Enum V3ActCode

java.lang.Object
java.lang.Enum<V3ActCode>
org.hl7.fhir.dstu3.model.codesystems.V3ActCode
All Implemented Interfaces:
Serializable, Comparable<V3ActCode>

public enum V3ActCode extends Enum<V3ActCode>
  • Enum Constant Summary

    Enum Constants
    Enum Constant
    Description
    Confirmed drug therapy appropriate
    Provided education or training to the patient on appropriate therapy use
    Instituted an additional therapy to mitigate potential negative effects
    Suspended existing therapy that triggered interaction for the duration of this therapy
    Aborted existing therapy that triggered interaction.
    Confirmed supply action appropriate
    Patient's existing supply was lost/wasted
    Supply date is due to patient vacation
    Supply date is intended to carry patient over weekend
    Supply is intended for use during a leave of absence from an institution.
    Consulted other supplier/pharmacy, therapy confirmed
    Assessed patient, therapy is appropriate
    Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
    Description: Indicates that the permissions have been externally verified and the request should be processed.
    Definition:Estimated age.
    Definition:Reported age.
    Description: The patient has the appropriate indication or diagnosis for the action to be taken.
    Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
    Definition:Calculated age.
    Patient gave adequate explanation
    Definition:General specification of age with no implied method of determination.
    Definition:Age at onset of associated adverse event; no implied method of determination.
    Consulted other supply source, therapy still appropriate
    42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program.
    Consulted prescriber, therapy confirmed
    Consulted prescriber and recommended change, prescriber declined
    Concurrent therapy triggering alert is no longer on-going or planned
    Order is performed as issued, but other action taken to mitigate potential adverse effects
    Arranged to monitor patient for adverse effects
    An account represents a grouping of financial transactions that are tracked and reported together with a single balance.
    Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
    Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
    Actions to be carried out by the recipient of the Adjudication Result information.
    ActAdministrativeAuthorizationDetectedIssueCode
    Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
    Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
    ActAdministrativeRuleDetectedIssueCode
    Definition:An identifying modifier code for healthcare interventions or procedures.
    Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.
    The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
    Type of bounded ROI.
    Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
    Description: Coded types of attachments included to support a healthcare claim.
    Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.
    Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
    Constrains the ActCode to the domain of Container Registration
    An observation form that determines parameters or attributes of an Act.
    Indication of authorization for healthcare service(s) and/or product(s).
    Response to an insurance coverage eligibility query or authorization request.
    Indication of eligibility coverage for healthcare service(s) and/or product(s).
    Criteria that are applicable to the authorized coverage.
    Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
    Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
    Codes representing the types of covered parties that may receive covered benefits under a policy or program.
    Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e.
    Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
    Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.
    Codes dealing with the management of Detected Issue observations
    Accommodation type.
    Domain provides codes that qualify the ActEncounterClass (ENC)
    Concepts that identify the type or nature of exposure interaction.
    ActFinancialTransactionCode
    Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties.
    Set of codes indicating the type of incident or accident.
    Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.
    Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.
    Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
    Types of sensitivity policies that apply to Acts.
    Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
    Definition: Set of codes indicating the type of insurance policy.
    Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA).
    Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
    Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA).
    An identifying data string for healthcare products.
    An identifying data string for healthcare procedures.
    Codes representing a service or product that is being invoiced (billed).
    An identifying data string for A substance used as a medication or in the preparation of medication.
    The billable item codes to identify adjudicator specified components to the total billing of a claim.
    The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
    The billable item codes to identify modifications to a billable item charge.
    The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
    An identifying data string for medical facility accommodations.
    The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount.
    Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
    Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA).
    Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
    Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
    Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
    Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
    Provides codes associated with ActClass value of LIST (working list)
    General category of medical service provided to the patient during their encounter.
    Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists.
    Identifies types of monitoring programs
    Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
    ActObservationList
    Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.
    Description:Provides a categorization for annotations recorded directly against the patient .
    Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.
    Code identifying the method or the movement of payment instructions.
    Identifies types of dispensing events
    Description:Types of policies that further specify the ActClassPolicy value set.
    A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on: The activity of a governed party The behavior of a governed party The manner in which an act is executed by a governed party
    A policy deeming certain information to be private to an individual or organization.
