http://terminology.hl7.org/CodeSystem/v3-ActCode|2018-08-12

name
v3.ActCode
package
hl7.fhir.r4.core@4.0.1
content
complete
status
active
date
2018-08-11 14:00:00.0

v3 Code System ActCode

A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints:\r\nThe 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. Conceptually, 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. Act.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
_ActAccountCodeActAccountCode
An account represents a grouping of financial transactions that are tracked and reported together wi...
ACCTRECEIVABLEaccount receivable
An account for collecting charges, reversals, adjustments and payments, including deductibles, copay...
CASHCash
Cash...
CCcredit card
Description: Types of advance payment to be made on a plastic card usually issued by a financial ins...
AEAmerican Express
American Express...
DNDiner's Club
Diner's Club...
DVDiscover Card
Discover Card...
MCMaster Card
Master Card...
VVisa
Visa...
PBILLACCTpatient billing account
An account representing charges and credits (financial transactions) for a patient's encounter....
_ActAdjudicationCodeActAdjudicationCode
Includes coded responses that will occur as a result of the adjudication of an electronic invoice at...
_ActAdjudicationGroupCodeActAdjudicationGroupCode
Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotal...
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....
AAadjudicated with adjustments
The invoice element has been accepted for payment but one or more adjustment(s) have been made to on...
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...
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\n ...
_ActAdjudicationResultActionCodeActAdjudicationResultActionCode
Actions to be carried out by the recipient of the Adjudication Result information....
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...
_ActBillableModifierCodeActBillableModifierCode
Definition:An identifying modifier code for healthcare interventions or procedures....
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 reported i...
_ActBillingArrangementCodeActBillingArrangementCode
The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods p...
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 ar...
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 ...
FFPSfirst fill, part fill, partial strength
A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e....
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...
_ActBoundedROICodeActBoundedROICode
Type of bounded ROI....
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 ...
_ActCareProvisionCodeact care provision
Description:The type and scope of responsibility taken-on by the performer of the Act for a specific...
_ActCredentialedCareCodeact credentialed care
Description:The type and scope of legal and/or professional responsibility taken-on by the performer...
_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron
Description:The type and scope of legal and/or professional responsibility taken-on by the performer...
CACCcertified anatomic pathology and clinical pathology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CAICcertified allergy and immunology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CAMCcertified aerospace medicine care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CANCcertified anesthesiology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CAPCcertified anatomic pathology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CBGCcertified clinical biochemical genetics care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CCCCcertified clinical cytogenetics care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CCGCcertified clinical genetics (M.D.) care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CCPCcertified clinical pathology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CCSCcertified colon and rectal surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CDECcertified dermatology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CDRCcertified diagnostic radiology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CEMCcertified emergency medicine care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CFPCcertified family practice care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CIMCcertified internal medicine care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CMGCcertified clinical molecular genetics care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CNECcertified neurology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CNMCcertified nuclear medicine care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CNQCcertified neurology with special qualifications in child neurology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CNSCcertified neurological surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
COGCcertified obstetrics and gynecology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
COMCcertified occupational medicine care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
COPCcertified ophthalmology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
COSCcertified orthopaedic surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
COTCcertified otolaryngology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CPECcertified pediatrics care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CPGCcertified Ph.D. medical genetics care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CPHCcertified public health and general preventive medicine care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CPRCcertified physical medicine and rehabilitation care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CPSCcertified plastic surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CPYCcertified psychiatry care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CROCcertified radiation oncology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CRPCcertified radiological physics care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CSUCcertified surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CTSCcertified thoracic surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CURCcertified urology care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
CVSCcertified vascular surgery care
Description:Scope of responsibility taken on for specialty care as defined by the respective Special...
LGPClicensed general physician care
Description:Scope of responsibility taken-on for physician care of a patient as defined by a governm...
_ActCredentialedCareProvisionProgramCodeact credentialed care provision program
Description:The type and scope of legal and/or professional responsibility taken-on by the performer...
AALCaccredited assisted living care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
AAMCaccredited ambulatory care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
ABHCaccredited behavioral health care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
ACACaccredited critical access hospital care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
ACHCaccredited hospital care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
AHOCaccredited home care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
ALTCaccredited long term care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
AOSCaccredited office-based surgery care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CACScertified acute coronary syndrome care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CAMIcertified acute myocardial infarction care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CASTcertified asthma care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CBARcertified bariatric surgery care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CCADcertified coronary artery disease care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CCARcertified cardiac care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CDEPcertified depression care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CDGDcertified digestive/gastrointestinal disorders care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CDIAcertified diabetes care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CEPIcertified epilepsy care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CFELcertified frail elderly care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CHFCcertified heart failure care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CHROcertified high risk obstetrics care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CHYPcertified hyperlipidemia care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
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 by ...
COJRcertified orthopedic joint replacement care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CONCcertified oncology care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
COPDcertified chronic obstructive pulmonary disease care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CORTcertified organ transplant care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CPADcertified parkinsons disease care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CPNDcertified pneumonia disease care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CPSTcertified primary stroke center care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CSDMcertified stroke disease management care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CSICcertified sickle cell care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CSLDcertified sleep disorders care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CSPTcertified spine treatment care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CTBUcertified trauma/burn center care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CVDCcertified vascular diseases care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CWMAcertified wound management care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
CWOHcertified women's health care
Description:Scope of responsibility taken on by an organization for care of a patient as defined by ...
_ActEncounterCodeActEncounterCode
Domain provides codes that qualify the ActEncounterClass (ENC)...
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 ...
ACUTEinpatient acute
An acute inpatient encounter....
NONACinpatient non-acute
Any category of inpatient encounter except 'acute'...
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....
_ActMedicalServiceCodeActMedicalServiceCode
General category of medical service provided to the patient during their encounter....
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....
IMPLIEDimplied consent
A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, ...
