http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0

name
ActReason
package
hl7.terminology.r4@6.3.0
content
complete
status
active
date
2024-02-28 00:00:00.0

ActReason

A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type \"has reason\" linking to another Act.\r\n\r\n*Examples:* Example reasons that might qualify for being coded in this field might be: \"routine requirement\", \"infectious disease reporting requirement\", \"on patient request\", \"required by law\".

codedisplaydefinitionhierarchy
_ActAccommodationReasonActAccommodationReason
Identifies the reason the patient is assigned to this accommodation type...
_ActCoverageReasonActCoverageReason
**Description:**Codes used to specify reasons or criteria relating to coverage provided under a poli...
_ActInformationManagementReasonActInformationManagementReason
**Description:**The rationale or purpose for an act relating to information management, such as arch...
_ActInvalidReasonActInvalidReason
**Description:** Types of reasons why a substance is invalid for use....
_ActInvoiceCancelReasonActInvoiceCancelReason
Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoi...
_ActNoImmunizationReasonActNoImmunizationReason
A coded description of the reason for why a patient did not receive a scheduled immunization.\r\n\r\...
_ActSupplyFulfillmentRefusalReasonActSupplyFulfillmentRefusalReason
Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify o...
_ClinicalResearchEventReasonClinicalResearchEventReason
**Definition:**Specifies the reason that an event occurred in a clinical research study....
_ClinicalResearchObservationReasonClinicalResearchObservationReason
**Definition:**SSpecifies the reason that a test was performed or observation collected in a clinica...
_CombinedPharmacyOrderSuspendReasonCodeCombinedPharmacyOrderSuspendReasonCode
**Description:**Indicates why the prescription should be suspended....
_ControlActNullificationReasonCodeControlActNullificationReasonCode
**Description:**Identifies reasons for nullifying (retracting) a particular control act....
_ControlActNullificationRefusalReasonTypeControlActNullificationRefusalReasonType
**Description:** Reasons to refuse a transaction to be undone....
_ControlActReasonControlActReason
Identifies why a specific query, request, or other trigger event occurred....
_GenericUpdateReasonCodeGenericUpdateReasonCode
**Description:**Identifies why a change is being made to a record....
_PatientProfileQueryReasonCodepatient profile query reason
**Definition:**A collection of concepts identifying why the patient's profile is being queried....
_PharmacySupplyRequestFulfillerRevisionRefusalReasonCodePharmacySupplyRequestFulfillerRevisionRefusalReasonCode
**Definition:**Indicates why the request to transfer a prescription from one dispensing facility to ...
_RefusalReasonCodeRefusalReasonCode
**Description:** Identifies why a request to add (or activate) a record is being refused. Examples i...
_SchedulingActReasonSchedulingActReason
Reasons for cancelling or rescheduling an Appointment...
_StatusRevisionRefusalReasonCodeStatusRevisionRefusalReasonCode
Indicates why the act revision (status update) is being refused....
_SubstanceAdministrationPermissionRefusalReasonCodeSubstanceAdministrationPermissionRefusalReasonCode
**Definition:**Indicates why the requested authorization to prescribe or dispense a medication has b...
_SubstanceAdminSubstitutionNotAllowedReasonSubstanceAdminSubstitutionNotAllowedReason
Reasons why substitution of a substance administration request is not permitted....
_SubstanceAdminSubstitutionReasonSubstanceAdminSubstitutionReason
_TransferActReasonTransferActReason
The explanation for why a patient is moved from one location to another within the organization...
_ActAdjudicationReasonActAdjudicationReason
Explanatory codes that describe reasons why an Adjudicator has financially adjusted an invoice (clai...
_ActBillableServiceReasonActBillableServiceReason
**Definition:** This domain is used to document reasons for providing a billable service; the billab...
_ActCoverageLevelRasonCodeActCoverageLevelRasonCode
**Description:**Represents the reason for the level of coverage provided under the policy or program...
_ActImmunizationReasonActImmunizationReason
**Description:**A coded description of the reason for why a patient was administered an immunization...
_ConrolActNullificationReasonCodeConrolActNullificationReasonCode
**Description:**Identifies reasons for nullifying (retracting) a particular control act.\r\n\r\n**Ex...
_NonPerformanceReasonCodeNonPerformanceReasonCode
The reason the action wasn't performed, e.g. why the medication was not taken. If an action wasn\"t ...
