened confidentiality. I...
SDVsexual assault, abuse, or domestic violence information sensitivity
Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded ...
SEXsexuality and reproductive health information sensitivity
Policy for handling sexuality and reproductive health information, which will be afforded heightened...
CODE_INVALcode is not valid
**Description:**The specified code is not valid against the list of codes allowed for the element....
SPIspecially protected information sensitivity
Policy for handling information deemed specially protected by law or policy including substance abus...
STDsexually transmitted disease information sensitivity
Policy for handling sexually transmitted disease information, which will be afforded heightened conf...
TBOOtaboo
Policy for handling information not to be initially disclosed or discussed with patient except by a ...
VIOviolence information sensitivity
Policy for handling information related to harm by violence, which is afforded heightened confidenti...
IDSIdentifier Sensitivity
Policy for handling information related to an identifier of an information subject, which will be af...
SICKLEsickle cell
Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as \...
AUTOPOLautomobile
Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-n...
PUBLICPOLpublic healthcare
Insurance policy funded by a public health system such as a provincial or national health plan. Exam...
WCBPOLworker's compensation
Insurance policy for injuries sustained in the work place or in the course of employment....
_ActHealthInsuranceTypeCodeActHealthInsuranceTypeCode
**Definition:** Set of codes indicating the type of health insurance policy that covers health servi...
DISdisability insurance policy
**Definition:** An insurance policy that provides a regular payment to compensate for income lost du...
EWBemployee welfare benefit plan policy
**Definition:** An insurance policy under a benefit plan run by an employer or employee organization...
FORMATinvalid format
**Description:**The element does not follow the formatting or type rules defined for the field....
FLEXPflexible benefit plan policy
**Definition:** An insurance policy that covers qualified benefits under a Flexible Benefit plan su...
LIFElife insurance policy
**Definition:** A policy under which the insurer agrees to pay a sum of money upon the occurrence of...
PNCproperty and casualty insurance policy
**Definition:** A type of insurance that covers damage to or loss of the policyholderaTMs property b...
REIreinsurance policy
**Definition:** An agreement between two or more insurance companies by which the risk of loss is pr...
SURPLsurplus line insurance policy
**Definition:** \r\n\r\n1. A risk or part of a risk for which there is no normal insurance market a...
UMBRLumbrella liability insurance policy
**Definition:** A form of insurance protection that provides additional liability coverage after the...
_ActInvoiceAdjudicationPaymentGroupCodeActInvoiceAdjudicationPaymentGroupCode
Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc....
_ActInvoicePaymentCodeActInvoiceAdjudicationPaymentGroupCode
Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc....
_ActInvoiceAdjudicationPaymentSummaryCodeActInvoiceAdjudicationPaymentSummaryCode
Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment A...
ALECalternate electronic
Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the...
BONUSbonus
Bonus payments based on performance, volume, etc. as agreed to by the payor....
CFWDcarry forward adjusment
An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future p...
EDUeducation fees
Fees deducted on behalf of a payee for tuition and continuing education....
EPYMTearly payment fee
Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day v...
GARNgarnishee
Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. month...
INVOICEsubmitted invoice
Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudicatio...
PINVpaper invoice
Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed)...
PPRDprior period adjustment
An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payme...
PROAprofessional association deduction
Professional association fee that is collected by the payor from the practitioner/provider on behalf...
INITIALInitial Volume
The initial quantity of the specimen in inventory...
RECOVrecovery
Retroactive adjustment such as fee rate adjustment due to contract negotiations....
RETROretro adjustment
Bonus payments based on performance, volume, etc. as agreed to by the payor....
TRANtransaction fee
Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. month...
INVTYPEinvoice type
Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)...
PAYEEpayee
Transaction counts and value totals by each instance of an invoice payee....
PAYORpayor
Transaction counts and value totals by each instance of an invoice payor....
SENDAPPsending application
Transaction counts and value totals by each instance of a messaging application on a single processo...
UNSPSCUnited Nations Standard Products and Services Classification
**Description:**United Nations Standard Products and Services Classification, managed by Uniform Cod...
_CPT5CPT5
**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive t...
_HCPCSHCPCS
**Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes a...
_ICD10PCSICD10PCS
**Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (IC...
_ICD9PCSICD9PCS
**Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD...
_ActInvoiceDetailClinicalProductCodeActInvoiceDetailClinicalProductCode
An identifying data string for healthcare products....
_ActInvoiceDetailDrugProductCodeActInvoiceDetailDrugProductCode
An identifying data string for A substance used as a medication or in the preparation of medication....
_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCode
The detail item codes to identify charges or changes to the total billing of a claim due to insuranc...
_ActInvoiceDetailPreferredAccommodationCodeActInvoiceDetailPreferredAccommodationCode
An identifying data string for medical facility accommodations....
_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode
An identifying data string for healthcare procedures....
_ActInvoiceDetailOralHealthProcedureCodeActInvoiceDetailOralHealthProcedureCode
An identifying data string for oral health procedure codes, e.g. extract tooth....
GTINGlobal Trade Item Number
**Description:**Global Trade Item Number is an identifier for trade items developed by GS1 (comprisi...
UPCUniversal Product Code
**Description:**Universal Product Code is one of a wide variety of bar code languages widely used in...
COINcoinsurance
That portion of the eligible charges which a covered party must pay for each service and/or product....
COPAYMENTpatient co-pay
That portion of the eligible charges which a covered party must pay for each service and/or product....
DEDUCTIBLEdeductible
That portion of the eligible charges which a covered party must pay in a particular period (e.g. ann...
PAYpayment
The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action...
SPENDspend down
That total amount of the eligible charges which a covered party must periodically pay for services a...
COINSco-insurance
The covered party pays a percentage of the cost of covered services....
_ActInvoiceDetailGenericAdjudicatorCodeActInvoiceDetailGenericAdjudicatorCode
The billable item codes to identify adjudicator specified components to the total billing of a claim...
_ActInvoiceDetailGenericModifierCodeActInvoiceDetailGenericModifierCode
The billable item codes to identify modifications to a billable item charge. As for example after ho...
_ActInvoiceDetailGenericProviderCodeActInvoiceDetailGenericProviderCode
The billable item codes to identify provider supplied charges or changes to the total billing of a c...
_ActInvoiceDetailTaxCodeActInvoiceDetailTaxCode
The billable item codes to identify modifications to a billable item charge by a tax factor applied ...
AFTHRSnon-normal hours
Premium paid on service fees in compensation for practicing outside of normal working hours....
ISOLisolation allowance
Premium paid on service fees in compensation for practicing in a remote location....
OOOout of office
Premium paid on service fees in compensation for practicing at a location other than normal working ...
CANCAPTcancelled appointment
A charge to compensate the provider when a patient cancels an appointment with insufficient time for...
DSCdiscount
A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volum...
ESAextraordinary service assessment
A premium on a service fee is requested because, due to extenuating circumstances, the service took ...
FFSTOPfee for service top off
Under agreement between the parties (payor and provider), a guaranteed level of income is establishe...
FNLFEEfinal fee
Anticipated or actual final fee associated with treating a patient....
FRSTFEEfirst fee
Anticipated or actual initial fee associated with treating a patient....
MARKUPmarkup or up-charge
An increase in the amount charged as a percentage of the amount. For example, 12% markup on product ...
MISSAPTmissed appointment
A charge to compensate the provider when a patient does not show for an appointment....
PERFEEperiodic fee
Anticipated or actual periodic fee associated with treating a patient. For example, expected billing...
PERMBNSperformance bonus
The amount for a performance bonus that is being requested from a payor for the performance of certa...
RESTOCKrestocking fee
A charge is requested because the patient failed to pick up the item and it took an amount of time t...
TRAVELtravel
A charge to cover the cost of travel time and/or cost in conjuction with providing a service or prod...
URGENTurgent
Premium paid on service fees in compensation for providing an expedited response to an urgent situat...
_ActEncounterAccommodationCodeActEncounterAccommodationCode
Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, repr...
FSTfederal sales tax
Federal tax on transactions such as the Goods and Services Tax (GST)...
HSTharmonized sales Tax
Joint Federal/Provincial Sales Tax...
PSTprovincial/state sales tax
Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax...
_ActInvoiceAdjudicationPaymentCodeActInvoiceAdjudicationPaymentCode
Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment A...
_ActInvoiceDetailCodeActInvoiceDetailCode
Codes representing a service or product that is being invoiced (billed). The code can represent such...
SBNFELATsubmitted nullified electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings that were nullified withi...
_ActInvoiceGroupCodeActInvoiceGroupCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
_InvoiceElementAdjudicatedInvoiceElementAdjudicated
Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated withi...
_InvoiceElementPaidInvoiceElementPaid
Total counts and total net amounts paid for all Invoice Groupings that were paid within a time perio...
_InvoiceElementSubmittedInvoiceElementSubmitted
Total counts and total net amounts billed for all Invoice Groupings that were submitted within a tim...
_ActInvoiceInterGroupCodeActInvoiceInterGroupCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
SBCNATsubmitted nullified electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings that were nullified withi...
_ActInvoiceRootGroupCodeActInvoiceRootGroupCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
CPNDDRGINGcompound drug invoice group
A grouping of invoice element groups and details including the ones specifying the compound ingredie...
CPNDINDINGcompound ingredient invoice group
A grouping of invoice element details including the one specifying an ingredient drug being invoiced...
CPNDSUPINGcompound supply invoice group
A grouping of invoice element groups and details including the ones specifying the compound supplies...
DRUGINGdrug invoice group
A grouping of invoice element details including the one specifying the drug being invoiced. It may a...
FRAMEINGframe invoice group
A grouping of invoice element details including the ones specifying the frame fee and the frame disp...
LENSINGlens invoice group
A grouping of invoice element details including the ones specifying the lens fee and the lens dispen...
PRDINGproduct invoice group
A grouping of invoice element details including the one specifying the product (good or supply) bein...
COVGEcoverage problem
Insurance coverage problems have been encountered. Additional explanation information to be supplied...
EFORMelectronic form to follow
Electronic form with supporting or additional information to follow....
FAXfax to follow
Fax with supporting or additional information to follow....
GFTHgood faith indicator
The medical service was provided to a patient in good faith that they had medical coverage, although...