_ActClaimAttachmentCategoryCodeActClaimAttachmentCategoryCode
Description: Coded types of attachments included to support a healthcare claim....
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...
_ActConsentTypeActConsentType
Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in...
ICOLinformation collection
Definition: Consent to have healthcare information collected in an electronic health record. This e...
IDSCLinformation disclosure
Definition: Consent to have collected healthcare information disclosed....
INFAinformation access
Definition: Consent to access healthcare information....
INFAOaccess only
Definition: Consent to access or \"read\" only, which entails that the information is not to be copi...
INFASOaccess and save only
Definition: Consent to access and save only, which entails that access to the saved copy will remain...
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 resea...
RSDIDde-identified information access
Definition: Consent to have de-identified healthcare information in an electronic health record that...
RSREIDre-identifiable information access
Definition: Consent to have de-identified healthcare information in an electronic health record that...
_ActContainerRegistrationCodeActContainerRegistrationCode
Constrains the ActCode to the domain of Container Registration...
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...
_ActControlVariableActControlVariable
An observation form that determines parameters or attributes of an Act. Examples are the settings of...
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 calculat...
REFLEXreflex permission
Specifies whether or not further testing may be automatically or manually initiated on specimens....
_ActCoverageConfirmationCodeActCoverageConfirmationCode
Response to an insurance coverage eligibility query or authorization request....
_ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCode
Indication of authorization for healthcare service(s) and/or product(s). If authorization is approv...
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....
_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...
_ActCoverageLimitCodeActCoverageLimitCode
Criteria that are applicable to the authorized coverage....
_ActCoverageQuantityLimitCodeActCoverageQuantityLimitCode
Maximum amount paid or maximum number of services/products covered; or maximum amount or number cove...
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 products...
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/products co...
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....
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 ...
_ActCoverageTypeCodeActCoverageTypeCode
Definition: Set of codes indicating the type of insurance policy or program that pays for the cost o...
_ActInsurancePolicyCodeActInsurancePolicyCode
Set of codes indicating the type of insurance policy or other source of funds to cover healthcare co...
EHCPOLextended healthcare
Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a...
HSAPOLhealth spending account
Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) bas...
AUTOPOLautomobile
Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-...
COLcollision coverage policy
Definition: An automobile insurance policy under which the insurance company will cover the cost of ...
UNINSMOTuninsured motorist policy
Definition: An automobile insurance policy under which the insurance company will indemnify a loss f...
PUBLICPOLpublic healthcare
Insurance policy funded by a public health system such as a provincial or national health plan. Exa...
DENTPRGdental program
Definition: A public or government health program that administers and funds coverage for dental car...
DISEASEPRGpublic health program
Definition: A public or government health program that administers and funds coverage for health and...
CANPRGwomen's cancer detection program
Definition: A program that provides low-income, uninsured, and underserved women access to timely, h...
ENDRENALend renal program
Definition: A public or government program that administers publicly funded coverage of kidney dialy...
HIVAIDSHIV-AIDS program
Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial ...
MANDPOLmandatory health program
mandatory health program...
MENTPRGmental health program
Definition: Government administered and funded mental health program for beneficiaries meeting finan...
SAFNETsafety net clinic program
Definition: Government administered and funded program to support provision of care to underserved p...
SUBPRGsubstance use program
Definition: Government administered and funded substance use program for beneficiaries meeting finan...
SUBSIDIZsubsidized health program
Definition: A government health program that provides coverage for health services to persons meetin...
SUBSIDMCsubsidized managed care program
Definition: A government health program that provides coverage through managed care contracts for he...
SUBSUPPsubsidized supplemental health program
Definition: A government health program that provides coverage for health services to persons meetin...
WCBPOLworker's compensation
Insurance policy for injuries sustained in the work place or in the course of employment....
_ActInsuranceTypeCodeActInsuranceTypeCode
Definition: Set of codes indicating the type of insurance policy. Insurance, in law and economics, ...
_ActHealthInsuranceTypeCodeActHealthInsuranceTypeCode
Definition: Set of codes indicating the type of health insurance policy that covers health services ...
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 name...
DRUGPOLdrug policy
Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, ...
HIPhealth insurance plan policy
Definition: A health insurance policy that covers healthcare benefits by protecting covered parties ...
LTClong term care policy
Definition: An insurance policy that covers benefits for long-term care services people need when th...
MCPOLmanaged care policy
Definition: Government mandated program providing coverage, disability income, and vocational rehabi...
POSpoint of service policy
Definition: A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO...
HMOhealth maintenance organization policy
Definition: A policy for a health plan that provides coverage for health care only through contracte...
PPOpreferred provider organization policy
Definition: A network-based, managed care plan that allows a covered party to choose any health care...
MENTPOLmental health policy
Definition: A health insurance policy that covers benefits for mental health services and prescripti...
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 from v...
DISdisability insurance policy
Definition: An insurance policy that provides a regular payment to compensate for income lost due to...
EWBemployee welfare benefit plan policy
Definition: An insurance policy under a benefit plan run by an employer or employee organization for...
FLEXPflexible benefit plan policy
Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such a...
LIFElife insurance policy
Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the...
ANNUannuity policy
Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined in...
TLIFEterm life insurance policy
Definition: Life insurance under which the benefit is payable only if the insured dies during a spec...
ULIFEuniversal life insurance policy
Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosi...
PNCproperty and casualty insurance policy
Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by pr...
REIreinsurance policy
Definition: An agreement between two or more insurance companies by which the risk of loss is propor...
SURPLsurplus line insurance policy
Definition: \n \r\n\n \n \n ...
UMBRLumbrella liability insurance policy
Definition: A form of insurance protection that provides additional liability coverage after the lim...
_ActProgramTypeCodeActProgramTypeCode
Definition: A set of codes used to indicate coverage under a program. A program is an organized str...
CHARcharity program
Definition: A program that covers the cost of services provided directly to a beneficiary who typica...
CRIMEcrime victim program
Definition: A program that covers the cost of services provided to crime victims for injuries or los...