_ReasonForNotEvaluatingDeviceReasonForNotEvaluatingDevice
Code assigned to indicate the rationale for not performing an evaluation investigation on a device f...
_ReferralReasonCodeReferralReasonCode
The reason a referral was made.\r\n\r\n*Examples:*Specialized Medical Assistance, Other Care Require...
BONUS
CHDChildren only
**Description:**The level of coverage under the policy or program is available only to children...
DEPDependents only
**Description:**The level of coverage under the policy or program is available only to a subscriber'...
ECHEmployee and children
**Description:**The level of coverage under the policy or program is available to an employee and hi...
EDU
EMPEmployee only
**Description:**The level of coverage under the policy or program is available only to an employee....
ESPEmployee and spouse
**Description:**The level of coverage under the policy or program is available to an employee and hi...
FAMFamily
**Description:**The level of coverage under the policy or program is available to a subscriber's fam...
INDIndividual
**Description:**The level of coverage under the policy or program is available to an individual....
INVOICE
PROA
RECOV
RETRO
SPCSpouse and children
**Description:**The level of coverage under the policy or program is available to a subscriber's spo...
SPOSpouse only
**Description:**The level of coverage under the policy or program is available only to a subscribers...
TRAN
ACCREQNAAccommodation Requested Not Available
Accommodation requested is not available....
FLRCNVFloor Convenience
Accommodation is assigned for floor convenience....
MEDNECMedical Necessity
Required for medical reasons(s)....
PATPatient request
The Patient requested the action...
_MedicallyNecessaryDuplicateProcedureReasonMedicallyNecessaryDuplicateProcedureReason
**Definition:** This domain is used to document why the procedure is a duplicate of one ordered/char...
_ActBillableClinicalServiceReasonActBillableClinicalServiceReason
Reason for Clinical Service being performed.\r\n\r\nThis domain excludes reasons specified by diagno...
OVRERemergency treatment override
To perform one or more operations on information to which the patient has not consented by authorize...
OVRINCOMPincompetency override
To perform one or more operations on information to which the patient has not consented because deem...
OVRPJprofessional judgment override
To perform one or more operations on information to which the patient declined to consent for provid...
OVRPSpublic safety override
To perform one or more operations on information to which the patient has not consented for public s...
OVRTPSthird party safety override
To perform one or more operations on information to which the patient has not consented for third pa...
_EligibilityActReasonCodeEligibilityActReasonCode
Identifies the reason or rational for why a person is eligibile for benefits under an insurance poli...
_ActCoverageProviderReasonActCoverageProviderReason
**Description:**Identifies the reason or rationale for coverage of a service or product based on cha...
_ActCoverageServiceReasonActCoverageServiceReason
**Description:**Identifies the reason or rationale for coverage of a service or product based on cli...
_CoverageExclusionReasonCoverageExclusionReason
**Definition:** Identifies the reason or rationale for coverage of a service or product based on cov...
_CoverageFinancialParticipationReasonCoverageFinancialParticipationReason
**Description:**Identifies the reason or rationale for coverage of a service or product based on fin...
_CoverageLimitationReasonCoverageLimitationReason
**Description:**Identifies the reason or rationale for limitations on the coverage of a service or p...
_ActConsentInformationAccessOverrideReasonActConsentInformationAccessOverrideReason
To perform one or more operations on information to which the patient has not consented as deemed ne...
PurposeOfUsepurpose of use
Reason for performing one or more operations on information, which may be permitted by source system...
_ActHealthInformationPrivacyReasonActHealthInformationPrivacyReason
**Description:**The rationale or purpose for an act relating to the management of personal health in...
COVSUScoverage suspended
When a client has no contact with the health system for an extended period, coverage is suspended. C...
DECSDdeceased
Client deceased....
REGERRregistered in error
Client was registered in error....