LATElate invoice
Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's ...
MANUALmanual review
Manual review of the invoice is requested. Additional information to be supplied. This may be used i...
OOJout of jurisdiction
The medical service and/or product was provided to a patient that has coverage in another jurisdicti...
ORTHOorthodontic service
The service provided is required for orthodontic purposes. If the covered party has orthodontic cove...
PAPERpaper documentation to follow
Paper documentation (or other physical format) with supporting or additional information to follow....
PIEpublic insurance exhausted
Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Ex...
PYRDELAYdelayed by a previous payor
Allows provider to explain lateness of invoice to a subsequent payor....
REFNRreferral not required
Rules of practice do not require a physician's referral for the provider to perform a billable servi...
REPSERVrepeated service
The same service was delivered within a time period that would usually indicate a duplicate billing....
UNRELATunrelated service
The service provided is not related to another billed service. For example, 2 unrelated services pro...
VERBAUTHverbal authorization
The provider has received a verbal permission from an authoritative source to perform the service or...
CPINVclinical product invoice
Clinical product invoice where the Invoice Grouping contains one or more billable item and is suppor...
CPclinical product invoice
Clinical product invoice where the Invoice Grouping contains one or more billable item and is suppor...
CSINVclinical service invoice
Clinical Services Invoice which can be used to describe a single service, multiple services or repea...
CSclinical service invoice
Clinical Services Invoice which can be used to describe a single service, multiple services or repea...
CSPINVclinical service and product
A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for ...
FININVfinancial invoice
Invoice Grouping without clinical justification. These will not require identification of participan...
OHSINVoral health service
A clinical Invoice Grouping consisting of one or more oral health services. Billing for these servic...
PAINVpreferred accommodation invoice
HealthCare facility preferred accommodation invoice....
PApreferred accommodation invoice
HealthCare facility preferred accommodation invoice....
RXCINVRx compound invoice
Pharmacy dispense invoice for a compound....
RXCRx compound invoice
Pharmacy dispense invoice for a compound....
RXDINVRx dispense invoice
Pharmacy dispense invoice not involving a compound...
RXDRx dispense invoice
Pharmacy dispense invoice not involving a compound...
SBFINVsessional or block fee invoice
Clinical services invoice where the Invoice Group contains one billable item for multiple clinical s...
VRXINVvision dispense invoice
Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams ar...
_ActObservationListActObservationList
_ActTherapyDurationWorkingListCodeActTherapyDurationWorkingListCode
Codes used to identify different types of 'duration-based' working lists. Examples include \"Continu...
MEDLISTmedication list
List of medications....
_ActProcedureCategoryListActProcedureCategoryList
**Description:**Describes the high level classification of professional services for grouping.\r\n\r...
ALCAlternative Level of Care
Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement ...
CARDCardiology
Provision of diagnosis and treatment of diseases and disorders affecting the heart...
CHRChronic
Provision of recurring care for chronic illness....
DNTLDental
Provision of treatment for oral health and/or dental surgery....
DRGRHBDrug Rehab
Provision of treatment for drug abuse....
GENRLGeneral
General care performed by a general practitioner or family doctor as a responsible provider for a pa...
MEDMedical
Provision of diagnostic and/or therapeutic treatment....
OBSObstetrics
Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known ...
ONCOncology
Provision of treatment and/or diagnosis related to tumors and/or cancer....
PALLPalliative
Provision of care for patients who are living or dying from an advanced illness....
PEDPediatrics
Provision of diagnosis and treatment of diseases and disorders affecting children....
PHARPharmaceutical
Pharmaceutical care performed by a pharmacist....
PHYRHBPhysical Rehab
Provision of treatment for physical injury....
PSYCHPsychiatric
Provision of treatment of psychiatric disorder relating to mental illness....
SURGSurgical
Provision of surgical treatment....
ACUshort term/acute
**Definition:**A list of medications which the patient is only expected to consume for the duration ...
CHRONcontinuous/chronic
**Definition:**A list of medications which are expected to be continued beyond the present order and...
ONETone time
**Definition:**A list of medications which the patient is intended to be administered only once....
PRNas needed
**Definition:**A list of medications which the patient will consume intermittently based on the beha...
CTLSUBControlled Substance
A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to...
INVinvestigational
**Definition:**A monitoring program that focuses on a drug which is under investigation and has not ...
LUlimited use
**Description:**A drug that can be prescribed (and reimbursed) only if it meets certain criteria....
OTCnon prescription medicine
Medicines designated in this way may be supplied for patient use without a prescription. The exact f...
RXprescription only medicine
Some form of prescription is required before the related medicine can be supplied for a patient. The...
SAspecial authorization
**Definition:**A drug that requires prior approval (to be reimbursed) before being dispensed...
SACspecial access
**Description:**A drug that requires special access permission to be prescribed and dispensed....
IND01imaging study requiring contrast
**Description:**Contrast agent required for imaging study....
IND02colonoscopy prep
**Description:**Provision of prescription or direction to consume a product for purposes of bowel cl...
IND03prophylaxis
**Description:**Provision of medication as a preventative measure during a treatment or other period...
IND04surgical prophylaxis
**Description:**Provision of medication during pre-operative phase; e.g., antibiotics before dental ...
IND05pregnancy prophylaxis
**Description:**Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for va...
CARELISTcare plan
List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) ...
CONDLISTcondition list
List of condition observations....
GOALLISTgoal list
List of observations in goal mood....
VFPAPERverify paper
**Definition:**Indicates that the paper version of the record has, should be or is being verified ag...
VRFPAPERverify paper
**Definition:**Indicates that the paper version of the record has, should be or is being verified ag...
ANNDIdiagnostic image note
**Description:**A note that is specific to a patient's diagnostic images, either historical, current...
ANNGENgeneral note
**Description:**A general or uncategorized note....
ANNIMMimmunization note
A note that is specific to a patient's immunizations, either historical, current or planned....
ANNLABlaboratory note
**Description:**A note that is specific to a patient's laboratory results, either historical, curren...
ANNMEDmedication note
**Description:**A note that is specific to a patient's medications, either historical, current or pl...
AFOOTpedestrian transport
OnFootpedestrian transport
AMBTambulance transport
Ambulanceambulance transport
LAWENFlaw enforcement transport
LawEnforcementVehiclelaw enforcement transport
PRVTRNprivate transport
PrivateTransportprivate transport
PUBTRNpublic transport
PublicTransportpublic transport
ACHAutomated Clearing House
Automated Clearing House (ACH)....
CHKCheque
A written order to a bank to pay the amount specified from funds on deposit....
DDPDirect Deposit
Electronic Funds Transfer (EFT) deposit into the payee's bank account...
NONNon-Payment Data
Non-Payment Data....
DFDaily Fill
A fill providing sufficient supply for one day...
EMEmergency Supply
A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation...
FFFirst Fill
The initial fill against an order. (This includes initial fills against refill orders.)...
FSFloor stock
A supply action to restock a smaller more local dispensary....
MSManufacturer Sample
A supply of a manufacturer sample...
RFRefill
A fill against an order that has already been filled (or partially filled) at least once....
UDUnit Dose
A supply action that provides sufficient material for a single dose....
UDEunit dose equivalent
A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50...
_ActConsent_ActConsent
Specifies the type or actual definition of a contractually binding agreement or a non-binding repres...
_ActInformationActionPolicy_ActInformationActionPolicy
The type of action permitted on information by jurisdictional, organizational, or personal policy....
_ActInformationPolicy_ActInformationPolicy
Information management directives related to privacy, security, integrity, and control concerns, whi...
_ActPrivacyPolicyActPrivacyPolicy
A policy deeming certain information to be private to an individual or organization.\r\n\r\n*Definit...
ActTrustPolicyTypetrust policy
A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between sende...
COVPOLbenefit policy
**Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed on ben...
SecurityPolicysecurity policy
Types of security policies that further specify the ActClassPolicy value set.\r\n\r\n**Examples:**\r...
_ActGDPRConsentDirective_ActGDPRConsentDirective
European Union General Data Protection Regulation (GDPR) consent directives....
_ActGenericConsentDirective_ActGenericConsentDirective
Specifies types of consent directives authorizing a registry or repository to collect and, under cer...
_ActUSPrivacyConsentDirective_ActUSPrivacyConsentDirective
Specific US privacy consent directives in accordance with US federal, state, regional, organizationa...
_ActGDPRPrivacyLawGeneral Data Protection Regulation
GDPR is a regulation on the protection of natural persons with regard to the processing of personal ...
_ActUSPrivacyLaw_ActUSPrivacyLaw
*Definition:* A jurisdictional mandate in the U.S. relating to privacy.\r\n\r\n*Usage Note:* ActPriv...
_ActConsentDirectiveActConsentDirective
Specifies the type of agreement between one or more grantor and grantee in which rights and obligati...
_ActPrivacyLawActPrivacyLaw
A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain ...
_InformationSensitivityPolicyInformationSensitivityPolicy
A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a...
COMPTcompartment
This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program...
_ActBillableServiceCodeActBillableServiceCode
**Definition:** An identifying code for billable services, as opposed to codes for similar services ...
_ActOralHealthProcedureCodeActOralHealthProcedureCode
**Description:**An identifying code for oral health interventions/procedures....
LOANLoan
Temporary supply of a product without transfer of ownership for the product....
TRANSFERTransfer
Transfer of ownership for a product....
CHARcharity program
**Definition:** A program that covers the cost of services provided directly to a beneficiary who ty...
CRIMEcrime victim program
**Definition:** A program that covers the cost of services provided to crime victims for injuries or...
EAPemployee assistance program
**Definition:** An employee assistance program is run by an employer or employee organization for th...
GOVEMPgovernment employee health program
**Definition:** A set of codes used to indicate a government program that is an organized structure ...
HIRISKhigh risk pool program
**Definition:** A government program that provides health coverage to individuals who are considered...
INDindigenous peoples health program
**Definition:** Services provided directly and through contracted and operated indigenous peoples he...
MILITARYmilitary health program
**Definition:** A government program that provides coverage for health services to military personne...
RETIREretiree health program
**Definition:** A government mandated program with specific eligibility requirements based on premiu...
SOCIALsocial service program
**Definition:** A social service program funded by a public or governmental entity.\r\n\r\n**Example...
VETveteran health program
**Definition:** Services provided directly and through contracted and operated veteran health progra...
SRECspecimen received
**Description:**Specimen has been received by the participating organization/department....
SSTORspecimen in storage
**Description:**Specimen has been placed into storage at a participating location....
STRANspecimen in transit
**Description:**Specimen has been put in transit to a participating receiver....
ACIDAcidification
The lowering of specimen pH through the addition of an acid...