    An identifying code for healthcare interventions/procedures.
    The method that a product is obtained for use by the subject of the supply act (e.g.
    Definition: A set of codes used to indicate coverage under a program.
    Transportation of a specimen.
    Set of codes related to specimen treatments
    Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
    Description: Describes the type of substance administration being performed.
    Identifies types of detected issues regarding the administration or supply of an item to a patient.
    Description: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).
    Codes used to identify different types of 'duration-based' working lists.
    Characterizes how a transportation act was or will be carried out.
    Definition: A jurisdictional mandate in the U.S.
    Administration of the proposed therapy may be inappropriate or contraindicated as proposed
    AnnotationType
    AppropriatenessDetectedIssueCode
    Authorization Issue Management Code
    Code for the mechanism by which disease was acquired by the living subject involved in the public health case.
    ECGObservationSeriesType
    Types of sensitivity policies that may apply to a sensitive attribute on an Entity.
    FDA label data
    Description: None provided
    Description:Accommodation type.
    Domain provides the root for HL7-defined detailed or rich codes for the Act classes.
    Description: Observation codes which describe characteristics of the immunization material.
    A code that is used to indicate the type of case safety report received from sender.
    A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability.
    InteractionDetectedIssueCode
    Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
    Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
    Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period.
    Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
    MedicationObservationType
    Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection.
    Codes used to define various metadata aspects of a health quality measure.
    ObservationSequenceType
    ObservationSeriesType
    Identifies the kinds of observations that can be performed
    Description: Reporting codes that are related to an immunization event.
    Observation types for specifying criteria used to assert that a subject is included in a particular population.
    Types of observations that can be made about Preferences.
    Shape of the region on the object being referenced
    Types of sensitivity policies that apply to Roles.
    Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
    Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
    The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.
    Description: Provide consent to collect, use, disclose, or access all information for a patient.
    Description: Provide consent to collect, use, disclose, or access allergy information for a patient.
    Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.
    An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.
    Description: Provide consent to collect, use, disclose, or access demographics information for a patient.
    Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.
    Automated Clearing House (ACH).
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    The lowering of specimen pH through the addition of an acid
    Description: Provide consent to collect, use, disclose, or access immunization information for a patient.
    Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.
    Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.
    Definition: Provide consent to view or access medical condition information for a patient.
    Description:Provide consent to collect, use, disclose, or access mental health information for a patient.
    Description: Provide consent to collect, use, disclose, or access common observation information for a patient.
    Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.
    Description: Provide consent to collect, use, disclose, or access provider information for a patient.
    Description: Provide consent to collect, use, disclose, or access professional service information for a patient.
    Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.
    A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions.
    Definition:A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.
    An acute inpatient encounter.
    Proposed therapy is outside of the standard practice for an adult patient.
    Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g.
    Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
    Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
    Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
    Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
    Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
    Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
    Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents.
    American Express
    pedestrian transport
    Premium paid on service fees in compensation for practicing outside of normal working hours.
    Proposed therapy may be inappropriate or contraindicated due to patient age
    Indicates that the observation is carrying out an aggregation calculation, contained in the value element.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
    Provision of Alternate Level of Care to a patient in an acute bed.
    Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g.
    Hypersensitivity to an agent caused by an immunologic response to an initial exposure
    Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product.
    The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
    Description: All patient information.
    Definition:The requested action has already been performed and so this request has no effect
    Description: A person enters a known allergy for a given patient.
    Description: A person reviews a list of known allergies of a given patient.
    Definition:All information pertaining to a patient's allergy and intolerance records.
    Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
    Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    A comprehensive term for health care provided in a healthcare facility (e.g.
    fixed-wing ambulance transport
    ground ambulance transport
    helicopter ambulance transport
    ambulance transport
    Communication of an agent from one animal to another proximate animal.
    The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.
    Communication of an agent from an animal to a proximate person.
    Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.
    Description:A general or uncategorized note.
    A note that is specific to a patient's immunizations, either historical, current or planned.
    Description:A note that is specific to a patient's laboratory results, either historical, current or planned.
    Description:A note that is specific to a patient's medications, either historical, current or planned.
    Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.
    Custodian system must remove any information that could result in identifying the information subject.
    Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual‚??s protected health information over a period of time.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.