_ActHealthInformationManagementReasonActHealthInformationManagementReason
**Description:**The rationale or purpose for an act relating to health information management, such ...
_ActInformationPrivacyReasonActInformationPrivacyReason
**Description:**The rationale or purpose for an act relating to the management of personal informati...
MARKTmarketing
**Description:**...
OPERAToperations
**Description:**Administrative and contractual processes required to support an activity, product, o...
PAYMTpayment
**Description:**Administrative, financial, and contractual processes related to payment for an activ...
RESCHresearch
**Description:**Investigative activities conducted for the purposes of obtaining knowledge...
SRVCservice
**Description:**Provision of a service, product, or capability to an individual or organization...
ADVSTORAGEadverse storage condition
**Description:** Storage conditions caused the substance to be ineffective....
EXPLOTexpired lot
**Description:** The lot from which the substance was drawn was expired....
OUTSIDESCHEDadministered outside recommended schedule or practice
The substance was administered outside of the recommended schedule or practice....
PRODRECALLproduct recall
**Description:** The substance was recalled by the manufacturer....
INCCOVPTYincorrect covered party as patient
The covered party (patient) specified with the Invoice is not correct....
INCINVOICEincorrect billing
The billing information, specified in the Invoice Elements, is not correct. This could include incor...
INCPOLICYincorrect policy
The policy specified with the Invoice is not correct. For example, it may belong to another Adjudica...
INCPROVincorrect provider
The provider specified with the Invoice is not correct....
IMMUNEimmunity
**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the ...
MEDPRECmedical precaution
**Definition:**The patient currently has a medical condition for which the vaccine is contraindicate...
OSTOCKproduct out of stock
**Definition:**There was no supply of the product on hand to perform the service....
PATOBJpatient objection
**Definition:**The patient or their guardian objects to receiving the vaccine....
PHILISOPphilosophical objection
**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophic...
RELIGreligious objection
**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds....
VACEFFvaccine efficacy concerns
**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.\...
VACSAFvaccine safety concerns
**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns ov...
FRR01order stopped
**Definition:**The order has been stopped by the prescriber but this fact has not necessarily captur...
FRR02stale-dated order
**Definition:**Order has not been fulfilled within a reasonable amount of time, and may not be curre...
FRR03incomplete data
**Definition:**Data needed to safely act on the order which was expected to become available indepen...
FRR04product unavailable
**Definition:**Product not available or manufactured. Cannot supply....
FRR05ethical/religious
**Definition:**The dispenser has ethical, religious or moral objections to fulfilling the order/disp...
FRR06unable to provide care
**Definition:**Fulfiller not able to provide appropriate care associated with fulfilling the order.\...
RETretest
**Definition:**The event occurred so that a test or observation performed at a prior event could be ...
SCHscheduled
**Definition:**The event occurred due to it being scheduled in the research protocol....
TRMtermination
**Definition:**The event occurred in order to terminate the subject's participation in the study....
UNSunscheduled
**Definition:**The event that occurred was initiated by a study participant (e.g. the subject or the...
NPTnon-protocol
**Definition:**The observation or test was neither defined or scheduled in the study protocol....
PPTper protocol
**Definition:**The observation or test occurred due to it being defined in the research protocol, an...
UPTper definition
**:**The observation or test occurred as defined in the research protocol, but at a point in time no...
ALTCHOICEtry another treatment first
**Description:**This therapy has been ordered as a backup to a preferred therapy. This order will be...
CLARIFprescription requires clarification
**Description:**Clarification is required before the order can be acted upon....
DRUGHIGHdrug level too high
**Description:**The current level of the medication in the patient's system is too high. The medicat...
HOSPADMadmission to hospital
**Description:**The patient has been admitted to a care facility and their community medications are...
LABINTlab interference issues
**Description:**The therapy would interfere with a planned lab test and the therapy is being withdra...
NON-AVAILpatient not-available
**Description:**Patient not available for a period of time due to a scheduled therapy, leave of abse...
PREGparent is pregnant/breast feeding
**Description:**The patient is pregnant or breast feeding. The therapy will be resumed when the preg...
SALGallergy
**Description:**The patient is believed to be allergic to a substance that is part of the therapy an...
SDDIdrug interacts with another drug
**Description:**The drug interacts with a short-term treatment that is more urgently required. This ...
SDUPTHERduplicate therapy
**Description:**Another short-term co-occurring therapy fulfills the same purpose as this therapy. T...
SINTOLsuspected intolerance
**Description:**The patient is believed to have an intolerance to a substance that is part of the th...
SURGpatient scheduled for surgery
**Description:**The drug is contraindicated for patients receiving surgery and the patient is schedu...
WASHOUTwaiting for old drug to wash out
**Description:**The patient was previously receiving a medication contraindicated with the current m...
ALTDaltered decision
**Description:**The decision on which the recorded information was based was changed before the deci...
EIEentered in error
**Description:**The information was recorded incorrectly or was recorded in the wrong record....
NORECMTCHno record match
**Description:** There is no match for the record in the database....
INRQSTATEin requested state
The record is already in the requested state....