ALKAlkalization
The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities....
DEFBDefibrination
The removal of fibrin from whole blood or plasma through physical or chemical means...
FILTFiltration
The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction)....
LDLPLDL Precipitation
NEUTNeutralization
The act or process by which an acid and a base are combined in such proportions that the resulting c...
RECARecalcification
The addition of calcium back to a specimen after it was removed by chelating agents...
UFILUltrafiltration
The filtration of a colloidal substance through a semipermeable medium that allows only the passage ...
ARTBLDActSpecObsArtBldCode
Describes the artificial blood identifier that is associated with the specimen....
DILUTIONActSpecObsDilutionCode
An observation that reports the dilution of a sample....
EVNFCTSActSpecObsEvntfctsCode
Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)...
INTFRActSpecObsInterferenceCode
An observation that relates to factors that may potentially cause interference with the observation...
VOLUMEActSpecObsVolumeCode
An observation that reports the volume of a sample....
DRUGDrug therapy
The introduction of a drug into a subject with the intention of altering its biologic state with the...
FDfood
**Description:** The introduction of material into a subject with the intent of providing nutrition ...
IMMUNIZImmunization
The introduction of an immunogen with the intent of stimulating an immune response, aimed at prevent...
_AdministrationDetectedIssueCodeAdministrationDetectedIssueCode
Administration of the proposed therapy may be inappropriate or contraindicated as proposed...
_SupplyDetectedIssueCodeSupplyDetectedIssueCode
Supplying the product at this time may be inappropriate or indicate compliance issues with the assoc...
HISTORICrecord recorded as historical
**Description:** While the record was accepted in the repository, there is a more recent version of ...
PATPREFviolates stated preferences
**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the ...
OEorder entry task
A clinician creates a request for a service to be performed for a given patient....
PATDOCpatient documentation task
A person enters documentation about a given patient....
PATINFOpatient information review task
A person (e.g., clinician, the patient herself) reviews patient information in the electronic medica...
_ActMedicationTherapyDurationWorkingListCodeact medication therapy duration working list
**Definition:**A collection of concepts that identifies different types of 'duration-based' mediatio...
_ActPatientTransportationModeCodeActPatientTransportationModeCode
Definition: Characterizes how a patient was or will be transported to the site of a patient encounte...
42CFRPart2CD42 CFR Part 2 consent directive
A code representing an individual's privacy consent directive that complies with 42 CFR Part 2.31 Co...
CompoundResearchCDCompound HIPAA Research Authorization and Informed Consent for Research
A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR S...
HIPAAAuthCDHIPAA Authorization Consent Directive
A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR S...
HIPAAConsentCDHIPAA Consent Directive
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
HIPAAResearchAuthCDHIPAA Authorization for Disclosure for Research Consent Directive
A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR S...
HIPAAROADHIPAA Right of Access Directive
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
MDHHS-5515Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes
The State of Michigan standard privacy consent form for sharing of health information specific to be...
42CFRPart242 CFR Part2
A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR ...
SBNFELCTsubmitted cancelled electronic count
Identifies the total number of submitted Invoice Groupings that were nullified within a time period ...
CommonRuleCommon Rule
A code representing U.S. Federal laws governing research-related privacy policies known as the \"Com...
HIPAAAuthHIPAA Authorization for Disclosure
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
HIPAAConsentHIPAA Consent
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
HIPAANOPPHIPAA notice of privacy practices
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
HIPAAPsyNotesHIPAA psychotherapy notes
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
HIPAAROAHIPAA Right of Access
A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIP...
HIPAASelfPayHIPAA self-pay
A code representing 45 CFR 164.522 Rights to request privacy protection for protected health informa...
Title38Section7332Title 38 Section 7332
A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights ...
a) HIPAAConsentHIPAA Consent
Code retired in December 2019 and replaced by code HIPAAConsent. Originally entered with copy/paste ...
USResearchInformedAssentInformed Assent for Research
An informed assertion by a minor who is a candidate research subject, of the individual's willingnes...
USResearchInformedConsentInformed Consent for Research
An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research sub...
USBroadResearchConsentBroad Consent for Research
An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research sub...
_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCode
COMPLYCompliance Alert
There may be an issue with the patient complying with the intentions of the proposed therapy...
DACTdrug action detected issue
**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recen...
DOSEDosage problem
Proposed dosage instructions for therapy differ from standard practice....
DUPTHPYDuplicate Therapy Alert
The proposed therapy appears to duplicate an existing therapy...
TIMEtiming detected issue
**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or ...
_DrugActionDetectedIssueCodeDrugActionDetectedIssueCode
Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy...
_TimingDetectedIssueCodeTimingDetectedIssueCode
Proposed therapy may be inappropriate or ineffective based on the proposed start or end time....
_ActPatientAnnotationTypeActPatientAnnotationType
**Description:**Provides a categorization for annotations recorded directly against the patient ....
_ECGAnnotationTypeECGAnnotationType
_InteractionDetectedIssueCodeInteractionDetectedIssueCode
OBSAObservation Alert
Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the...
PREVINEFpreviously ineffective
**Definition:**The same or similar treatment has previously been attempted with the patient without ...
SBCNCTsubmitted cancelled electronic count
Identifies the total number of submitted Invoice Groupings that were nullified within a time period ...
EMAUTHemergency authorization override
Used to temporarily override normal authorization rules to gain access to data in a case of emergenc...
AIRTRNSairborne transmission
Communication of an agent from a living subject or environmental source to a living subject through ...
ANANTRNSanimal to animal transmission
Communication of an agent from one animal to another proximate animal....
ANHUMTRNSanimal to human transmission
Communication of an agent from an animal to a proximate person....
BDYFLDTRNSbody fluid contact transmission
Communication of an agent from one living subject to another living subject through direct contact w...
BLDTRNSblood borne transmission
Communication of an agent to a living subject through direct contact with blood or blood products wh...
DERMTRNStransdermal transmission
Communication of an agent from a living subject or environmental source to a living subject via agen...
ENVTRNSenvironmental exposure transmission
Communication of an agent from an environmental surface or source to a living subject by direct cont...
FECTRNSfecal-oral transmission
Communication of an agent from a living subject or environmental source to a living subject through ...
FOMTRNSfomite transmission
Communication of an agent from an non-living material to a living subject through direct contact....
FOODTRNSfood-borne transmission
Communication of an agent from a food source to a living subject via oral consumption....
HUMHUMTRNShuman to human transmission
Communication of an agent from a person to a proximate person....
INDTRNSindeterminate disease transmission mode
Communication of an agent to a living subject via an undetermined route....
LACTTRNSlactation transmission
Communication of an agent from one living subject to another living subject through direct contact w...
NOSTRNSnosocomial transmission
Communication of an agent from any entity to a living subject while the living subject is in the pat...
PARTRNSparenteral transmission
Communication of an agent from a living subject or environmental source to a living subject where th...
PLACTRNStransplacental transmission
Communication of an agent from a living subject to the progeny of that living subject via agent migr...
SEXTRNSsexual transmission
Communication of an agent from one living subject to another living subject through direct contact w...
TRNSFTRNStransfusion transmission
Communication of an agent from one living subject to another living subject through direct contact w...
VECTRNSvector-borne transmission
Communication of an agent from a living subject acting as a required intermediary in the agent trans...
WATTRNSwater-borne transmission
Communication of an agent from a contaminated water source to a living subject whether the water is ...
REPRESENTATIVE_BEATECG representative beat waveforms
This Observation Series type contains waveforms of a \"representative beat\" (a.k.a. \"median beat\"...
RHYTHMECG rhythm waveforms
This Observation type contains ECG \"rhythm\" waveforms. The waveform samples are measured in absolu...
DEMOall demographic information sensitivity
Policy for handling all demographic information about an information subject, which will be afforded...
DOBdate of birth information sensitivity
Policy for handling information related to an information subject's date of birth, which will be aff...
GENDERgender and sexual orientation information sensitivity
Policy for handling information related to an information subject's gender and sexual orientation, w...
LIVARGliving arrangement information sensitivity
Policy for handling information related to an information subject's living arrangement, which will b...
MARSTmarital status information sensitivity
Policy for handling information related to an information subject's marital status, which will be af...
PATLOCpatient location
Policy for handling information related to an individual's location, which is deemed sensitive when ...
RACErace information sensitivity
Policy for handling information related to an information subject's race, which will be afforded hei...
RELreligion information sensitivity
Policy for handling information related to an information subject's religious affiliation, which wil...
FDACOATINGcoating
FDA label coating...
FDACOLORcolor
FDA label color...
FDAIMPRINTCDimprint code
FDA label imprint code...
FDALOGOlogo
FDA label logo...
FDASCORINGscoring
FDA label scoring...
FDASHAPEshape
FDA label shape...
FDASIZEsize
FDA label size...
GENEgene
**Description:** A DNA segment that contributes to phenotype/function. In the absence of demonstrate...
IIsolation
Accommodations used in the care of diseases that are transmitted through casual contact or respirato...
PPrivate
Accommodations in which there is only 1 bed....
SSuite
Uniquely designed and elegantly decorated accommodations with many amenities available for an additi...
SPSemi-private
Accommodations in which there are 2 beds....
WWard
Accommodations in which there are 3 or more beds....
_ActDetectedIssueCodeActDetectedIssueCode
Identifies types of detected issues for Act class \"ALRT\"...
_HL7TriggerEventCodeHL7TriggerEventCode
The trigger event referenced by the Control Act instance. Values are drawn from the available trigge...
_SubstanceAdministrationActCodeSubstanceAdministrationActCode
The specific chemical or radiological substance administered or to be administered into the body for...
OBSANTCantigen count
**Description:** Indicates the valid antigen count....
OBSANTVantigen validity
**Description:** Indicates whether an antigen is valid or invalid....
PAT_ADV_EVNTpatient adverse event
Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine ...