    Description: All information pertaining to a patient's adverse drug reactions.
    Describes the artificial blood identifier that is associated with the specimen.
    The invoice element was/will be paid exactly as submitted, without financial adjustment(s).
    Description:Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code.
    Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.
    Custodian system must monitor and maintain retrievable log for each user and operation on information.
    Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
    Specifies whether or not automatic repeat testing is to be initiated on specimens.
    Description: Automobile Information Attachment
    The dilution of a sample performed by automated equipment.
    The dilution of a sample performed by automated equipment.
    Insurance policy for injuries sustained in an automobile accident.
    The available quantity of specimen.
    Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality.
    Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
    Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.
    A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time.
    Bonus payments based on performance, volume, etc.
    An additional immunization administration within a series intended to bolster or enhance immunity.
    A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
    Description:A local business rule relating multiple elements has been violated.
    Description:Indicates that result data has been corrected.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
    Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages.
    A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Provision of diagnosis and treatment of diseases and disorders affecting the heart
    List of acts representing a care plan.
    Definition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.
    Cash
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.
    Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
    Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    A written order to a bank to pay the amount specified from funds on deposit.
    Description: Exposure participants' interaction occurred in a child care setting
    Provision of recurring care for chronic illness.
    A type of transaction that represents a charge for a service or product.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Definition:A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    A circle defined by two (column,row) pairs.
    A clinician enters a clinical note about a given patient
    A person reviews a clinical note of a given patient.
    Description: The class room associated with the patient during the immunization event.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:.
    Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.
    An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
    Description:The specified code has been deprecated and should no longer be used.
    Description:The specified code is not valid against the list of codes allowed for the element.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    That portion of the eligible charges which a covered party must pay for each service and/or product.
    The covered party pays a percentage of the cost of covered services.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    U.S.
    There may be an issue with the patient complying with the intentions of the proposed therapy
    This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
    List of condition observations.
    The quantity of specimen that is used each time the equipment uses this substance
    Transaction counts and value totals by Contract Identifier.
    A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.
    Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g.
    null
    That portion of the eligible charges which a covered party must pay for each service and/or product.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Identifies the organization(s) who own the intellectual property represented by the eMeasure.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Insurance coverage problems have been encountered.
    Definition: Codes representing the maximum coverate or financial participation requirements.
    Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service.
    Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).
    Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
    Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
    Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
    Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
    Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
    Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced.
    A grouping of invoice element details including the one specifying an ingredient drug being invoiced.
    A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.
    Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.
    A clinical judgment as to the worst case result of a future exposure (including substance administration).
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    A clinical Invoice Grouping consisting of one or more services and one or more product.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
    An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    List of current medications.
    The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
    An allergy to a pharmaceutical product.
    Transaction counts and value totals for each calendar day within the date range specified.
    Electronic Funds Transfer (EFT) deposit into the payee's bank account
    Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information.
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    That portion of the eligible charges which a covered party must pay in a particular period (e.g.
    Description of individual terms, provided as needed.
    The removal of fibrin from whole blood or plasma through physical or chemical means
    Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
    Custodian system must remove target information from access after use.
    Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality.
    Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
    Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met.
    Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met.
    Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
    Definition: A health insurance policy that that covers benefits for dental services.
    Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.
    Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
    A fill providing sufficient supply for one day
    Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality.
    A clinician enters a diagnosis for a given patient.
    A person reviews a list of diagnoses of a given patient.
    Definition:All information pertaining to a patient's diagnostic image records (orders & results).
    Code set to define specialized/allowed diets
    An observation that reports the dilution of a sample.
    Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
    Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.
    Disclaimer information for the eMeasure.
    A person provides a discharge instruction to a patient.
    A clinician enters a discharge summary for a given patient.
    A person reviews a discharge summary of a given patient.
    List of discharge medications.
    Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
    Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.
    Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease.
    The adjudication result associated is to be displayed to the receiver of the adjudication result.
    A diet that uses carbohydrates sparingly.
    Diner's Club
    Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    Provision of treatment for oral health and/or dental surgery.
    Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject.
    Description: Document Attachment
    Proposed dosage instructions for therapy differ from standard practice.
    Description:Proposed dosage is inappropriate due to patient's medical condition.
    Proposed length of therapy differs from standard practice.