EAPemployee assistance program
Definition: An employee assistance program is run by an employer or employee organization for the pu...
GOVEMPgovernment employee health program
Definition: A set of codes used to indicate a government program that is an organized structure for ...
HIRISKhigh risk pool program
Definition: A government program that provides health coverage to individuals who are considered med...
INDindigenous peoples health program
Definition: Services provided directly and through contracted and operated indigenous peoples health...
MILITARYmilitary health program
Definition: A government program that provides coverage for health services to military personnel, r...
RETIREretiree health program
Definition: A government mandated program with specific eligibility requirements based on premium co...
SOCIALsocial service program
Definition: A social service program funded by a public or governmental entity.\r\n\n ...
VETveteran health program
Definition: Services provided directly and through contracted and operated veteran health programs....
_ActDetectedIssueManagementCodeActDetectedIssueManagementCode
Codes dealing with the management of Detected Issue observations...
_ActAdministrativeDetectedIssueManagementCodeActAdministrativeDetectedIssueManagementCode
Codes dealing with the management of Detected Issue observations for the administrative and patient ...
_AuthorizationIssueManagementCodeAuthorization Issue Management Code
Authorization Issue Management Code...
EMAUTHemergency authorization override
Used to temporarily override normal authorization rules to gain access to data in a case of emergenc...
21authorization confirmed
Description: Indicates that the permissions have been externally verified and the request should be ...
1Therapy Appropriate
Confirmed drug therapy appropriate...
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...
6Prescriber Declined Change
Consulted prescriber and recommended change, prescriber declined...
7Interacting Therapy No Longer Active/Planned
Concurrent therapy triggering alert is no longer on-going or planned...
14Supply Appropriate
Confirmed supply action appropriate...
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 sepa...
8Other Action Taken
Order is performed as issued, but other action taken to mitigate potential adverse effects...
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...
_ActExposureCodeActExposureCode
Concepts that identify the type or nature of exposure interaction. Examples include \"household\", ...
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 nec...
HLTHCAREHealth Care Interaction - Not Patient Care
Description: Exposure participants' interaction occurred during the course of health care delivery o...
HOMECARECare Giver Interaction
Description: Exposure interaction occurred in context of one providing care for the other, i.e. a ba...
HOSPPTNTHospital Patient Interaction
Description: Exposure participants' interaction occurred when both were patients being treated in th...
HOSPVSTRHospital Visitor Interaction
Description: Exposure participants' interaction occurred when one visited the other who was a patien...
HOUSEHLDHousehold Interaction
Description: Exposure interaction occurred in context of domestic interaction, i.e. both participant...
INMATEInmate Interaction
Description: Exposure participants' interaction occurred in the course of one or both participants b...
INTIMATEIntimate Interaction
Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spou...
LTRMCARELong Term Care Facility Interaction
Description: Exposure participants' interaction occurred in the course of one or both participants b...
PLACECommon Space Interaction
Description: An interaction where the exposure participants were both present in the same location/p...
PTNTCAREHealth Care Interaction - Patient Care
Description: Exposure participants' interaction occurred during the course of health care delivery ...
SCHOOL2School Interaction
Description: Exposure participants' interaction occurred in an academic setting (e.g., participants ...
SOCIAL2Social/Extended Family Interaction
Description: An interaction where the exposure participants are social associates or members of the ...
SUBSTNCECommon Substance Interaction
Description: An interaction where the exposure participants shared or co-used a common substance (e....
TRAVINTCommon Travel Interaction
Description: An interaction where the exposure participants traveled together in/on the same vehicle...
WORK2Work Interaction
Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers....
_ActFinancialTransactionCodeActFinancialTransactionCode
ActFinancialTransactionCode...
CHRGStandard Charge
A type of transaction that represents a charge for a service or product. Expressed in monetary term...
REVStandard Charge Reversal
A type of transaction that represents a reversal of a previous charge for a service or product. Expr...
_ActIncidentCodeActIncidentCode
Set of codes indicating the type of incident or accident....
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...
_ActInformationAccessCodeActInformationAccessCode
Description: The type of health information to which the subject of the information or the subject's...
ACADRadverse drug reaction access
Description: Provide consent to collect, use, disclose, or access adverse drug reaction information ...
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 patient....
ACCONSinformational consent access
Description: Provide consent to collect, use, disclose, or access informational consent information ...
ACDEMOdemographics access
Description: Provide consent to collect, use, disclose, or access demographics information for a pat...
ACDIdiagnostic imaging access
Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for...
ACIMMUNimmunization access
Description: Provide consent to collect, use, disclose, or access immunization information for a pat...
ACLABlab test result access
Description: Provide consent to collect, use, disclose, or access lab test result information for a ...
ACMEDmedication access
Description: Provide consent to collect, use, disclose, or access medical condition information for ...
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 pat...
ACOBScommon observations access
Description: Provide consent to collect, use, disclose, or access common observation information for...
ACPOLPRGpolicy or program information access
Description: Provide consent to collect, use, disclose, or access coverage policy or program for a p...
ACPROVprovider information access
Description: Provide consent to collect, use, disclose, or access provider information for a patient...
ACPSERVprofessional service access
Description: Provide consent to collect, use, disclose, or access professional service information f...
ACSUBSTABsubstance abuse access
Description:Provide consent to collect, use, disclose, or access substance abuse information for a p...
_ActInformationAccessContextCodeActInformationAccessContextCode
Concepts conveying the context in which authorization given under jurisdictional law, by organizatio...
INFAUTauthorized information transfer
Authorization to collect, access, use, or disclose specified patient health information in accordanc...
INFCONafter explicit consent
Authorization to collect, access, use, or disclose specified patient health information as explicitl...
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...
_ActInformationCategoryCodeActInformationCategoryCode
Definition:Indicates the set of information types which may be manipulated or referenced, such as fo...
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, blo...
DEMOCATdemographics category
Definition:All information pertaining to a patient's demographics (such as name, date of birth, gend...