NOMATCHno match
**Description:** There is no match....
NOPERMno permission
**Description:** There is no permission....
WRNGVERwrong version
**Description:** The record and version requested to update is not the current version....
_MedicationOrderAbortReasonCodemedication order abort reason
**Description:**Indicates the reason the medication order should be aborted....
_MedicationOrderReleaseReasonCodemedication order release reason
**Definition:**A collection of concepts that indicate why the prescription should be released from s...
_ModifyPrescriptionReasonTypeModifyPrescriptionReasonType
Types of reason why a prescription is being changed....
_PharmacySupplyEventAbortReasonPharmacySupplyEventAbortReason
**Definition:**Identifies why the dispense event was not completed....
_PharmacySupplyEventStockReasonCodepharmacy supply event stock reason
**Definition:**A collection of concepts that indicates the reason for a \"bulk supply\" of medicatio...
_PharmacySupplyRequestRenewalRefusalReasonCodepharmacy supply request renewal refusal reason
**Definition:**A collection of concepts that identifies why a renewal prescription has been refused....
_SupplyOrderAbortReasonCodesupply order abort reason
**Definition:**A collection of concepts that indicates why the prescription should no longer be allo...
_ControlActReasonConditionNullifyControlActReasonConditionNullify
Indicates why the ConditionaTMs status was changed to Nullified. *Examples* administrative error, di...
AGEage eligibility
A person becomes eligible for a program based on age.\r\n\r\n*Example:* In the U.S., a person who i...
CRIMEcrime victim
A person becomes eligible for insurance or a program because of crime related health condition or in...
DISdisability
A person becomes a claimant under a disability income insurance policy or a disability rehabilitatio...
EMPLOYemployment benefit
A person becomes eligible for insurance provided as an employment benefit based on employment status...
FINANfinancial eligibility
A person becomes eligible for a program based on financial criteria.\r\n\r\n*Example:* A person who...
HEALTHhealth status
A person becomes eligible for a program because of a qualifying health condition or injury.\r\n\r\n*...
MULTImultiple criteria eligibility
A person becomes eligible for a program based on more than one criterion.\r\n\r\n*Examples:* In the...
PNCproperty and casualty condition
A person becomes a claimant under a property and casualty insurance policy because of a related heal...
STATUTORYstatutory eligibility
A person becomes eligible for a program based on statutory criteria.\r\n\r\n*Examples:* A person is...
VEHICmotor vehicle accident victim
A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle acci...
WORKwork related
A person becomes eligible for insurance or a program because of a work related health condition or i...
_ActIneligibilityReasonActIneligibilityReason
Identifies the reason or rational for why a person is not eligibile for benefits under an insurance ...
_CoverageEligibilityReasonCoverageEligibilityReason
Definition: Identifies the reason or rational for why a person is eligibile for benefits under an in...
CHGDATAinformation change
**Description:**Information has changed since the record was created....
FIXDATAerror correction
**Description:**Previously recorded information was erroneous and is being corrected....
MDATAmerge data
Information is combined into the record....
NEWDATAnew information
**Description:**New information has become available to supplement the record....
UMDATAunmerge data
Information is separated from the record....
DISCONTproduct discontinued
**Description:**The medication is no longer being manufactured or is otherwise no longer available....
INEFFECTineffective
**Description:**The therapy has been found to not have the desired therapeutic benefit on the patien...
MONITresponse to monitoring
**Description:**Monitoring the patient while taking the medication, the decision has been made that ...
NOREQno longer required for treatment
**Description:**The underlying condition has been resolved or has evolved such that a different trea...
NOTCOVERnot covered
**Description:**The product does not have (or no longer has) coverage under the patientaTMs insuranc...
PREFUSpatient refuse
**Description:**The patient refused to take the product....
RECALLproduct recalled
**Description:**The manufacturer or other agency has requested that stocks of a medication be remove...
REPLACEchange in order
**Description:**Item in current order is no longer in use as requested and a new one has/will be cre...
REPLACEFIXerror in order
**Description:**Current order was issued with incorrect data and a new order has/will be created to ...
UNABLEunable to use
**Description:**<The patient is not (or is no longer) able to use the medication in a manner prescri...
HOLDDONEsuspend reason no longer applies
**Definition:**The original reason for suspending the medication has ended....
HOLDINAPsuspend reason inappropriate
**Definition:**...
ADMINERRORadministrative error in order
Order was created with incorrect data and is changed to reflect the intended accuracy of the order....