    Proposed length of therapy is longer than standard practice
    Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
    Proposed length of therapy is shorter than that necessary for therapeutic effect
    Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
    Proposed dosage exceeds standard practice
    High Dose for Indication Alert
    Proposed dosage exceeds standard practice for the patient's age
    Proposed dosage exceeds standard practice for the patient's height or body surface area
    Proposed dosage exceeds standard practice for the patient's weight
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    Proposed dosage interval/timing differs from standard practice
    Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
    Proposed dosage is below suggested therapeutic levels
    Low Dose for Indication Alert
    Proposed dosage is below suggested therapeutic levels for the patient's age
    Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
    Proposed dosage is below suggested therapeutic levels for the patient's weight
    Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information.
    Proposed therapy may interact with an existing or recent drug therapy
    Policy for handling information related to a drug, which will be afforded heightened confidentiality.
    Provision of treatment for drug abuse.
    Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information.
    The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
    A grouping of invoice element details including the one specifying the drug being invoiced.
    Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
    Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.
    A reduction in the amount charged as a percentage of the amount.
    Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
    Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.
    The proposed therapy appears to duplicate an existing therapy
    Discover Card
    Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
    An allergy to a substance other than a drug or a food.
    Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives.
    Fees deducted on behalf of a payee for tuition and continuing education.
    Electronic form with supporting or additional information to follow.
    Private insurance policy that provides coverage in addition to other policies (e.g.
    Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
    Insurance coverage is in effect for healthcare service(s) and/or product(s).
    An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.
    A supply action where there is no 'valid' order for the supplied medication.
    Used to temporarily override normal authorization rules to gain access to data in a case of emergency.
    A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
    Policy for handling information related to an employee, which will be afforded heightened confidentiality.
    Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality.
    This general consent directive specifically limits disclosure of health information for purpose of emergency treatment.
    Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext.
    Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
    Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
    Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.
    A baseline value for the measured test that is inherently contained in the diluent.
    Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
    Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.
    Communication of an agent from an environmental surface or source to a living subject by direct contact.
    Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e.
    A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
    Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality.
    Domain provides codes that qualify the ActLabObsEnvfctsCode domain.
    Definition: An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families.
    Description:Indicates that a result is complete.
    An allergy to a substance generally consumed for nutritional purposes.
    A person reviews a Falls Risk Assessment Instrument report of a given patient.
    No enteral intake of foot or liquids whatsoever, no smoking.
    Fax with supporting or additional information to follow.
    Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g.
    FDA label coating
    FDA label color
    FDA label imprint code
    FDA label logo
    FDA label scoring
    FDA label shape
    FDA label size
    Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.
    The initial fill against an order.
    A first fill where the quantity supplied is equal to one full repetition of the ordered amount.
    A first fill where the quantity supplied is equal to one full repetition of the ordered amount.
    A first fill where the quantity supplied is less than one full repetition of the ordered amount.
    A first fill where the quantity supplied is less than one full repetition of the ordered amount.
    A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.
    A first fill where the strength supplied is less than the ordered strength.
    Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time.
    The Fibrin Index of the specimen.
    The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
    The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.
    A billing arrangement where a Provider charges for non-clinical items.
    Invoice Grouping without clinical justification.
    Hypersensitivity resulting in an adverse reaction upon exposure to food.
    A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence.
    Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan.
    Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    Anticipated or actual final fee associated with treating a patient.
    Communication of an agent from an non-living material to a living subject through direct contact.
    Proposed therapy may interact with certain foods
    Communication of an agent from a food source to a living subject via oral consumption.
    The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
    Description:The element does not follow the formatting or type rules defined for the field.
    A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.
    A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
    Description:The request is suspected to have a fraudulent basis.
    Anticipated or actual initial fee associated with treating a patient.
    A supply action to restock a smaller more local dispensary.
    Federal tax on transactions such as the Goods and Services Tax (GST)
    Definition:The therapy being performed is in some way out of alignment with the requested therapy.
    Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g.
    Policy for handling genetic disease information, which will be afforded heightened confidentiality.
    Proposed therapy is outside of standard practice for a geriatric patient.
    Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
    Proposed therapy may be inappropriate or contraindicated due to patient gender.
    Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality.
    Description: A DNA segment that contributes to phenotype/function.