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 smoking c...
RXCATmedication category
Definition:All information pertaining to a patient's medication records (orders, dispenses and other...
_ActInvoiceElementCodeActInvoiceElementCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
_ActInvoiceAdjudicationPaymentCodeActInvoiceAdjudicationPaymentCode
Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment A...
_ActInvoiceAdjudicationPaymentGroupCodeActInvoiceAdjudicationPaymentGroupCode
Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc....
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...
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...
_ActInvoiceAdjudicationPaymentSummaryCodeActInvoiceAdjudicationPaymentSummaryCode
Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment A...
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...
_ActInvoiceDetailCodeActInvoiceDetailCode
Codes representing a service or product that is being invoiced (billed). The code can represent suc...
_ActInvoiceDetailClinicalProductCodeActInvoiceDetailClinicalProductCode
An identifying data string for healthcare products....
UNSPSCUnited Nations Standard Products and Services Classification
Description:United Nations Standard Products and Services Classification, managed by Uniform Code Co...
_ActInvoiceDetailDrugProductCodeActInvoiceDetailDrugProductCode
An identifying data string for A substance used as a medication or in the preparation of medication....
GTINGlobal Trade Item Number
Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising t...
UPCUniversal Product Code
Description:Universal Product Code is one of a wide variety of bar code languages widely used in the...
_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCode
The detail item codes to identify charges or changes to the total billing of a claim due to insuranc...
_ActInvoiceDetailGenericAdjudicatorCodeActInvoiceDetailGenericAdjudicatorCode
The billable item codes to identify adjudicator specified components to the total billing of a claim...
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....
_ActInvoiceDetailGenericModifierCodeActInvoiceDetailGenericModifierCode
The billable item codes to identify modifications to a billable item charge. As for example after ho...
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 ...
_ActInvoiceDetailGenericProviderCodeActInvoiceDetailGenericProviderCode
The billable item codes to identify provider supplied charges or changes to the total billing of a c...
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...
_ActInvoiceDetailTaxCodeActInvoiceDetailTaxCode
The billable item codes to identify modifications to a billable item charge by a tax factor applied ...
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...
_ActInvoiceDetailPreferredAccommodationCodeActInvoiceDetailPreferredAccommodationCode
An identifying data string for medical facility accommodations....
_ActEncounterAccommodationCodeActEncounterAccommodationCode
Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, re...
_HL7AccommodationCodeHL7AccommodationCode
Description:Accommodation type. In Intent mood, represents the accommodation type requested. In Even...
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....
_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode
An identifying data string for healthcare procedures....
_ActInvoiceGroupCodeActInvoiceGroupCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
_ActInvoiceInterGroupCodeActInvoiceInterGroupCode
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...
_ActInvoiceRootGroupCodeActInvoiceRootGroupCode
Type of invoice element that is used to assist in describing an Invoice that is either submitted for...
CPINVclinical 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...
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 participa...
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....
RXCINVRx compound invoice
Pharmacy dispense invoice for a compound....
RXDINVRx 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 a...
_ActInvoiceElementSummaryCodeActInvoiceElementSummaryCode
Identifies the different types of summary information that can be reported by queries dealing with S...
_InvoiceElementAdjudicatedInvoiceElementAdjudicated
Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated with...
ADNFPPELATadjud. nullified prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to ...
ADNFPPELCTadjud. nullified prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the ...
ADNFPPMNATadjud. nullified prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to ...
ADNFPPMNCTadjud. nullified prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the ...
ADNFSPELATadjud. nullified same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during th...
ADNFSPELCTadjud. nullified same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the sp...
ADNFSPMNATadjud. nullified same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during th...
ADNFSPMNCTadjud. nullified same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the sp...
ADNPPPELATadjud. non-payee payable prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to ...
ADNPPPELCTadjud. non-payee payable prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the ...
ADNPPPMNATadjud. non-payee payable prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to ...
ADNPPPMNCTadjud. non-payee payable prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the ...
ADNPSPELATadjud. non-payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during th...
ADNPSPELCTadjud. non-payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the sp...
ADNPSPMNATadjud. non-payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during th...
ADNPSPMNCTadjud. non-payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the sp...
ADPPPPELATadjud. payee payable prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to ...
ADPPPPELCTadjud. payee payable prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the ...
ADPPPPMNATadjud. payee payable prior-period manual amout
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to ...
ADPPPPMNCTadjud. payee payable prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the ...
ADPPSPELATadjud. payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during th...
ADPPSPELCTadjud. payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the sp...
ADPPSPMNATadjud. payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during th...
ADPPSPMNCTadjud. payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as payable during the sp...
ADRFPPELATadjud. refused prior-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to ...
ADRFPPELCTadjud. refused prior-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the...
ADRFPPMNATadjud. refused prior-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to ...
ADRFPPMNCTadjud. refused prior-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the ...
ADRFSPELATadjud. refused same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during th...
ADRFSPELCTadjud. refused same-period electronic count
Identifies the total number of all Invoice Groupings that were adjudicated as refused during the sp...
ADRFSPMNATadjud. refused same-period manual amount
Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during th...
ADRFSPMNCTadjud. refused same-period manual count
Identifies the total number of all Invoice Groupings that were adjudicated as refused during the sp...
_InvoiceElementPaidInvoiceElementPaid
Total counts and total net amounts paid for all Invoice Groupings that were paid within a time peri...
PDNFPPELATpaid 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 per...
PDNFPPMNATpaid 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 per...
PDNFSPELATpaid nullified same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time p...
PDNFSPELCTpaid nullified same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time perio...
PDNFSPMNATpaid nullified same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time p...
PDNFSPMNCTpaid nullified same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time perio...
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 per...
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 per...
PDNPSPELATpaid non-payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time p...
PDNPSPELCTpaid non-payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time perio...
PDNPSPMNATpaid non-payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time p...