VAC_PROBLEMvaccine product problem
Indicates that the ICSR is describing a problem with the actual vaccine product such as physical def...
_ActInformationSensitivityPolicyActInformationSensitivityPolicy
Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as \...
_EntitySensitivityPolicyTypeEntityInformationSensitivityPolicy
Types of sensitivity policies that may apply to a sensitive attribute on an Entity.\r\n\r\n*Usage No...
_RoleInformationSensitivityPolicyRoleInformationSensitivityPolicy
Types of sensitivity policies that apply to Roles.\r\n\r\n*Usage Notes:* RoleSensitivity codes are u...
ADOLadolescent information sensitivity
Policy for handling information related to an adolescent, which will be afforded heightened confiden...
SBPDELATsubmitted pending electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held b...
CELcelebrity information sensitivity
Policy for handling information related to a celebrity (people of public interest (VIP), which will ...
VIPcelebrity information sensitivity
Policy for handling information related to a celebrity (people of public interest (VIP), which will ...
DIAdiagnosis information sensitivity
Policy for handling information related to a diagnosis, health condition or health problem, which wi...
DRGISdrug information sensitivity
Policy for handling information related to a drug, which will be afforded heightened confidentiality...
EMPemployee information sensitivity
Policy for handling information related to an employee, which will be afforded heightened confidenti...
PDSpatient default information sensitivity
Policy for specially protecting information reported by or about a patient, which is deemed sensitiv...
PHYphysician requested information sensitivity
Policy for handling information about a patient, which a physician or other licensed healthcare prov...
PRSpatient requested information sensitivity
Policy for specially protecting information reported by or about a patient, which the patient deems ...
FOODFood Interaction Alert
Proposed therapy may interact with certain foods...
TPRODTherapeutic Product Alert
Proposed therapy may interact with an existing or recent therapeutic product...
ADNFPPELATadjud. nullified prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADCNPPELATadjud. nullified prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADNFPPELCTadjud. nullified prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADCNPPELCTadjud. nullified prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADNFPPMNATadjud. nullified prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADCNPPMNATadjud. nullified prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADNFPPMNCTadjud. nullified prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADCNPPMNCTadjud. nullified prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADNFSPELATadjud. nullified same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADCNSPELATadjud. nullified same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADNFSPELCTadjud. nullified same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADCNSPELCTadjud. nullified same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADNFSPMNATadjud. nullified same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADCNSPMNATadjud. nullified same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADNFSPMNCTadjud. nullified same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADCNSPMNCTadjud. nullified same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADNPPPELATadjud. non-payee payable prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADNPPPELCTadjud. non-payee payable prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADNPPPMNATadjud. non-payee payable prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADNPPPMNCTadjud. non-payee payable prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADNPSPELATadjud. non-payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADNPSPELCTadjud. non-payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADNPSPMNATadjud. non-payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADNPSPMNCTadjud. non-payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADPPPPELATadjud. payee payable prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADPPPPELCTadjud. payee payable prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADPPPPMNATadjud. payee payable prior-period manual amout
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to t...
ADPPPPMNCTadjud. payee payable prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the s...
ADPPSPELATadjud. payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADPPSPELCTadjud. payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADPPSPMNATadjud. payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the...
ADPPSPMNCTadjud. payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the spe...
ADRFPPELATadjud. refused prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to t...
ADRFPPELCTadjud. refused prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the s...
ADRFPPMNATadjud. refused prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to t...
ADRFPPMNCTadjud. refused prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the s...
ADRFSPELATadjud. refused same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the...
ADRFSPELCTadjud. refused same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as refused during the spe...
ADRFSPMNATadjud. refused same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the...
ADRFSPMNCTadjud. refused same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as refused during the spe...
PDNFPPELATpaid nullified prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDCNPPELATpaid nullified prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDNFPPELCTpaid nullified prior-period electronic count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDCNPPELCTpaid nullified prior-period electronic count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDNFPPMNATpaid nullified prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDCNPPMNATpaid nullified prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDNFPPMNCTpaid nullified prior-period manual count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDCNPPMNCTpaid nullified prior-period manual count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDNFSPELATpaid nullified same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
PDCNSPELATpaid nullified same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
PDNFSPELCTpaid nullified same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDCNSPELCTpaid nullified same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDNFSPMNATpaid nullified same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
PDCNSPMNATpaid nullified same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
PDNFSPMNCTpaid nullified same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDCNSPMNCTpaid nullified same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time period...
PDNPPPELATpaid non-payee payable prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDNPPPELCTpaid non-payee payable prior-period electronic count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDNPPPMNATpaid non-payee payable prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time ...
PDNPPPMNCTpaid non-payee payable prior-period manual count
Identifies the total number of all Invoice Groupings that were paid prior to the specified time peri...
PDNPSPELATpaid non-payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time pe...
SBPDATsubmitted pending electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held b...
SBPDELCTsubmitted pending electronic count
Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, wit...
SBPDCTsubmitted pending electronic count
Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, wit...
21611-9age patient qn est
**Definition:**Estimated age....
21612-7age patient qn reported
**Definition:**Reported age....
29553-5age patient qn calc
**Definition:**Calculated age....
30525-0age patient qn definition
**Definition:**General specification of age with no implied method of determination....
30972-4age at onset of adverse event
**Definition:**Age at onset of associated adverse event; no implied method of determination....
REP_HALF_LIFErepresentative half-life
**Description:**This observation represents an 'average' or 'expected' half-life typical of the prod...
SPLCOATINGcoating
**Definition:** A characteristic of an oral solid dosage form of a medicinal product, indicating whe...
SPLCOLORcolor
**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the...
SPLIMAGEimage
**Description:** A characteristic representing a single file reference that contains two or more vie...
SPLIMPRINTimprint
**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the...
SPLSCORINGscoring
**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the...
SPLSHAPEshape
**Description:** A characteristic of an oral solid dosage form of a medicinal product, specifying th...
SPLSIZEsize
**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the...
SPLSYMBOLsymbol
**Definition:** A characteristic of an oral solid dosage form of a medicinal product, to describe wh...
ADMDXadmitting diagnosis
Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hosp...
DISDXdischarge diagnosis
Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital...
INTDXintermediate diagnosis
Intermediate diagnoses are those diagnoses documented for administrative purposes during the course ...
NOInature of injury
The type of injury that the injury coding specifies....
_CaseTransmissionModecase transmission mode
Code for the mechanism by which disease was acquired by the living subject involved in the public he...
AGGREGATEaggregate measure observation
Indicates that the observation is carrying out an aggregation calculation, contained in the value el...
CMPMSRMTHcomposite measure method
Indicates what method is used in a quality measure to combine the component measure results included...
CMPMSRSCRWGHTcomponent measure scoring weight
An attribute of a quality measure describing the weight this component measure score is to carry in ...
COPYcopyright
Identifies the organization(s) who own the intellectual property represented by the eMeasure....
CRSclinical recommendation statement
Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure....
DEFdefinition
Description of individual terms, provided as needed....
DISCdisclaimer
Disclaimer information for the eMeasure....
FINALDTfinalized date/time
The timestamp when the eMeasure was last packaged in the Measure Authoring Tool....
GUIDEguidance
Used to allow measure developers to provide additional guidance for implementers to understand great...
IDURimprovement notation
Information on whether an increase or decrease in score is the preferred result (e.g., a higher scor...
ITMCNTitems counted
Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)...
KEYkeyword
A significant word that aids in discoverability....
MEDTmeasurement end date
The end date of the measurement period....
MSDmeasurement start date
The start date of the measurement period....
MSRADJrisk adjustment
The method of adjusting for clinical severity and conditions present at the start of care that can i...
MSRAGGrate aggregation
Describes how to combine information calculated based on logic in each of several populations into o...
MSRIMPROVhealth quality measure improvement notation
Information on whether an increase or decrease in score is the preferred result. This should reflect...
MSRJURjurisdiction
The list of jurisdiction(s) for which the measure applies....
MSRRPTRreporter type
Type of person or organization that is expected to report the issue....
MSRRPTTIMEtimeframe for reporting
The maximum time that may elapse following completion of the measure until the measure report must b...
MSRSCOREmeasure scoring
Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ...
MSRSEThealth quality measure care setting
Location(s) in which care being measured is rendered\r\n\r\nUsage Note: MSRSET is used rather than R...
MSRTOPIChealth quality measure topic type
MSRTPmeasurement period
The time period for which the eMeasure applies....
MSRTYPEmeasure type
Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure...
RATrationale
Succinct statement of the need for the measure. Usually includes statements pertaining to Importance...
REFreference
Identifies bibliographic citations or references to clinical practice guidelines, sources of evidenc...
SDEsupplemental data elements
Comparison of results across strata can be used to show where disparities exist or where there is a ...
STRATstratification
Describes the strata for which the measure is to be evaluated. There are three examples of reasons f...
TRANFtransmission format
Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular...
USEnotice of use
Usage notes....
TIME_ABSOLUTEabsolute time sequence
A sequence of values in the \"absolute\" time domain. This is the same time domain that all HL7 time...
TIME_RELATIVErelative time sequence
A sequence of values in a \"relative\" time domain. The time is measured relative to the earliest ef...
_ECGObservationSequenceTypeECGObservationSequenceType
_ECGObservationSeriesTypeECGObservationSeriesType
_ActSpecObsCodeActSpecObsCode
Identifies the type of observation that is made about a specimen that may affect its processing, ana...
_AnnotationTypeAnnotationType
_GeneticObservationTypeGeneticObservationType
**Description:** None provided...
_ImmunizationObservationTypeImmunizationObservationType
**Description:** Observation codes which describe characteristics of the immunization material....
_IndividualCaseSafetyReportTypeIndividual Case Safety Report Type
A code that is used to indicate the type of case safety report received from sender. The current cod...
_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType
**Definition:**The set of LOINC codes for the act of determining the period of time that has elapsed...
_MedicationObservationTypeMedicationObservationType
_ObservationIssueTriggerCodedObservationTypeObservationIssueTriggerCodedObservationType
Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection...