    General care performed by a general practitioner or family doctor as a responsible provider for a patient.
    Gluten free diet for celiac disease.
    The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.
    Description: Accuracy determined as per the GIS tier code system.
    List of observations in goal mood.
    Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status.
    Description: The school grade or level the patient was in when immunized.
    A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.
    Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
    Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.
    Description:HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.
    Description: Health Record Attachment
    Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
    An observation of the hemolysis index of the specimen in g/L
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    Healthcare encounter that takes place in the residence of the patient or a designee
    Indicates that the observation is of a person?s living situation in a household including the household composition and circumstances.
    Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care.
    The U.S.
    The U.S.
    Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan.
    Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition.
    Historical list of medications.
    Description: While the record was accepted in the repository, there is a more recent version of a record of this type.
    Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality.
    Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria.
    Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g.
    Definition: A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas.
    Description: Exposure interaction occurred in context of one providing care for the other, i.e.
    Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
    Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
    Description: Exposure interaction occurred in context of domestic interaction, i.e.
    A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.
    Insurance policy that provides for an allotment of funds replenished on a periodic (e.g.
    Joint Federal/Provincial Sales Tax
    Custodian system must require human review and approval for permission requested.
    Communication of an agent from a person to a proximate person.
    Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
    Definition: Consent to have healthcare information collected in an electronic health record.
    An observation that describes the icterus index of the specimen.
    Used by one system to inform another that it has received a container.
    Definition: Consent to have collected healthcare information disclosed.
    Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).
    Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
    Description: Image Attachment
    Description: A person enters an immunization due or received for a given patient.
    Description: A person reviews a list of immunizations due or received for a given patient.
    Definition:All information pertaining to a patient's vaccination records.
    The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
    A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
    A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.
    A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.
    Definition: Services provided directly and through contracted and operated indigenous peoples health programs.
    Description:Contrast agent required for imaging study.
    Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
    Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
    Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
    Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.
    Communication of an agent to a living subject via an undetermined route.
    Definition: Consent to access healthcare information.
    Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way.
    Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
    Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.
    Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.
    Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.
    Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice.
    Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice.
    Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice.
    Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice.
    The initial quantity of the specimen in inventory
    The first immunization administration in a series intended to produce immunity
    Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
    Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product.
    Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
    Definition:The therapy action is being performed outside the bounds of the time period requested
    An observation that relates to factors that may potentially cause interference with the observation
    Description: Exposure interaction was intimate, i.e.
    List of intolerance observations.
    Definition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated
    Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
    Transaction counts and value totals by invoice type (e.g.
    Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
    Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
    Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
    Definition: Information re-disclosed without the patient's consent.
    Premium paid on service fees in compensation for practicing in a remote location.
    There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.
    Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)
    A significant word that aids in discoverability.
    The ID of the patient, order, etc., was not found.
    The ID of the patient, order, etc., already exists.
    Description: Metadata associated with the identification (e.g.
    Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.
    Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.
    Used by one system to inform another that the container has been released from that system.
    Proposed therapy may be inappropriate or contraindicated due to recent lab test results
    Description: All information pertaining to a patient's lab test records (orders & results)
    Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information.
    A clinician creates a request for a laboratory test to be done for a given patient.
    Description: Lab Results Attachment
    A person reviews a list of laboratory results of a given patient.
    Proposed therapy may be inappropriate or contraindicated when breast-feeding
    Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
    Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing.
    law enforcement transport
    LDL Precipitation
    Description:The length of the data specified is greater than the maximum length defined for the element.
    Description:The length of the data specified falls out of the range defined for the element.
    Description:The length of the data specified is less than the minimum length defined for the element.
    A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
    A diet low in fat, particularly to patients with hepatic diseases.
    Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
    Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.
    Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death.
    An observation used to describe the Lipemia Index of the specimen.
    Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality.
    Temporary supply of a product without transfer of ownership for the product.
    Transaction counts and value totals by service location (e.g clinic).
    Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality.
    A low protein diet for patients with renal failure.
    A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber.
    A diet low in sodium for patients with congestive heart failure and/or renal failure.
    Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves.
    Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).
    Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
    Used by one system to inform another that the container did not arrive at its next expected location.
    mandatory health program
    Manual review of the invoice is requested.
    An increase in the amount charged as a percentage of the amount.
    Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality.
    A clinician reviews a work list of medications to be administered to a given patient.
    Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext.
    Description:The number of repeating elements is above the maximum number of repetitions allowed.
    Master Card
    Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment.
    Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.
    Provision of diagnostic and/or therapeutic treatment.
    Definition:All information pertaining to a patient's medical condition records.
    List of medications.
    A clinician creates a request for the administration of one or more medications to a given patient.
    The end date of the measurement period.
    Description: All information pertaining to a patient's mental health records.
    Definition: A health insurance policy that covers benefits for mental health services and prescriptions.
    Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria.
    A person reviews organisms of microbiology results of a given patient.
    A person reviews a list of microbiology results of a given patient.
    A person reviews the sensitivity test of microbiology results of a given patient.
    Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents.
    Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use.
    Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
    Description:The number of repeating elements is below the minimum number of repetitions allowed.
    A charge to compensate the provider when a patient does not show for an appointment.
    Description:The specified element must be specified with a non-null value under certain conditions.
    Description:The specified element is mandatory and was not included in the instance.
    A person reviews a list of medication orders submitted to a given patient
    Description: Digital Model Attachment
    Transaction counts and value totals for each calendar month within the date range specified.
    A supply of a manufacturer sample
    The start date of the measurement period.
    The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers.
    Describes how to combine information calculated based on logic in each of several populations into one summarized result.
    Information on whether an increase or decrease in score is the preferred result.
    The list of jurisdiction(s) for which the measure applies.
    Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period).
    Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population.
    Type of person or organization that is expected to report the issue.
    The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.
    Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)
    Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).
    health quality measure topic type
    The time period for which the eMeasure applies.
    Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).
    Incident or accident as the result of a motor vehicle accident
    A normal diet, i.e.
    Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    The requesting party has insufficient authorization to invoke the interaction.
    Authorization for specified healthcare service(s) and/or product(s) denied.
    Insurance coverage is not in effect for healthcare service(s) and/or product(s).
    Maximum net amount that will be covered for the product or service specified.
    The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
    A no fat diet for acute hepatic diseases.
    Proposed therapy may interact with existing or recent natural health product therapy
    Prohibition on disclosure without information subject's authorization.
    Prohibition on collection or storage of the information.
    No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.
    Prohibition on disclosure without organizational approved patient restriction.
    Prohibition on disclosure without a consent directive from the information subject.
    Description:More than one element with the same value exists in the set.
    The type of injury that the injury coding specifies.
    Prohibition on Integration into other records.
    Prohibition on disclosure except to entities on specific access list.
    Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
    Non-Payment Data.
    Any category of inpatient encounter except 'acute'
    Proposed therapy may interact with a non-prescription drug (e.g.
    Prohibition on disclosure without organizational authorization.
    Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.
    Description: Element in submitted message will not persist in data storage based on detected issue.
    Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
    Acknowledgement of custodian notice of privacy practices.
    Prohibition on redisclosure without patient consent directive.
    Prohibition on redisclosure without a consent directive from the information subject.
    Prohibition on disclosure without authorization under jurisdictional law.
    Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.
    Prohibition on use of the information beyond the purpose of use initially authorized.
    Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.
    Definition:The status of the request being fulfilled has changed such that it is no longer actionable.
    Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
    Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
    Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
    Prohibition on disclosure except to principals with access permission to specific VIP information.
    added to help the parsers
    Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
    Criteria for specifying instances that should not be included in the numerator data.
    Used by one system to inform another that the specific container is being processed by the equipment.
    Conveys the mandated workflow action that an information custodian, receiver, or user must perform.
    Provision of care of women during pregnancy, childbirth and immediate postpartum period.
    Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
    Description: Indicates the valid antigen count.
    Description: Indicates whether an antigen is valid or invalid.
    Description: One or more records in the query response have a status of 'obsolete'.
    A clinician creates a request for a service to be performed for a given patient.
    A clinical Invoice Grouping consisting of one or more oral health services.
    Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
    Provision of treatment and/or diagnosis related to tumors and/or cancer.
    Definition:A list of medications which the patient is intended to be administered only once.
    The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
    Premium paid on service fees in compensation for practicing at a location other than normal working location.
    A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.
    A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.