CLINMODclinical modification
Order is changed based on a clinical reason....
ADMREVadministrative review
**Definition:** To evaluate for service authorization, payment, reporting, or performance/outcome me...
LEGALsubpoena
**Definition:**To provide information as a result of a subpoena....
PATCARpatient care
**Definition:**To obtain records as part of patient care....
PATREQpatient request query
**Definition:**Patient requests information from their profile....
PRCREVpractice review
**Definition:**To evaluate the provider's current practice for professional-improvement reasons....
REGULregulatory review
**Description:**Review for the purpose of regulatory compliance....
RSRCHresearch
**Definition:**To provide research data, as authorized by the patient....
VALIDATIONvalidation review
**Description:**To validate the patient's record.\r\n\r\n**Example:**Merging or unmerging records....
CONTRAcontraindication
**Definition:**Contraindication identified...
FOABORTorder aborted
**Definition:**Order to be fulfilled was aborted...
FOSUSPorder suspended
**Definition:**Order to be fulfilled was suspended...
NOPICKnot picked up
**Definition:**Patient did not come to get medication...
PATDECpatient changed mind
**Definition:**Patient changed their mind regarding obtaining medication...
QUANTCHGchange supply quantity
**Definition:**Patient requested a revised quantity of medication...
FLRSTCKfloor stock
**Definition:**The bulk supply is issued to replenish a ward for local dispensing. (Includes both mo...
LTClong term care use
**Definition:**The bulk supply will be administered within a long term care facility....
OFFICEoffice use
**Definition:**The bulk supply is intended for general clinician office use....
PHARMpharmacy transfer
**Definition:**The bulk supply is being transferred to another dispensing facility to.\r\n\r\n**Exam...
PROGprogram use
**Definition:**The bulk supply is intended for dispensing according to a specific program.\r\n\r\n**...
LOCKEDlocked
**Definition:**The prescription may not be reassigned from the original pharmacy....
NOUSERPERMno user permission
**Definition:**The user does not have permission...
UNKWNTARGETunknown target
**Definition:**The target facility does not recognize the dispensing facility....
ALREADYRXnew prescription exists
**Definition:**Patient has already been given a new (renewal) prescription....
FAMPHYSfamily physician must authorize further fills
**Definition:**Request for further authorization must be done through patient's family physician....
MODIFYmodified prescription exists
**Definition:**Therapy has been changed and new prescription issued...
NEEDAPMTpatient must make appointment
**Definition:**Patient must see prescriber prior to further fills....
NOTAVAILprescriber not available
**Definition:**Original prescriber is no longer available to prescribe and no other prescriber has t...
NOTPATpatient no longer in this practice
**Definition:**Patient no longer or has never been under this prescribers care....
ONHOLDmedication on hold
**Definition:**This medication is on hold....
PRNAproduct not available
**Description:**This product is not available or manufactured....
STOPMEDprescriber stopped medication for patient
Renewing or original prescriber informed patient to stop using the medication....
TOOEARLYtoo early
**Definition:**The patient should have medication remaining....
BLKUnexpected Block (of Schedule)
The time slots previously allocated are now blocked and no longer available for booking Appointments...
DECPatient Deceased
The Patient is deceased...
FINNo Financial Backing
Patient unable to pay and not covered by insurance...
MEDMedical Status Altered
The medical condition of the Patient has changed...
MTGIn an outside meeting
The Physician is in a meeting. For example, he/she may request administrative time to talk to family...
PHYPhysician request
The Physician requested the action...
FILLEDfully filled
Ordered quantity has already been completely fulfilled....