PDNPSPMNCTpaid non-payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time perio...
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 per...
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 per...
PDPPSPELATpaid payee payable same-period electronic amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time p...
PDPPSPELCTpaid payee payable same-period electronic count
Identifies the total number of all Invoice Groupings that were paid during the specified time perio...
PDPPSPMNATpaid payee payable same-period manual amount
Identifies the total net amount of all Invoice Groupings that were paid during the specified time p...
PDPPSPMNCTpaid payee payable same-period manual count
Identifies the total number of all Invoice Groupings that were paid during the specified time perio...
_InvoiceElementSubmittedInvoiceElementSubmitted
Total counts and total net amounts billed for all Invoice Groupings that were submitted within a tim...
SBBLELATsubmitted billed electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings within a time period and ...
SBBLELCTsubmitted billed electronic count
Identifies the total number of submitted Invoice Groupings within a time period and submitted electr...
SBNFELATsubmitted nullified electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings that were nullified with...
SBNFELCTsubmitted cancelled electronic count
Identifies the total number of submitted Invoice Groupings that were nullified within a time period...
SBPDELATsubmitted pending electronic amount
Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held ...
SBPDELCTsubmitted pending electronic count
Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, wi...
_ActInvoiceOverrideCodeActInvoiceOverrideCode
Includes coded responses that will occur as a result of the adjudication of an electronic invoice at...
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...
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 E...
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...
_ActListCodeActListCode
Provides codes associated with ActClass value of LIST (working list)...
_ActObservationListActObservationList
ActObservationList...
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....
INTOLISTintolerance list
List of intolerance observations....
PROBLISTproblem list
List of problem observations....
RISKLISTrisk factors
List of risk factor observations....
GOALLISTgoal list
List of observations in goal mood....
_ActTherapyDurationWorkingListCodeActTherapyDurationWorkingListCode
Codes used to identify different types of 'duration-based' working lists. Examples include \"Contin...
_ActMedicationTherapyDurationWorkingListCodeact medication therapy duration working list
Definition:A collection of concepts that identifies different types of 'duration-based' mediation wo...
ACUshort term/acute
Definition:A list of medications which the patient is only expected to consume for the duration of t...
CHRONcontinuous/chronic
Definition:A list of medications which are expected to be continued beyond the present order and whi...
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 behavior...
MEDLISTmedication list
List of medications....
CURMEDLISTcurrent medication list
List of current medications....
DISCMEDLISTdischarge medication list
List of discharge medications....
HISTMEDLISTmedication history
Historical list of medications....
_ActMonitoringProtocolCodeActMonitoringProtocolCode
Identifies types of monitoring programs...
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 rece...
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 ...
RXprescription only medicine
Some form of prescription is required before the related medicine can be supplied for a patient. Th...
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....
_ActNonObservationIndicationCodeActNonObservationIndicationCode
Description:Concepts representing indications (reasons for clinical action) other than diagnosis and...
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 cleara...
IND03prophylaxis
Description:Provision of medication as a preventative measure during a treatment or other period of ...
IND04surgical prophylaxis
Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surg...
IND05pregnancy prophylaxis
Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vagina...
_ActObservationVerificationTypeact observation verification
Identifies the type of verification investigation being undertaken with respect to the subject of th...
VFPAPERverify paper
Definition:Indicates that the paper version of the record has, should be or is being verified agains...
_ActPaymentCodeActPaymentCode
Code identifying the method or the movement of payment instructions.\r\n\n Co...
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....
_ActPharmacySupplyTypeActPharmacySupplyType
Identifies types of dispensing events...
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 vacatio...
SOScript Owing
An emergency supply where the expectation is that a formal order authorizing the supply will be prov...
FFFirst Fill
The initial fill against an order. (This includes initial fills against refill orders.)...
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....
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...
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....
RFCRefill - Complete
A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If...
RFCSrefill complete partial strength
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....
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...
RFPRefill - Part Fill
A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. I...
RFPSrefill part fill partial strength
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....
TBStrial balance partial strength
A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and...
UDEunit dose equivalent
A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 5...
_ActPolicyTypeActPolicyType
Description:Types of policies that further specify the ActClassPolicy value set....
_ActPrivacyPolicyActPrivacyPolicy
A policy deeming certain information to be private to an individual or organization.\r\n\n ...
_ActConsentDirectiveActConsentDirective
Specifies the type of agreement between one or more grantor and grantee in which rights and obligati...
EMRGONLYemergency only
This general consent directive specifically limits disclosure of health information for purpose of e...
GRANTORCHOICEgrantor choice
A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an op...
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
Acknowledgement of custodian notice of privacy practices.\r\n\n \n ...
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...
_ActPrivacyLawActPrivacyLaw
A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain ...
_ActUSPrivacyLaw_ActUSPrivacyLaw
Definition: A jurisdictional mandate in the U.S. relating to privacy.\r\n\n \...
42CFRPart242 CFR Part2
42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or t...
CommonRuleCommon Rule
U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart...
HIPAANOPPHIPAA notice of privacy practices
The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule...
HIPAAPsyNotesHIPAA psychotherapy notes
The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule...
HIPAASelfPayHIPAA self-pay
Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) ...
Title38Section7332Title 38 Section 7332
Title 38 Part 1-protected information may only be disclosed to a third party with the special writte...
_InformationSensitivityPolicyInformationSensitivityPolicy
A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a...
_ActInformationSensitivityPolicyActInformationSensitivityPolicy
Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as ...
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...
MSTmilitary sexual trauma information sensitivity
Policy for handling information related to sexual assault or repeated, threatening sexual harassment...
SCAsickle cell anemia information sensitivity
Policy for handling sickle cell disease information, which is afforded heightened confidentiality. ...
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...
SPIspecially protected information sensitivity
Policy for handling information deemed specially protected by law or policy including substance abus...
BHbehavioral health information sensitivity
Policy for handling information related to behavioral and emotional disturbances affecting social ad...