_ObservationQualityMeasureAttributeObservationQualityMeasureAttribute
Codes used to define various metadata aspects of a health quality measure....
_ObservationSequenceTypeObservationSequenceType
_ObservationSeriesTypeObservationSeriesType
_PatientImmunizationRelatedObservationTypePatientImmunizationRelatedObservationType
**Description:** Reporting codes that are related to an immunization event....
_PopulationInclusionObservationTypePopulationInclusionObservationType
Observation types for specifying criteria used to assert that a subject is included in a particular ...
_PreferenceObservationType_PreferenceObservationType
Types of observations that can be made about Preferences....
ADVERSE_REACTIONAdverse Reaction
Indicates that the observation is of an unexpected negative occurrence in the subject suspected to r...
ASSERTIONAssertion
**Description:**Refines classCode OBS to indicate an observation in which observation.value contains...
CASESERcase seriousness criteria
**Definition:**An observation that provides a characterization of the level of harm to an investigat...
CDIOcase disease imported observation
An observation that states whether the disease was likely acquired outside the jurisdiction of obser...
CRITcriticality
A clinical judgment as to the worst case result of a future exposure (including substance administra...
CTMOcase transmission mode observation
An observation that states the mechanism by which disease was acquired by the living subject involve...
DXObservationDiagnosisTypes
Includes all codes defining types of indications such as diagnosis, symptom and other indications su...
_ObservationDiagnosisTypesObservationDiagnosisTypes
Includes all codes defining types of indications such as diagnosis, symptom and other indications su...
GISTIERGIS tier
**Description:** Accuracy determined as per the GIS tier code system....
HHOBShousehold situation observation
Indicates that the observation is of a person’s living situation in a household including the househ...
ISSUEdetected issue
There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.\r\n\...
KSUBJknowledge subject
Categorization of types of observation that capture the main clinical knowledge subject which may be...
KSUBTknowledge subtopic
Categorization of types of observation that capture a knowledge subtopic which might be treatment, e...
OINTintolerance
Hypersensitivity resulting in an adverse reaction upon exposure to an agent....
SEVSeverity Observation
A subjective evaluation of the seriousness or intensity associated with another observation....
_ActPrivilegeCategorizationTypeActPrivilegeCategorizationType
This domain includes observations used to characterize a privilege, under which this additional info...
_AdverseSubstanceAdministrationEventActionTakenTypeAdverseSubstanceAdministrationEventActionTakenType
**Definition:** Indicates the class of actions taken with regard to a substance administration relat...
_CommonClinicalObservationTypeCommonClinicalObservationType
Used in a patient care message to report and query simple clinical (non-lab) observations....
_FDALabelDataFDALabelData
FDA label data...
_ObservationAllergyTestCodeobservation allergy test
**Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a sub...
_ObservationAllergyTestTypeObservationAllergyTestType
Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin ...
_ObservationCausalityAssessmentTypeobservation causality assessment
**Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at...
_ObservationDosageDefinitionPreconditionTypeobservation dosage definition precondition type
**Definition:**\r\n\r\nThe set of observation type concepts that can be used to express pre-conditio...
_ObservationGenomicFamilyHistoryTypeObservationGenomicFamilyHistoryType
_ObservationIndicationTypeObservationIndicationType
Includes all codes defining types of indications such as diagnosis, symptom and other indications su...
_ObservationIssueTriggerMeasuredObservationTypeObservationIssueTriggerMeasuredObservationType
Distinguishes between the kinds of measurable observations that could be the trigger for clinical is...
_ObservationQueryMatchTypeObservationQueryMatchType
**Definition:** An observation related to a query response.\r\n\r\n**Example:**The degree of match o...
_ObservationVisionPrescriptionTypeObservationVisionPrescriptionType
**Definition:** Identifies the type of Vision Prescription Observation that is being described....
_PatientCharacteristicObservationTypePatientCharacteristicObservationType
Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E...
_SimpleMeasurableClinicalObservationTypeSimpleMeasurableClinicalObservationType
Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, ...
CLSSRMclassroom
**Description:** The class room associated with the patient during the immunization event....
GRADEgrade
**Description:** The school grade or level the patient was in when immunized....
SCHLschool
**Description:** The school the patient attended when immunized....
SCHLDIVschool division
**Description:** The school division or district associated with the patient during the immunization...
TEACHERteacher
**Description:** The patient's teacher when immunized....
DENEXdenominator exclusions
Criteria which specify subjects who should be removed from the eMeasure population and denominator b...
DENEXCEPdenominator exceptions
Criteria which specify the removal of a subject, procedure or unit of measurement from the denominat...
DENOMdenominator
Criteria for specifying the entities to be evaluated by a specific quality measure, based on a share...
IPOPinitial population
Criteria for specifying the entities to be evaluated by a specific quality measure, based on a share...
MSROBSmeasure observation
Defines the observation to be performed for each patient or event in the measure population. Measure...
MSRPOPLmeasure population
Criteria for specifying the measure population as a narrative description (e.g., all patients seen i...
MSRPOPLEXmeasure population exclusions
Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Me...
NUMERnumerator
Criteria for specifying the processes or outcomes expected for each patient, procedure, or other uni...
NUMEXnumerator exclusions
Criteria for specifying instances that should not be included in the numerator data. (e.g., if the n...
PREFSTRENGTHpreference strength
An observation about how important a preference is to the target of the preference....
CIRCLEcircle
A circle defined by two (column,row) pairs. The first point is the center of the circle and the seco...
ELLIPSEellipse
An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the ...
POINTpoint
A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,r...
POLYpolyline
A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the firs...
Bbusiness information sensitivity
Policy for handling trade secrets such as financial information or intellectual property, which will...
EMPLemployer information sensitivity
Policy for handling information related to an employer which is deemed classified to protect an empl...
LOCISlocation information sensitivity
Policy for handling information related to the location of the information subject, which will be af...
SSPsensitive service provider information sensitivity
Policy for handling information related to a provider of sensitive services, which will be afforded ...
ALLDONEalready performed
**Definition:**The requested action has already been performed and so this request has no effect...
FULFILfulfillment alert
**Definition:**The therapy being performed is in some way out of alignment with the requested therap...
HELDheld/suspended alert
**Definition:**There should be no actions taken in fulfillment of a request that has been held or su...
TOOLATERefill Too Late Alert
The patient is receiving a subsequent fill significantly later than would be expected based on the a...
TOOSOONRefill Too Soon Alert
The patient is receiving a subsequent fill significantly earlier than would be expected based on the...
ENDLATEEnd Too Late Alert
Proposed therapy may be inappropriate or ineffective because the end of administration is too close ...
STRTLATEStart Too Late Alert
Proposed therapy may be inappropriate or ineffective because the start of administration is too late...
19Consulted Supplier
Consulted other supplier/pharmacy, therapy confirmed...
2Assessed Patient
Assessed patient, therapy is appropriate...
22appropriate indication or diagnosis
**Description:** The patient has the appropriate indication or diagnosis for the action to be taken....
23prior therapy documented
**Description:** It has been confirmed that the appropriate pre-requisite therapy has been tried....
3Patient Explanation
Patient gave adequate explanation...
4Consulted Other Source
Consulted other supply source, therapy still appropriate...
5Consulted Prescriber
Consulted prescriber, therapy confirmed...
7Interacting Therapy No Longer Active/Planned
Concurrent therapy triggering alert is no longer on-going or planned...
15Replacement
Patient's existing supply was lost/wasted...
16Vacation Supply
Supply date is due to patient vacation...
17Weekend Supply
Supply date is intended to carry patient over weekend...
18Leave of Absence
Supply is intended for use during a leave of absence from an institution....
20additional quantity on separate dispense
**Description:** Supply is different than expected as an additional quantity has been supplied in a ...
6Prescriber Declined Change
Consulted prescriber and recommended change, prescriber declined...
10Provided Patient Education
Provided education or training to the patient on appropriate therapy use...
11Added Concurrent Therapy
Instituted an additional therapy to mitigate potential negative effects...
12Temporarily Suspended Concurrent Therapy
Suspended existing therapy that triggered interaction for the duration of this therapy...
13Stopped Concurrent Therapy
Aborted existing therapy that triggered interaction....
9Instituted Ongoing Monitoring Program
Arranged to monitor patient for adverse effects...
ANFadjudicated with adjustments and no financial impact
The invoice element has been accepted for payment but one or more adjustment(s) have been made to on...
TRSTACCRDtrust accreditation
Type of security metadata about the formal declaration by an authority or neutral third party that v...
TRSTAGREtrust agreement
Type of security metadata about privacy and security requirements with which a security domain must ...
TRSTASSURtrust assurance
Type of security metadata about the digital quality or reliability of a trust assertion, activity, c...
TRSTCERTtrust certificate
Type of security metadata about a set of security-relevant data issued by a security authority or tr...
TRSTFWKtrust framework
Type of security metadata about a complete set of contracts, regulations, or commitments that enable...
TRSTMECtrust mechanism
Type of security metadata about a security architecture system component that supports enforcement o...
ADALRTadult alert
Proposed therapy is outside of the standard practice for an adult patient....
DOSEHINDAHigh Dose for Age Alert
Proposed dosage exceeds standard practice for the patient's age...
DOSELINDALow Dose for Age Alert
Proposed dosage is below suggested therapeutic levels for the patient's age...
GEALRTgeriatric alert
Proposed therapy is outside of standard practice for a geriatric patient....
PEALRTpediatric alert
Proposed therapy is outside of the standard practice for a pediatric patient....
DALGDrug Allergy
An allergy to a pharmaceutical product....
EALGEnvironmental Allergy
An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc....
FALGFood Allergy
An allergy to a substance generally consumed for nutritional purposes....
AMBAIRfixed-wing ambulance transport
Fixed-wingAmbulancefixed-wing ambulance transport
AMBGRNDground ambulance transport
GroundAmbulanceground ambulance transport
AMBHELOhelicopter ambulance transport
HelicopterAmbulancehelicopter ambulance transport
ACCESSCONSCHEMEaccess control scheme
An access control policy specific to the type of access control scheme, which is used to enforce one...