PATINELIGpatient not eligible
**Definition:**Patient not eligible for drug...
PROTUNMETprotocol not met
**Definition:**Patient does not meet required protocol...
PROVUNAUTHprovider not authorized
**Definition:**Provider is not authorized to prescribe or dispense...
ALGINTallergy intolerance
**Definition:** Patient has had a prior allergic intolerance response to alternate product or one of...
COMPCONcompliance concern
**Definition:** Patient has compliance issues with medication such as differing appearance, flavor, ...
THERCHARtherapeutic characteristics
The prescribed product has specific clinical release or other therapeutic characteristics not shared...
TRIALclinical trial drug
**Definition:** The specific manufactured drug is part of a clinical trial....
CTcontinuing therapy
Indicates that the decision to substitute or to not substitute was driven by a desire to maintain co...
FPformulary policy
Indicates that the decision to substitute or to not substitute was driven by a policy expressed with...
OSout of stock
In the case of 'substitution', indicates that the substitution occurred because the ordered item was...
RRregulatory requirement
Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regula...
IMPROVcondition improved
**Definition:**The patient's medical condition has nearly abated....
INTOLintolerance
**Description:**The patient has an intolerance to the medication....
NEWSTRnew strength
**Definition:**The current medication will be replaced by a new strength of the same medication....
NEWTHERnew therapy
**Definition:**A new therapy will be commenced when current supply exhausted....
ERError
Moved to an error in placing the patient in the original location....
RQRequest
Moved at the request of the patient....
COLDCHNBRKcold chain break
**Description:** Cold chain was not maintained for the substance....
CLINTRCHNPCclinical trial research without patient care
To perform one or more operations on information for conducting scientific investigations in accorda...
CLINTRCHPCclinical trial research with patient care
To perform one or more operations on information for conducting scientific investigations with patie...
PRECLINTRCHpreclinical trial research
To perform one or more operations on information in preparation for conducting scientific investigat...
ELIGDTRMeligibility determination
To perform one or more operations on information used for conducting eligibility determination for c...
ELIGVEReligibility verification
To perform one or more operations on information used for conducting eligibility verification of cov...
ENROLLMenrollment
To perform one or more operations on information used for enrolling a covered party in a program or ...
MILDCRGmilitary discharge
To perform one or more operations on information for the process of releasing military personnel fro...
BTGbreak the glass
To perform policy override operations on information for provision of immediately needed health care...
ERTREATemergency room treatment
To perform one or more operations on information for provision of immediately needed health care for...
CAREMGTcare management
To perform analytics, evaluation and other secondary uses of treatment and healthcare related inform...
DONATdonation
To perform one or more operations on information used for cadaveric organ, eye or tissue donation....
FRAUDfraud
To perform one or more operations on information used for fraud detection and prevention processes....
GOVgovernment
To perform one or more operations on information used within government processes....
HACCREDhealth accreditation
To perform one or more operations on information for conducting activities related to meeting accred...
HCOMPLhealth compliance
To perform one or more operations on information used for conducting activities required to meet a m...
HDECDdecedent
To perform one or more operations on information used for handling deceased patient matters....
HDIRECTdirectory
To perform one or more operation operations on information used to manage a patient directory.\r\n\r...
HDMhealthcare delivery management
To perform one or more actions on information used for conducting administrative and contractual act...
HLEGALlegal
To perform one or more operations on information for conducting activities required by legal proceed...
HOUTCOMShealth outcome measure
To perform one or more operations on information used for assessing results and comparative effectiv...
HPRGRPhealth program reporting
To perform one or more operations on information used for conducting activities to meet program acco...
HQUALIMPhealth quality improvement
To perform one or more operations on information used for conducting administrative activities to im...
HSYSADMINhealth system administration
To perform one or more operations on information to administer the electronic systems used for the d...
MEMADMINmember administration
To perform one or more operations on information to administer health care coverage to an enrollee u...
MILCDMmilitary command
To perform one or more operations on information for conducting activities required by military proc...
PATADMINpatient administration
To perform one or more operations on information used for operational activities conducted to admini...
PATSFTYpatient safety
To perform one or more operations on information in processes related to ensuring the safety of heal...
PERFMSRperformance measure
To perform one or more operations on information used for monitoring performance of recommended heal...
RECORDMGTrecords management
To perform one or more operations on information used within the health records management process....
SYSDEVsystem development
To perform one or more operations on information to design, develop, implement, test, or deploy a he...