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 ...
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...
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...
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...
SICKLEsickle cell
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\n ...
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...
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...
_RoleInformationSensitivityPolicyRoleInformationSensitivityPolicy
Types of sensitivity policies that apply to Roles.\r\n\n \n ...
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 ...
ADOLadolescent information sensitivity
Policy for handling information related to an adolescent, which will be afforded heightened confiden...
CELcelebrity 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 ...
COMPTcompartment
This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program...
ACOCOMPTaccountable care organization compartment
A group of health care entities, which may include health care providers, care givers, hospitals, fa...
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...
ActTrustPolicyTypetrust policy
A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between sende...
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...
COVPOLbenefit policy
Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit...
SecurityPolicysecurity policy
Types of security policies that further specify the ActClassPolicy value set.\r\n\n ...
AUTHPOLauthorization policy
Authorisation policies are essentially security policies related to access-control and specify what ...
ACCESSCONSCHEMEaccess control scheme
An access control policy specific to the type of access control scheme, which is used to enforce one...
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. ...
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...
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...
CPLYJPPcomply with jurisdictional privacy policy
Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy...
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...
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...
ENCRYPTencrypt
Custodian system must render information unreadable by algorithmically transforming plaintext into c...
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...
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...
RefrainPolicyrefrain policy
Conveys prohibited actions which an information custodian, receiver, or user is not permitted to per...
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....
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....
_ActProductAcquisitionCodeActProductAcquisitionCode
The method that a product is obtained for use by the subject of the supply act (e.g. patient). Prod...
LOANLoan
Temporary supply of a product without transfer of ownership for the product....
RENTRent
Temporary supply of a product with financial compensation, without transfer of ownership for the pro...
TRANSFERTransfer
Transfer of ownership for a product....
SALESale
Transfer of ownership for a product for financial compensation....
_ActSpecimenTransportCodeActSpecimenTransportCode
Transportation of a specimen....
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....
_ActSpecimenTreatmentCodeActSpecimenTreatmentCode
Set of codes related to specimen treatments...
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
LDL 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 ...
_ActSubstanceAdministrationCodeActSubstanceAdministrationCode
Description: Describes the type of substance administration being performed. This should not be use...
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 or o...
IMMUNIZImmunization
The introduction of an immunogen with the intent of stimulating an immune response, aimed at prevent...
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...
_ActTaskCodeActTaskCode
Description: A task or action that a user may perform in a clinical information system (e.g., medica...
OEorder entry task
A clinician creates a request for a service to be performed for a given patient....
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....
PATDOCpatient documentation task
A person enters documentation about a given patient....
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...
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....
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....
WELLREMLREVwellness reminder list review
Description: A person reviews a list of wellness or preventive care reminders for a given patient....
PATINFOpatient information review task
A person (e.g., clinician, the patient herself) reviews patient information in the electronic medica...
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....
DISCHSUMREVdischarge summary review task
A person reviews a discharge summary 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....
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....
MLREVmedication list review task
A person reviews a list of medication orders submitted to 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....
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....
WELLREMLEwellness reminder list entry
Description: A person enters a wellness or preventive care reminder for a given patient....
RISKASSESSrisk assessment instrument task
A person reviews a Risk Assessment Instrument report of a given patient....
FALLRISKfalls risk assessment instrument task
A person reviews a Falls Risk Assessment Instrument report of a given patient....
_ActTransportationModeCodeActTransportationModeCode
Characterizes how a transportation act was or will be carried out.\r\n\n \n ...
_ActPatientTransportationModeCodeActPatientTransportationModeCode
Definition: Characterizes how a patient was or will be transported to the site of a patient encounte...
AFOOTpedestrian transport
pedestrian transport...
AMBTambulance transport
ambulance transport...
AMBAIRfixed-wing ambulance transport
fixed-wing ambulance transport...
AMBGRNDground ambulance transport
ground ambulance transport...
AMBHELOhelicopter ambulance transport
helicopter ambulance transport...
LAWENFlaw enforcement transport
law enforcement transport...
PRVTRNprivate transport
private transport...
PUBTRNpublic transport
public transport...
_ObservationTypeObservationType
Identifies the kinds of observations that can be performed...
_ActSpecObsCodeActSpecObsCode
Identifies the type of observation that is made about a specimen that may affect its processing, ana...
ARTBLDActSpecObsArtBldCode
Describes the artificial blood identifier that is associated with the specimen....
DILUTIONActSpecObsDilutionCode
An observation that reports the dilution of a sample....
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...
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...
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...
VOLUMEActSpecObsVolumeCode
An observation that reports the volume of a sample....
AVAILABLEAvailable Volume
The available quantity of specimen. This is the current quantity minus any planned consumption (e....
CONSUMPTIONConsumption Volume
The quantity of specimen that is used each time the equipment uses this substance...
CURRENTCurrent Volume
The current quantity of the specimen, i.e., initial quantity minus what has been actually used....
INITIALInitial Volume
The initial quantity of the specimen in inventory...
_AnnotationTypeAnnotationType
AnnotationType...
_ActPatientAnnotationTypeActPatientAnnotationType
Description:Provides a categorization for annotations recorded directly against the patient ....
ANNDIdiagnostic image note
Description:A note that is specific to a patient's diagnostic images, either historical, current or ...
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, current or...
ANNMEDmedication note
Description:A note that is specific to a patient's medications, either historical, current or planne...
_GeneticObservationTypeGeneticObservationType
Description: None provided...
GENEgene
Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated fu...
_ImmunizationObservationTypeImmunizationObservationType
Description: Observation codes which describe characteristics of the immunization material....
OBSANTCantigen count
Description: Indicates the valid antigen count....
OBSANTVantigen validity
Description: Indicates whether an antigen is valid or invalid....
_IndividualCaseSafetyReportTypeIndividual Case Safety Report Type
A code that is used to indicate the type of case safety report received from sender. The current cod...
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...