    A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.
    A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.
    Prohibition on disclosure except as permitted by the information originator.
    A person reviews a list of orders submitted to a given patient.
    The service provided is required for orthodontic purposes.
    Medicines designated in this way may be supplied for patient use without a prescription.
    Accommodations in which there is only 1 bed.
    Phenylketonuria diet.
    HealthCare facility preferred accommodation invoice.
    Provision of care for patients who are living or dying from an advanced illness.
    Paper documentation (or other physical format) with supporting or additional information to follow.
    Patient is supplied with parenteral nutrition, typically described in terms of i.v.
    Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.
    Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.
    A person enters documentation about a given patient.
    A person provides a patient-specific education handout to a patient.
    A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
    Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
    Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
    A pathologist enters a report for a given patient.
    A person reviews a pathology report of a given patient.
    The guarantor, who may be the patient, pays the entire charge for a service.
    Transaction counts and value totals by each instance of an invoice payee.
    Transaction counts and value totals by each instance of an invoice payor.
    An account representing charges and credits (financial transactions) for a patient's encounter.
    Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
    Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g.
    Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g.
    Policy for handling information reported by the patient about another person, e.g., a family member, which will be afforded heightened confidentiality.
    Proposed therapy is outside of the standard practice for a pediatric patient.
    Provision of diagnosis and treatment of diseases and disorders affecting children.
    Anticipated or actual periodic fee associated with treating a patient.
    Transaction counts and value totals for the date range specified.
    The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale.
    Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information.
    Pharmaceutical care performed by a pharmacist.
    Provision of treatment for physical injury.
    Public Insurance has been exhausted.
    Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
    Description: An interaction where the exposure participants were both present in the same location/place/space.
    Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.
    A similar or identical therapy was recently ordered by a different practitioner.
    This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
    Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects.
    A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
    A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.
    Definition: A policy for a health plan that has features of both an HMO and a FFS plan.
    Definition: A network-based, managed care plan that allows a covered party to choose any health care provider.
    An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
    null
    A grouping of invoice element details including the one specifying the product (good or supply) being invoiced.
    Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.
    The dilution of the specimen made prior to being loaded onto analytical equipment
    An observation about how important a preference is to the target of the preference.
    Proposed therapy may be inappropriate or contraindicated during pregnancy
    A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number.
    Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
    Custodian must create and/or maintain human readable security label tags as required by policy.
    Description:Indicates that a result is incomplete.
    Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.
    Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
    List of problem observations.
    A clinician enters a problem for a given patient.
    A person reviews a list of problems of a given patient.
    Transaction counts and value totals by Provider Identifier.
    For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    private transport
    Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
    Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
    Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
    Policy for handling psychiatry information, which will be afforded heightened confidentiality.
    Provision of treatment of psychiatric disorder relating to mental illness.
    Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g.
    Insurance policy funded by a public health system such as a provincial or national health plan.
    public transport
    Allows provider to explain lateness of invoice to a subsequent payor.
    Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.
    Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality.
    A radiologist enters a report for a given patient.
    A person reviews a radiology report of a given patient.
    Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product.
    Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
    Succinct statement of the need for the measure.
    A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
    Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
    The addition of calcium back to a specimen after it was removed by chelating agents
    Retroactive adjustment such as fee rate adjustment due to contract negotiations.
    Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.
    Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.
    Specifies whether or not further testing may be automatically or manually initiated on specimens.
    Rules of practice do not require a physician's referral for the provider to perform a billable service.
    Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.
    Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned.
    Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality.
    Description: A person enters a health care reminder for a given patient.
    Description: A person reviews a list of health care reminders for a given patient.
    Temporary supply of a product with financial compensation, without transfer of ownership for the product.
    Description:This observation represents an 'average' or 'expected' half-life typical of the product.
    Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
    This Observation Series type contains waveforms of a "representative beat" (a.k.a.
    The same service was delivered within a time period that would usually indicate a duplicate billing.
    The value of the dilution of a sample after it had been analyzed at a prior dilution value
    A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.
    Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
    A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.
    Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program.
    Bonus payments based on performance, volume, etc.
    A type of transaction that represents a reversal of a previous charge for a service or product.
    A fill against an order that has already been filled (or partially filled) at least once.