COLcollision coverage policy
**Definition:** An automobile insurance policy under which the insurance company will cover the cost...
UNINSMOTuninsured motorist policy
**Definition:** An automobile insurance policy under which the insurance company will indemnify a lo...
COGNcognitive disability information sensitivity
Policy for handling information related to cognitive disability disorders and conditions caused by t...
DVDdevelopmental disability information sensitivity
Policy for handling information related to developmental disability disorders and conditions caused ...
EMOTDISemotional disturbance information sensitivity
Policy for handling information related to emotional disturbance disorders and conditions caused by ...
AEAmerican Express
DNDiner's Club
DVDiscover Card
MCMaster Card
VVisa
DIAGLISTEdiagnosis list entry task
A clinician enters a diagnosis for a given patient....
DISCHINSTEdischarge instruction entry
A person provides a discharge instruction to a patient....
DISCHSUMEdischarge summary entry task
A clinician enters a discharge summary for a given patient....
PATEDUEpatient education entry
A person provides a patient-specific education handout to a patient....
PATREPEpathology report entry task
A pathologist enters a report for a given patient....
PROBLISTEproblem list entry task
A clinician enters a problem for a given patient....
RADREPEradiology report entry task
A radiologist enters a report for a given patient....
DISCHSUMREVdischarge summary review task
A person reviews a discharge summary of a given patient....
CODE_DEPRECcode has been deprecated
**Description:**The specified code has been deprecated and should no longer be used. Select another ...
ABUSEcommonly abused/misused alert
**Description:**The proposed therapy is frequently misused or abused and therefore should be used wi...
FRAUDpotential fraud
**Description:**The request is suspected to have a fraudulent basis....
PLYDOCPoly-orderer Alert
A similar or identical therapy was recently ordered by a different practitioner....
PLYPHRMPoly-supplier Alert
This patient was recently supplied a similar or identical therapy from a different pharmacy or suppl...
ACOCOMPTaccountable care organization compartment
A group of health care entities, which may include health care providers, care givers, hospitals, fa...
CDSSCOMPTCDS system compartment
This compartment code may be used as a field value in an initiator's clearance to indicate permissio...
CTCOMPTcare team compartment
Care coordination across participants in a care plan requires sharing of a healthcare consumer's inf...
FMCOMPTfinancial management compartment
Financial management department members who have access to healthcare consumer information as part o...
HRCOMPThuman resource compartment
A security category label field value, which indicates that access and use of an IT resource is rest...
LRCOMPTlegitimate relationship compartment
Providers and care givers who have an established relationship per criteria determined by policy are...
PACOMPTpatient administration compartment
Patient administration members who have access to healthcare consumer information as part of a patie...
RESCOMPTresearch project compartment
A security category label field value, which indicates that access and use of an IT resource is rest...
RMGTCOMPTrecords management compartment
A security category label field value, which indicates that access and use of an IT resource is rest...
HGHT
LACTLactation Alert
Proposed therapy may be inappropriate or contraindicated when breast-feeding...
PREGPregnancy Alert
Proposed therapy may be inappropriate or contraindicated during pregnancy...
WGHT
INTOLISTintolerance list
List of intolerance observations....
PROBLISTproblem list
List of problem observations....
RISKLISTrisk factors
List of risk factor observations....
CONTROLLEDCONTROLLED
A displayed mark, required to be rendered as \"CONTROLLED\", indicating that the electronic or hardc...
CUICUI
A displayed mark, required to be rendered as \"CUI\", indicating that the electronic or hardcopy inf...
CUIHLTHCUI//HLTH
A displayed mark, required to be rendered as \"CUI//HLTH\", indicating that the electronic or hardco...
CUIHLTHP(CUI//HLTH)
A displayed mark, required to be rendered as \"(CUI//HLTH)\", indicating that a portion of an electr...
CUIP(CUI)
A displayed mark, required to be rendered as \"(CUI)\", indicating that a portion of an electronic o...
CUIPRVCYCUI//PRVCY
A displayed mark, required to be rendered as \"CUI//PRVCY\", indicating that the electronic or hardc...
CUIPRVCYP(CUI//PRVCY)
A displayed mark, required to be rendered as \"(CUI//PRVCY)\", indicating that a portion of an elect...
CUISP-HLTHCUI//SP-HLTH
A displayed mark, required to be rendered as \"CUI//SP-HLTH\", indicating that the electronic or har...
ILLEGALillegal
**Description:**The request is missing elements or contains elements which cause it to not meet the ...
CUISP-HLTHP(CUI//SP-HLTH)
A displayed mark, required to be rendered as \"(CUI//SP-HLTH)\", indicating that a portion of an ele...
CUISP-PRVCYCUI//SP-PRVCY
A displayed mark, required to be rendered as \"CUI//SP-PRVCY\", indicating that the electronic or ha...
CUISP-PRVCYP(CUI//SP-PRVCY)
A displayed mark, required to be rendered as \"(CUI//SP-PRVCY)\", indicating that a portion of an el...
UUI(U)
A displayed mark, required to be rendered as \"(U)\", indicating that a portion of an electronic or ...
CPLYCCcomply with confidentiality code
Custodian security system must retrieve, evaluate, and comply with the information handling directio...
CPLYCDcomply with consent directive
Custodian security system must retrieve, evaluate, and comply with applicable information subject co...
CPLYCUIcomply with controlled unclassified information policy
Custodian security system must retrieve, evaluate, and comply with applicable Controlled Unclassifie...
CPLYJPPcomply with jurisdictional privacy policy
Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy...
CPLYJSPcomply with jurisdictional security policy
Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional securit...
CPLYOPPcomply with organizational privacy policy
Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy...
CPLYOSPcomply with organizational security policy
Custodian security system must retrieve, evaluate, and comply with the organizational security polic...
_DEADrugScheduleDEADrugSchedule
DEA schedule for a drug....
BRbreikost (GE)
A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest....
DMdiabetes mellitus diet
A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g....
FASTfasting
No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesi...
FORMULAformula diet
A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition eithe...
GFgluten free
Gluten free diet for celiac disease....
LFlow fat
A diet low in fat, particularly to patients with hepatic diseases....
LPlow protein
A low protein diet for patients with renal failure....
LQliquid
A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain f...
LSlow sodium
A diet low in sodium for patients with congestive heart failure and/or renal failure....
Nnormal diet
A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstan...
NFno fat
A no fat diet for acute hepatic diseases....
PAFphenylalanine free
Phenylketonuria diet....
PARparenteral
Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications....
RDreduction diet
A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal)....
SCHschonkost (GE)
A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid...
SUPPLEMENTnutritional supplement
A diet that is not intended to be complete but is added to other diets....
Ttea only
This is not really a diet, since it contains little nutritional value, but is essentially just water...
VLIlow valin, leucin, isoleucin
Diet with low content of the amino-acids valin, leucin, and isoleucin, for \"maple syrup disease.\"...
AUTO-HIGHAuto-High Dilution
The dilution of a sample performed by automated equipment. The value is specified by the equipment...
AUTO-LOWAuto-Low Dilution
The dilution of a sample performed by automated equipment. The value is specified by the equipment...
PREPre-Dilution
The dilution of the specimen made prior to being loaded onto analytical equipment...
RERUNRerun Dilution
The value of the dilution of a sample after it had been analyzed at a prior dilution value...
DNAINTDrug Non-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
CANPRGwomen's cancer detection program
**Definition:** A program that provides low-income, uninsured, and underserved women access to timel...
ENDRENALend renal program
**Definition:** A public or government program that administers publicly funded coverage of kidney d...
HIVAIDSHIV-AIDS program
**Definition:** Government administered and funded HIV-AIDS program for beneficiaries meeting financ...
DOSECONDdosage-condition alert
**Description:**Proposed dosage is inappropriate due to patient's medical condition....
DOSEDURDose-Duration Alert
Proposed length of therapy differs from standard practice....
DOSEHHigh Dose Alert
Proposed dosage exceeds standard practice...
DOSEIVLDose-Interval Alert
Proposed dosage interval/timing differs from standard practice...
DOSELLow Dose Alert
Proposed dosage is below suggested therapeutic levels...
MDOSEmaximum dosage reached
**Description:**The maximum quantity of this drug allowed to be administered within a particular tim...
DOSEDURHDose-Duration High Alert
Proposed length of therapy is longer than standard practice...
DOSEDURLDose-Duration Low Alert
Proposed length of therapy is shorter than that necessary for therapeutic effect...
DOSEDURHINDDose-Duration High for Indication Alert
Proposed length of therapy is longer than standard practice for the identified indication or diagnos...
LEN_RANGElength out of range
**Description:**The length of the data specified falls out of the range defined for the element....
DOSEDURLINDDose-Duration Low for Indication Alert
Proposed length of therapy is shorter than standard practice for the identified indication or diagno...
DOSEHINDHigh Dose for Indication Alert
DOSEHINDSAHigh Dose for Height/Surface Area Alert
Proposed dosage exceeds standard practice for the patient's height or body surface area...
DOSEHINDWHigh Dose for Weight Alert
Proposed dosage exceeds standard practice for the patient's weight...
DOSEIVLINDDose-Interval for Indication Alert
Proposed dosage interval/timing differs from standard practice for the identified indication or diag...
DOSELINDLow Dose for Indication Alert
DOSELINDSALow Dose for Height/Surface Area Alert
Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area...
DOSELINDWLow Dose for Weight Alert
Proposed dosage is below suggested therapeutic levels for the patient's weight...
DUPTHPCLSduplicate therapeutic alass alert
**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an exi...
DUPTHPGENduplicate generic alert
**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an exi...
ENAINTEnvironmental Non-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
SOScript Owing
An emergency supply where the expectation is that a formal order authorizing the supply will be prov...
21authorization confirmed
**Description:** Indicates that the permissions have been externally verified and the request should...
ENCRYPTRencrypt at rest
Custodian system must render information unreadable and unusable by algorithmically transforming pla...
ENCRYPTTencrypt in transit
Custodian system must render information unreadable and unusable by algorithmically transforming pla...
ENCRYPTUencrypt in use
Custodian system must render information unreadable and unusable by algorithmically transforming pla...
FFCFirst Fill - Complete
A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g...
FFPFirst Fill - Part Fill
A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e....
FFPSfirst fill, part fill, partial strength
A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e....
FFSSfirst fill, partial strength
A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order ...