_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType
Definition:The set of LOINC codes for the act of determining the period of time that has elapsed sin...
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....
_MedicationObservationTypeMedicationObservationType
MedicationObservationType...
REP_HALF_LIFErepresentative half-life
Description:This observation represents an 'average' or 'expected' half-life typical of the product....
SPLCOATINGcoating
Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether...
SPLCOLORcolor
Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the co...
SPLIMAGEimage
Description: A characteristic representing a single file reference that contains two or more views o...
SPLIMPRINTimprint
Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the al...
SPLSCORINGscoring
Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the num...
SPLSHAPEshape
Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the tw...
SPLSIZEsize
Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the lon...
SPLSYMBOLsymbol
Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whethe...
_ObservationIssueTriggerCodedObservationTypeObservationIssueTriggerCodedObservationType
Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection...
_CaseTransmissionModecase transmission mode
Code for the mechanism by which disease was acquired by the living subject involved in the public he...
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 ...
_ObservationQualityMeasureAttributeObservationQualityMeasureAttribute
Codes used to define various metadata aspects of a health quality measure....
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 \n(e.g., a higher sc...
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 \n(e.g., proportion, continuous variable...
MSRSEThealth quality measure care setting
Location(s) in which care being measured is rendered\r\n\n Usage Note: MSRSET...
MSRTOPIChealth quality measure topic type
health 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 \n(e.g., Structu...
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....
_ObservationSequenceTypeObservationSequenceType
ObservationSequenceType...
TIME_ABSOLUTEabsolute time sequence
A sequence of values in the \"absolute\" time domain. This is the same time domain that all HL7 tim...
TIME_RELATIVErelative time sequence
A sequence of values in a \"relative\" time domain. The time is measured relative to the earliest e...
_ObservationSeriesTypeObservationSeriesType
ObservationSeriesType...
_ECGObservationSeriesTypeECGObservationSeriesType
ECGObservationSeriesType...
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 absol...
_PatientImmunizationRelatedObservationTypePatientImmunizationRelatedObservationType
Description: Reporting codes that are related to an immunization event....
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 eve...
TEACHERteacher
Description: The patient's teacher when immunized....
_PopulationInclusionObservationTypePopulationInclusionObservationType
Observation types for specifying criteria used to assert that a subject is included in a particular ...
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...
IPPOPinitial patient population
Criteria for specifying the patients 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\nthe measure population as a narrative description (e.g., all patients seen ...
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...
_PreferenceObservationType_PreferenceObservationType
Types of observations that can be made about Preferences....
PREFSTRENGTHpreference strength
An observation about how important a preference is to the target of the preference....
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 a f...
CASESERcase seriousness criteria
Definition:An observation that provides a characterization of the level of harm to an investigation ...
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...
ADMDXadmitting diagnosis
Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hos...
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....
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\...
_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCode
Identifies types of detectyed issues for Act class \"ALRT\" for the administrative and patient admin...
_ActAdministrativeAuthorizationDetectedIssueCodeActAdministrativeAuthorizationDetectedIssueCode
ActAdministrativeAuthorizationDetectedIssueCode...
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 privac...
VALIDATvalidation issue
Description:The specified element did not pass business-rule validation....
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...
COMPLYCompliance Alert
There may be an issue with the patient complying with the intentions of the proposed therapy...
DUPTHPYDuplicate Therapy Alert
The proposed therapy appears to duplicate an existing therapy...
DUPTHPCLSduplicate therapeutic alass alert
Description:The proposed therapy appears to have the same intended therapeutic benefit as an existin...
DUPTHPGENduplicate generic alert
Description:The proposed therapy appears to have the same intended therapeutic benefit as an existin...
ABUSEcommonly abused/misused alert
Description:The proposed therapy is frequently misused or abused and therefore should be used with c...
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...
DOSEDosage problem
Proposed dosage instructions for therapy differ from standard practice....
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....
DOSEDURHDose-Duration High Alert
Proposed length of therapy is longer than standard practice...
DOSEDURHINDDose-Duration High for Indication Alert
Proposed length of therapy is longer than standard practice for the identified indication or diagnos...
DOSEDURLDose-Duration Low Alert
Proposed length of therapy is shorter than that necessary for therapeutic effect...
DOSEDURLINDDose-Duration Low for Indication Alert
Proposed length of therapy is shorter than standard practice for the identified indication or diagno...
DOSEHHigh Dose Alert
Proposed dosage exceeds standard practice...
DOSEHINDAHigh Dose for Age Alert
Proposed dosage exceeds standard practice for the patient's age...
DOSEHINDHigh Dose for Indication Alert
High 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...
DOSEIVLDose-Interval Alert
Proposed dosage interval/timing differs from standard practice...
DOSEIVLINDDose-Interval for Indication Alert
Proposed dosage interval/timing differs from standard practice for the identified indication or diag...
DOSELLow Dose Alert
Proposed dosage is below suggested therapeutic levels...
DOSELINDALow Dose for Age Alert
Proposed dosage is below suggested therapeutic levels for the patient's age...
DOSELINDLow Dose for Indication Alert
Low 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...
MDOSEmaximum dosage reached
Description:The maximum quantity of this drug allowed to be administered within a particular time-ra...
OBSAObservation Alert
Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the...
AGEAge Alert
Proposed therapy may be inappropriate or contraindicated due to patient age...
ADALRTadult alert
Proposed therapy is outside of the standard practice for an adult patient....
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....
CONDCondition Alert
Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition...
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
CREACTcommon reaction alert
Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-pat...
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...
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...
RREACTRelated Reaction Alert
Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to ...
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...
BUSbusiness constraint violation
Description:A local business rule relating multiple elements has been violated....
CODE_INVALcode is not valid
Description:The specified code is not valid against the list of codes allowed for the element....
CODE_DEPRECcode has been deprecated
Description:The specified code has been deprecated and should no longer be used. Select another cod...
FORMATinvalid format
Description:The element does not follow the formatting or type rules defined for the field....