TRAINtraining
To perform one or more operations on information used in training and education....
MLTRAININGmachine learning training
To perform one or more operations on information used in training a machine learning (AI) model....
CLMATTCHclaim attachment
To perform one or more operations on information for provision of additional clinical evidence in su...
COVAUTHcoverage authorization
To perform one or more operations on information for conducting prior authorization or predeterminat...
COVERAGEcoverage under policy or program
To perform one or more operations on information for conducting activities related to coverage under...
REMITADVremittance advice
To perform one or more operations on information about the amount remitted for a health care claim....
PMTDSdecision support assisted payment decision
To apply algorithms (e.g. AI, CDS) to perform one or more operations on information to arrive at dec...
BIORCHbiomedical research
To perform one or more operations on information for conducting scientific investigations to obtain ...
CLINTRCHclinical trial research
To perform one or more operations on information for conducting scientific investigations in accorda...
DSRCHdisease specific healthcare research
To perform one or more operations on information for conducting scientific investigations to obtain ...
POARCHpopulation origins or ancestry healthcare research
To perform one or more operations on information, including genealogical pedigrees, historical recor...
TRANSRCHtranslational healthcare research
To perform one or more operations on information for conducting scientific investigations to obtain ...
LABELINGlabeling
To perform one or more operations on information to assign, persist, and manage labels to healthcare...
METAMGTmetadata management
To perform one or more operations on information to assign, persist, and manage metadata to healthca...
NOPRODMTCHno product match
**Description:** There is no match for the product in the master file repository....
NOSERMTCHno service match
**Description:** There is no match for the service in the master file repository....
NOVERMTCHno version match
**Description:** There is no match for the record and version....
NOAGNTPERMno agent permission
**Description:** The agent does not have permission....
NOUSRPERMno user permission
**Description:** The user does not have permission....
ACCREDaccreditation
**Description:**Operational activities conducted for the purposes of meeting of criteria defined by ...
COMPLcompliance
**Description:**Operational activities required to meet a mandate related to an activity, product, o...
ENADMINentity administration
**Description:**Operational activities conducted to administer information relating to entities invo...
OUTCOMSoutcome measure
**Description:**Operational activities conducted for the purposes of assessing the results of an act...
PRGRPTprogram reporting
**Description:**Operational activities conducted to meet program accounting requirements related to ...
QUALIMPquality improvement
**Description:**Operational activities conducted for the purposes of improving the quality of an act...
SYSADMNsystem administration
**Description:**Operational activities conducted to administer the electronic systems used for an ac...
FAMRQTfamily requested
To perform one or more operations on information in response to a request by a family member authori...
PWATRNYpower of attorney
To perform one or more operations on information in response to a request by a person appointed as t...
SUPNWKsupport network
To perform one or more operations on information in response to a request by a person authorized by ...
DISASTERdisaster
To perform one or more operations on information used for provision of immediately needed health car...
THREATthreat
To perform one or more operations on information used to prevent injury or disease to living subject...
HMARKThealthcare marketing
To perform one or more operations on information for marketing services and products related to heal...
HOPERAThealthcare operations
To perform one or more operations on information used for conducting administrative and contractual ...
HPAYMThealthcare payment
To perform one or more operations on information for conducting financial or contractual activities ...
HRESCHhealthcare research
To perform one or more operations on information for conducting scientific investigations to obtain ...
PATRQTpatient requested
To perform one or more operations on information in response to a patient's request....
PUBHLTHpublic health
To perform one or more operations on information for conducting public health activities, such as th...
TREATtreatment
To perform one or more operations on information for provision of health care....
DOSECHGchange in medication/dose
**Description:**The medication is being re-prescribed at a different dosage....
HTESTtest health data
To perform one or more operations on information that is simulated or synthetic health data used for...
CLINTRLclinical trial
To perform health care as part of the clinical trial protocol....
COCcoordination of care
To perform one or more actions on information in order to organize the provision and case management...
ETREATEmergency Treatment
To perform one or more operations on information for provision of immediately needed health care for...
POPHLTHpopulation health
To perform one or more operations on information for provision of health care to a population of liv...
TREATDSdecision support assisted treatment decision
To apply algorithms (e.g. AI, CDS) to perform one or more operations on information to arrive at dec...