TFTrial Fill
A fill where a small portion is provided to allow for determination of the therapy effectiveness and...
FFCSfirst fill complete, partial strength
A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g...
TFStrial fill partial strength
A fill where a small portion is provided to allow for determination of the therapy effectiveness and...
FNAINTFood Non-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
NOTACTNno longer actionable
**Definition:**The status of the request being fulfilled has changed such that it is no longer actio...
NOTEQUIVnot equivalent alert
**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was r...
TIMINGevent timing incorrect alert
**Definition:**The therapy is being performed at a time which diverges from the time the therapy was...
BOOSTERBooster Immunization
An additional immunization administration within a series intended to bolster or enhance immunity....
INITIMMUNIZInitial Immunization
The first immunization administration in a series intended to produce immunity...
ACUTEinpatient acute
An acute inpatient encounter....
NONACinpatient non-acute
Any category of inpatient encounter except 'acute'...
INFAOaccess only
**Definition:** Consent to access or \"read\" only, which entails that the information is not to be ...
INFASOaccess and save only
**Definition:** Consent to access and save only, which entails that access to the saved copy will re...
INFCONafter explicit consent
Authorization to collect, access, use, or disclose specified patient health information as explicitl...
FIBRINFibrin
The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, re...
HEMOLYSISHemolysis
An observation of the hemolysis index of the specimen in g/L...
ICTERUSIcterus
An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of ...
LIPEMIALipemia
An observation used to describe the Lipemia Index of the specimen. It is recommended to use the opti...
IPPOPinitial patient population
Criteria for specifying the patients to be evaluated by a specific quality measure, based on a share...
_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCode
Identifies types of detectyed issues for Act class \"ALRT\" for the administrative and patient admin...
MISSCONDconditional element missing
**Description:**The specified element must be specified with a non-null value under certain conditio...
_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCode
Identifies types of detected issues regarding the administration or supply of an item to a patient....
_ActFinancialDetectedIssueCodeActFinancialDetectedIssueCode
Identifies types of detected issues for Act class \"ALRT\" for the financial acts domain....
_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCode
Identifies types of issues detected regarding the performance of a clinical action on a patient....
CAREGAPCaregap
Identifies the type of detected issue is a care gap...
CODINGGAPCodinggap
Identifies the type of detected issue is a risk adjustment coding gap...
JurisCUIjurisdictional controlled unclassified information policy
Jurisdictional policy on collection, access, use, or disclosure of controlled unclassified informati...
JurisDEIDjurisdictional de-identified information policy
Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defi...
JurisLDSjurisdictional limited data set
Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set...
JurisNSIjurisdictional non-sensitive information policy
Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive ...
JurisPIjurisdictional public information policy
Jurisdictional policy on collection, access, use, or disclosure of information deemed public by appl...
JurisSP-CUIjurisdictional specified controlled unclassified information policy
Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified...
JurisUUIjurisdictional uncontrolled unclassified information policy
Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified informa...
LEN_LONGlength is too long
**Description:**The length of the data specified is greater than the maximum length defined for the ...
LEN_SHORTlength is too short
**Description:**The length of the data specified is less than the minimum length defined for the ele...
ANNUannuity policy
**Definition:** A policy that, after an initial premium or premiums, pays out a sum at pre-determine...
TLIFEterm life insurance policy
**Definition:** Life insurance under which the benefit is payable only if the insured dies during a ...
ULIFEuniversal life insurance policy
**Definition:** Life insurance under which the benefit is payable upon the insuredaTMs death or diag...
RENTRent
Temporary supply of a product with financial compensation, without transfer of ownership for the pro...
HMOhealth maintenance organization policy
**Definition:** A policy for a health plan that provides coverage for health care only through contr...
PPOpreferred provider organization policy
**Definition:** A network-based, managed care plan that allows a covered party to choose any health ...
MDHHS-5515MMHCMichigan Consent to Share Behavioral Health Information for Care Coordination Purposes-Michigan Mental Health Code
The State of Michigan standard privacy consent form for sharing of health information specific to be...
MDHHS-5515Part2Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-US 42 CFR Part 2
The State of Michigan standard privacy consent form for sharing of health information specific to su...
CURMEDLISTcurrent medication list
List of current medications....
DISCMEDLISTdischarge medication list
List of discharge medications....
HISTMEDLISTmedication history
Historical list of medications....
MICROORGRREVmicrobiology organisms results review task
A person reviews organisms of microbiology results of a given patient....
MICROSENSRREVmicrobiology sensitivity test results review task
A person reviews the sensitivity test of microbiology results of a given patient....
MARWLREVmedication administration record work list review task
A clinician reviews a work list of medications to be administered to a given patient....
NOTEQUIVGENnot generically equivalent alert
**Definition:**The therapy being performed is not generically equivalent (having the identical biolo...
NOTEQUIVTHERnot therapeutically equivalent alert
**Definition:**The therapy being performed is not therapeutically equivalent (having the same overal...
ANONYanonymize
Custodian system must remove any information that could result in identifying the information subjec...
AODaccounting of disclosure
Custodian system must make available to an information subject upon request an accounting of certain...
AUDITaudit
Custodian system must monitor systems to ensure that all users are authorized to operate on informat...
AUDTRaudit trail
Custodian system must monitor and maintain retrievable log for each user and operation on informatio...
CPLYPOLcomply with policy
Custodian security system must retrieve, evaluate, and comply with applicable policies associated wi...
DECLASSIFYLABELdeclassify security label
Custodian security system must declassify information assigned security labels by instantiating a ne...
DEIDdeidentify
Custodian system must strip information of data that would allow the identification of the source of...
DELAUdelete after use
Custodian system must remove target information from access after use....
DOWNGRDLABELdowngrade security label
Custodian security system must downgrade information assigned security labels by instantiating a new...
DRIVLABELderive security label
Custodian security system must assign and bind security labels derived from compilations of informat...
MISSMANDmandatory element missing
**Description:**The specified element is mandatory and was not included in the instance....
ENCRYPTencrypt
Custodian system must render information unreadable by algorithmically transforming plaintext into c...
HUAPRVhuman approval
Custodian system must require human review and approval for permission requested....
LABELassign security label
Custodian security system must assign and bind security labels in order to classify information crea...
MASKmask
Custodian system must render information unreadable and unusable by algorithmically transforming pla...
MINECminimum necessary
Custodian must limit access and disclosure to the minimum information required to support an authori...
PERSISTLABELpersist security label
Custodian security system must persist the binding of security labels to classify information receiv...
PRIVMARKprivacy mark
Custodian must create and/or maintain human readable security label tags as required by policy.\r\n\...
PSEUDpseudonymize
Custodian system must strip information of data that would allow the identification of the source of...
REDACTredact
Custodian system must remove information, which is not authorized to be access, used, or disclosed f...
UPGRDLABELupgrade security label
Custodian security system must declassify information assigned security labels by instantiating a ne...
PROCESSINLINELABELprocess inline security label
Custodian security system must take note that the data object contains inline security labels and pr...
AGEAge Alert
Proposed therapy may be inappropriate or contraindicated due to patient age...
CONDCondition Alert
Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition...
CREACTcommon reaction alert
**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non...
GENGenetic Alert
Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators....
GENDGender Alert
Proposed therapy may be inappropriate or contraindicated due to patient gender....
LABLab Alert
Proposed therapy may be inappropriate or contraindicated due to recent lab test results...
REACTReaction Alert
Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reacti...
RREACTRelated Reaction Alert
Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to ...
LABOElaboratory test order entry task
A clinician creates a request for a laboratory test to be done for a given patient....
MEDOEmedication order entry task
A clinician creates a request for the administration of one or more medications to a given patient....
ALGAllergy
Hypersensitivity to an agent caused by an immunologic response to an initial exposure...
DINTDrug Intolerance
Hypersensitivity resulting in an adverse reaction upon exposure to a drug....
EINTEnvironmental Intolerance
Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions....
FINTFood Intolerance
Hypersensitivity resulting in an adverse reaction upon exposure to food....
NAINTNon-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
OrgCUIorganizational basic controlled unclassified information policy
Organizational policy on collection, access, use, or disclosure of basic controlled unclassified inf...
OrgDEIDorganizational de-identified informati)on policy
Organizational policy on collection, access, use, or disclosure of de-identified information as defi...
OrgLDSorganizational limited data set information policy
Organizational policy on collection, access, use, or disclosure of information in a limited data set...
OrgNSIorganizational non-sensitive information policy
Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive ...
OrgPIorganizational public information policy
Organizational policy on collection, access, use, or disclosure of public information as defined by ...
OrgSP-CUIorganizational specified controlled unclassified information policy
Organizational policy on collection, access, use, or disclosure of specified controlled unclassified...
OrgUUIorganizational uncontrolled unclassified information policy
Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified informa...
ALLERLREVallergy list review
**Description:** A person reviews a list of known allergies of a given patient....
CLINNOTEEclinical note entry task
A clinician enters a clinical note about a given patient...
IMMLREVimmunization list review
**Description:** A person reviews a list of immunizations due or received for a given patient....
REMLREVreminder list review
**Description:** A person reviews a list of health care reminders for a given patient....
ALLERLEallergy list entry
**Description:** A person enters a known allergy for a given patient....
CDSREVclinical decision support intervention review
A person reviews a recommendation/assessment provided automatically by a clinical decision support a...
CLINNOTEREVclinical note review task
A person reviews a clinical note of a given patient....
DIAGLISTREVdiagnosis list review task
A person reviews a list of diagnoses of a given patient....
IMMLEimmunization list entry
**Description:** A person enters an immunization due or received for a given patient....
LABRREVlaboratory results review task
A person reviews a list of laboratory results of a given patient....
MICRORREVmicrobiology results review task
A person reviews a list of microbiology results of a given patient....
MLREVmedication list review task
A person reviews a list of medication orders submitted to a given patient...
OREVorders review task
A person reviews a list of orders submitted to a given patient....
PATREPREVpathology report review task
A person reviews a pathology report of a given patient....
PROBLISTREVproblem list review task
A person reviews a list of problems of a given patient....
RADREPREVradiology report review task
A person reviews a radiology report of a given patient....