ILLEGALillegal
Description:The request is missing elements or contains elements which cause it to not meet the lega...
LEN_RANGElength out of range
Description:The length of the data specified falls out of the range defined for the element....
LEN_LONGlength is too long
Description:The length of the data specified is greater than the maximum length defined for the elem...
LEN_SHORTlength is too short
Description:The length of the data specified is less than the minimum length defined for the element...
MISSCONDconditional element missing
Description:The specified element must be specified with a non-null value under certain conditions. ...
MISSMANDmandatory element missing
Description:The specified element is mandatory and was not included in the instance....
NODUPSduplicate values are not permitted
Description:More than one element with the same value exists in the set. Duplicates not permission ...
NOPERSISTelement will not be persisted
Description: Element in submitted message will not persist in data storage based on detected issue....
REP_RANGErepetitions out of range
Description:The number of repeating elements falls outside the range of the allowed number of repeti...
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....
_ActAdministrativeRuleDetectedIssueCodeActAdministrativeRuleDetectedIssueCode
ActAdministrativeRuleDetectedIssueCode...
KEY206non-matching identification
Description: Metadata associated with the identification (e.g. name or gender) does not match the id...
OBSOLETEobsolete record returned
Description: One or more records in the query response have a status of 'obsolete'....
_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCode
Identifies types of detected issues regarding the administration or supply of an item to a patient....
_AdministrationDetectedIssueCodeAdministrationDetectedIssueCode
Administration of the proposed therapy may be inappropriate or contraindicated as proposed...
_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCode
AppropriatenessDetectedIssueCode...
_InteractionDetectedIssueCodeInteractionDetectedIssueCode
InteractionDetectedIssueCode...
FOODFood Interaction Alert
Proposed therapy may interact with certain foods...
TPRODTherapeutic Product Alert
Proposed therapy may interact with an existing or recent therapeutic product...
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...
NONRXNon-Prescription Interaction Alert
Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)...
PREVINEFpreviously ineffective
Definition:The same or similar treatment has previously been attempted with the patient without achi...
DACTdrug action detected issue
Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent dr...
TIMEtiming detected issue
Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end ...
ALRTENDLATEend too late alert
Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is...
ALRTSTRTLATEstart too late alert
Definition:Proposed therapy may be inappropriate or ineffective because the start of administration ...
_TimingDetectedIssueCodeTimingDetectedIssueCode
Proposed therapy may be inappropriate or ineffective based on the proposed start or end time....
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...
_SupplyDetectedIssueCodeSupplyDetectedIssueCode
Supplying the product at this time may be inappropriate or indicate compliance issues with the assoc...
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 therapy....
NOTACTNno longer actionable
Definition:The status of the request being fulfilled has changed such that it is no longer actionabl...
NOTEQUIVnot equivalent alert
Definition:The therapy being performed is not sufficiently equivalent to the therapy which was reque...
NOTEQUIVGENnot generically equivalent alert
Definition:The therapy being performed is not generically equivalent (having the identical biologica...
NOTEQUIVTHERnot therapeutically equivalent alert
Definition:The therapy being performed is not therapeutically equivalent (having the same overall pa...
TIMINGevent timing incorrect alert
Definition:The therapy is being performed at a time which diverges from the time the therapy was req...
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 the...
HELDheld/suspended alert
Definition:There should be no actions taken in fulfillment of a request that has been held or suspen...
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...
HISTORICrecord recorded as historical
Description: While the record was accepted in the repository, there is a more recent version of a re...
PATPREFviolates stated preferences
Definition:The proposed therapy goes against preferences or consent constraints recorded in the pati...
PATPREFALTviolates stated preferences, alternate available
Definition:The proposed therapy goes against preferences or consent constraints recorded in the pati...
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....
ALGAllergy
Hypersensitivity to an agent caused by an immunologic response to an initial exposure...
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....
DINTDrug Intolerance
Hypersensitivity resulting in an adverse reaction upon exposure to a drug....
DNAINTDrug Non-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
EINTEnvironmental Intolerance
Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions....
ENAINTEnvironmental Non-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
FINTFood Intolerance
Hypersensitivity resulting in an adverse reaction upon exposure to food....
FNAINTFood Non-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
NAINTNon-Allergy Intolerance
Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial ...
SEVSeverity Observation
A subjective evaluation of the seriousness or intensity associated with another observation....
_FDALabelDataFDALabelData
FDA label data...
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...
_ROIOverlayShapeROIOverlayShape
Shape of the region on the object being referenced...
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...
Ccorrected
Description:Indicates that result data has been corrected....
DIETDiet
Code set to define specialized/allowed diets...
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 anesthe...
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.\"...
DRUGPRGdrug program
Definition: A public or government health program that administers and funds coverage for prescripti...
Ffinal
Description:Indicates that a result is complete. No further results are to come. This maps to the ...
PRLMNpreliminary
Description:Indicates that a result is incomplete. There are further results to come. This maps to...
SECOBSSecurityObservationType
An observation identifying security metadata about an IT resource (data, information object, service...
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 ...
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...
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...
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...
SECINTSTOBSsecurity integrity status observation
Type of security metadata observation made about the integrity status of an IT resource (data, infor...
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...
SUBSIDFFSsubsidized fee for service program
Definition: A government health program that provides coverage on a fee for service basis for health...
WRKCOMP(workers compensation program
Definition: Government mandated program providing coverage, disability income, and vocational rehabi...
_ActProcedureCodeActProcedureCode
An identifying code for healthcare interventions/procedures....
_ActBillableServiceCodeActBillableServiceCode
Definition: An identifying code for billable services, as opposed to codes for similar services used...
_HL7DefinedActCodesHL7DefinedActCodes
Domain provides the root for HL7-defined detailed or rich codes for the Act classes....
COPAY
DEDUCT
DOSEIND
PRA
STOREStorage
The act of putting something away for safe keeping. The \"something\" may be physical object such as...