REMLEreminder list entry
**Description:** A person enters a health care reminder for a given patient....
RISKASSESSrisk assessment instrument task
A person reviews a Risk Assessment Instrument report of a given patient....
PATPREFALTviolates stated preferences, alternate available
**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the ...
PersDEIDpersonal de-identified information policy
Personal policy on collection, access, use, or disclosure of de-identified information as defined by...
PersLDSpersonal limited data set information policy
Personal policy personal policy on collection, access, use, or disclosure of information in a limite...
PersNSIpersonal non-sensitive information policy
Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the...
PersPIpersonal public information policy
Personal policy on collection, access, use, or disclosure of information deemed public by the inform...
ControlledUnclassifiedInformationControlledUnclassifiedInformation
Information the US Government creates or possesses, or that an entity creates or possesses for or on...
SecurityLabelMarkSecurity Label Mark
An abstract code for displayed Security Label tags.\r\n\r\n*Usage Note:* These marks may be based on...
CUIMarkCUI Mark
An originator must mark, persist, display, and convey computable and renderable Controlled Unclassif...
DENTPRGdental program
**Definition:** A public or government health program that administers and funds coverage for dental...
DISEASEPRGpublic health program
**Definition:** A public or government health program that administers and funds coverage for health...
MANDPOLmandatory health program
MENTPRGmental health program
**Definition:** Government administered and funded mental health program for beneficiaries meeting f...
SAFNETsafety net clinic program
**Definition:** Government administered and funded program to support provision of care to underserv...
SUBPRGsubstance use program
**Definition:** Government administered and funded substance use program for beneficiaries meeting f...
SUBSIDIZsubsidized health program
**Definition:** A government health program that provides coverage for health services to persons me...
ALGYAllergy Alert
Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to th...
INTIntolerance Alert
Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance t...
NOAUTHno disclosure without subject authorization
Prohibition on disclosure without information subject's authorization....
NOCOLLECTno collection
Prohibition on collection or storage of the information....
NODSCLCDno disclosure without consent directive
Prohibition on disclosure without organizational approved patient restriction....
NODSCLCDSno disclosure without information subject's consent directive
Prohibition on disclosure without a consent directive from the information subject....
NOINTEGRATEno integration
Prohibition on Integration into other records....
NOLISTno unlisted entity disclosure
Prohibition on disclosure except to entities on specific access list....
NOMOUno disclosure without MOU
Prohibition on disclosure without an interagency service agreement or memorandum of understanding (M...
NOORGPOLno disclosure without organizational authorization
Prohibition on disclosure without organizational authorization....
NOPATno disclosure to patient, family or caregivers without attending provider's authorization
Prohibition on disclosing information to patient, family or caregivers without attending provider's ...
NOPERSISTPno collection beyond purpose of use
Prohibition on collection of the information beyond time necessary to accomplish authorized purpose ...
NORDSCLCDno redisclosure without consent directive
Prohibition on redisclosure without patient consent directive....
NORDSLCDno redisclosure without consent directive
Prohibition on redisclosure without patient consent directive....
NORDSCLCDSno redisclosure without information subject's consent directive
Prohibition on redisclosure without a consent directive from the information subject....
NORDSCLWno disclosure without jurisdictional authorization
Prohibition on disclosure without authorization under jurisdictional law....
NORELINKno relinking
Prohibition on associating de-identified or pseudonymized information with other information in a ma...
NOREUSEno reuse beyond purpose of use
Prohibition on use of the information beyond the purpose of use initially authorized....
NOVIPno unauthorized VIP disclosure
Prohibition on disclosure except to principals with access permission to specific VIP information....
ORCONno disclosure without originator authorization
Prohibition on disclosure except as permitted by the information originator....
WELLREMLEwellness reminder list entry
**Description:** A person enters a wellness or preventive care reminder for a given patient....
WELLREMLREVwellness reminder list review
**Description:** A person reviews a list of wellness or preventive care reminders for a given patien...
MAXOCCURSrepetitions above maximum
**Description:**The number of repeating elements is above the maximum number of repetitions allowed....
MINOCCURSrepetitions below minimum
**Description:**The number of repeating elements is below the minimum number of repetitions allowed....
RSDIDde-identified information access
**Definition:** Consent to have de-identified healthcare information in an electronic health record ...
RSREIDre-identifiable information access
**Definition:** Consent to have de-identified healthcare information in an electronic health record ...
RFCRefill - Complete
A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If...
RFFRefill (First fill this facility)
The first fill against an order that has already been filled at least once at another facility....
RFPRefill - Part Fill
A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. I...
RFSrefill partial strength
A fill against an order that has already been filled (or partially filled) at least once and where t...
TBTrial Balance
A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided....
RFCSrefill complete partial strength
A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If...
RFFSrefill partial strength (first fill this facility)
The first fill against an order that has already been filled at least once at another facility and w...
RFPSrefill part fill partial strength
A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. I...
FALLRISKfalls risk assessment instrument task
A person reviews a Falls Risk Assessment Instrument report of a given patient....
RALGRelated Allergy Alert
Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a ...
RARRelated Prior Reaction Alert
Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reactio...
RINTRelated Intolerance Alert
Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance t...
SECALTINTOBSsecurity alteration integrity observation
Type of security metadata observation made about the alteration integrity of an IT resource (data, i...
SECDATINTOBSsecurity data integrity observation
Type of security metadata observation made about the data integrity of an IT resource (data, informa...
NODUPSduplicate values are not permitted
**Description:**More than one element with the same value exists in the set. Duplicates not permissi...
SECINTCONOBSsecurity integrity confidence observation
Type of security metadata observation made about the integrity confidence of an IT resource (data, i...
SECINTPRVOBSsecurity integrity provenance observation
Type of security metadata observation made about the provenance integrity of an IT resource (data, i...
SECINTSTOBSsecurity integrity status observation
Type of security metadata observation made about the integrity status of an IT resource (data, infor...
SECINTPRVABOBSsecurity integrity provenance asserted by observation
Type of security metadata observation made about the integrity provenance of an IT resource (data, i...
SECINTPRVRBOBSsecurity integrity provenance reported by observation
Type of security metadata observation made about the integrity provenance of an IT resource (data, i...
SECCATOBSsecurity category observation
Type of security metadata observation made about the category of an IT resource (data, information o...
SECCLASSOBSsecurity classification observation
Type of security metadata observation made about the classification of an IT resource (data, informa...
SECCONOBSsecurity control observation
Type of security metadata observation made about the control of an IT resource (data, information ob...
SECINTOBSsecurity integrity observation
Type of security metadata observation made about the integrity of an IT resource (data, information ...
NOPERSISTelement will not be persisted
**Description:** Element in submitted message will not persist in data storage based on detected iss...
SECTRSTOBSSECTRSTOBS
An observation identifying trust metadata about an IT resource (data, information object, service, o...
TRSTACCRDOBStrust accreditation observation
Type of security metadata observation made about the formal declaration by an authority or neutral t...
TRSTAGREOBStrust agreement observation
Type of security metadata observation made about privacy and security requirements with which a secu...
TRSTCERTOBStrust certificate observation
Type of security metadata observation made about a set of security-relevant data issued by a securit...
TRSTFWKOBStrust framework observation
Type of security metadata observation made about a complete set of contracts, regulations or commitm...
TRSTLOAOBStrust assurance observation
Type of security metadata observation made about the digital quality or reliability of a trust asser...
TRSTMECOBStrust mechanism observation
Type of security metadata observation made about a security architecture system component that suppo...
ConfidentialMarkconfidential mark
A displayed mark rendered as \"Confidential\", which indicates to end users that the electronic or h...
COPYMarkcopy of original mark
A displayed mark indicating that the electronic or hardcopy information is a copy of an authoritativ...
DeliverToAddresseeOnlyMarkdeliver only to addressee mark
A displayed mark on an electronic transmission or physical container such as an electronic transmitt...
RedisclosureProhibitionMarkprohibition against redisclosure mark
A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy ...
RestrictedConfidentialityMarkrestricted confidentiality mark
A displayed mark rendered to end users as \"Restricted Confidentiality\", which indicates that the e...
DRAFTMarkDraft Mark
A displayed mark indicating that the electronic or hard-copy information is still under development ...
AUTHPOLauthorization policy
Authorisation policies are essentially security policies related to access-control and specify what ...
DELEPOLdelegation policy
Delegation policies specify which actions subjects are allowed to delegate to others. A delegation p...
ObligationPolicyobligation policy
Conveys the mandated workflow action that an information custodian, receiver, or user must perform.\...
PrivacyMarkprivacy mark
An abstract code for human readable marks indicating, e.g., the level of confidentiality protection,...
RefrainPolicyrefrain policy
Conveys prohibited actions which an information custodian, receiver, or user is not permitted to per...
BHbehavioral health information sensitivity
Policy for handling information related to behavioral and emotional disturbances affecting social ad...
MHmental health information sensitivity
Policy for handling information related to psychological disorders, which is afforded heightened con...
PSYpsychiatry disorder information sensitivity
Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confid...
PSYTHPNpsychotherapy note information sensitivity
Policy for handling psychotherapy note information, which is afforded heightened confidentiality.\r\...
SUDsubstance use disorder information sensitivity
Policy for handling information related to alcohol or drug use disorders and conditions caused by th...
SUBSIDMCsubsidized managed care program
**Definition:** A government health program that provides coverage through managed care contracts fo...
SUBSUPPsubsidized supplemental health program
**Definition:** A government health program that provides coverage for health services to persons me...
ETHUDalcohol use disorder information sensitivity
Policy for handling information related to alcohol use disorders and conditions caused by these diso...
OPIOIDUDopioid use disorder information sensitivity
Policy for handling information related to opioid use disorders and conditions caused by these disor...
TBStrial balance partial strength
A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and...
ALRTENDLATEend too late alert
**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administratio...
ALRTSTRTLATEstart too late alert
**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administrat...
INTERVALoutside requested time
**Definition:**The therapy action is being performed outside the bounds of the time period requested...
MINFREQtoo soon within frequency based on the usage
**Definition:**The therapy action is being performed too soon after the previous occurrence based on...
DRGDrug Interaction Alert
Proposed therapy may interact with an existing or recent drug therapy...
NHPNatural Health Product Alert
Proposed therapy may interact with existing or recent natural health product therapy...