    A refill where the quantity supplied is equal to one full repetition of the ordered amount.
    A refill where the quantity supplied is equal to one full repetition of the ordered amount.
    The first fill against an order that has already been filled at least once at another facility.
    The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g.
    A refill where the quantity supplied is less than one full repetition of the ordered amount.
    A refill where the quantity supplied is less than one full repetition of the ordered amount.
    A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g.
    This Observation type contains ECG "rhythm" waveforms.
    Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product.
    A person reviews a Risk Assessment Instrument report of a given patient.
    List of risk factor observations.
    A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.
    A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded.
    A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate.
    A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
    Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
    Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.
    Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent.
    Some form of prescription is required before the related medicine can be supplied for a patient.
    Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
    Pharmacy dispense invoice for a compound.
    Pharmacy dispense invoice not involving a compound
    Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
    Definition:A drug that requires prior approval (to be reimbursed) before being dispensed
    Description:A drug that requires special access permission to be prescribed and dispensed.
    Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics.
    Transfer of ownership for a product for financial compensation.
    Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically.
    Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically.
    Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
    Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically.
    Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically.
    Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically.
    Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically.
    Policy for handling sickle cell disease information, which is afforded heightened confidentiality.
    A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
    Description: The school the patient attended when immunized.
    Description: The school division or district associated with the patient during the immunization event.
    Incident or accident is the result of a school place accident.
    Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
    Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results.
    Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality.
    Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.
    Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency.
    Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource.
    Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure.
    Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource.
    Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.
    An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.
    Types of security policies that further specify the ActClassPolicy value set.
    Transaction counts and value totals by each instance of a messaging application on a single processor.
    A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date.
    A subjective evaluation of the seriousness or intensity associated with another observation.
    Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality.
    Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.
    Types of sensitivity policies that apply to Acts.
    An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
    Information about provision of social services.
    Definition: A social service program funded by a public or governmental entity.
    Description: An interaction where the exposure participants are social associates or members of the same extended family
    Accommodations in which there are 2 beds.
    That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage.
    Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating.
    Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form.
    Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form.
    Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink.
    Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s).
    Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners.
    Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm).
    Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition.
    Incident or accident is the result of a sporting accident.
    Description:Specimen has been received by the participating organization/department.
    An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
    Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality.
    Description:Specimen has been placed into storage at a participating location.
    Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality.
    The act of putting something away for safe keeping.
    Description:Specimen has been put in transit to a participating receiver.
    Describes the strata for which the measure is to be evaluated.
    Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
    Definition: A health insurance policy that covers benefits for substance use services.
    Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria.
    Definition: A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
    Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
    Definition: A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
    Description: An interaction where the exposure participants shared or co-used a common substance (e.g.
    Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
    A diet that is not intended to be complete but is added to other diets.
    Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
    Provision of surgical treatment.
    Definition: A risk or part of a risk for which there is no normal insurance market available.
    This is not really a diet, since it contains little nutritional value, but is essentially just water.
    A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
    Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case.
    A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g.
    Description: The patient's teacher when immunized.
    A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
    A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g.
    Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
    A sequence of values in the "absolute" time domain.
    A sequence of values in a "relative" time domain.
    Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
    Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332.
    Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period.
    The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
    The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
    Proposed therapy may interact with an existing or recent therapeutic product
    Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g.
    Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.
    Transfer of ownership for a product.
    A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product.
    Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g.
    Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.
    Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
    Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
    Type of security metadata about privacy and security requirements with which a security domain must comply.
    Type of security metadata observation made about privacy and security requirements with which a security domain must comply.
    Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
    Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability).
    Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability).
    Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements.
    Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements.
    Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
    Type of security metadata about a security architecture system component that supports enforcement of security policies.
    Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.
    A supply action that provides sufficient material for a single dose.
    A supply action that provides sufficient material for a single dose via multiple products.
    The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
    Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness.
    Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached.
    Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured.
    Maximum unit price that will be covered for the authorized product or service.
    Maximum number of items that will be covered of the product or service specified.
    The service provided is not related to another billed service.
    Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
    Description:Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.
    Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information.
    Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
    Usage notes.
    Visa
    Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.
    Description:The specified element did not pass business-rule validation.
    Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.
    The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
    Definition: Services provided directly and through contracted and operated veteran health programs.
    Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.
    Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services.
    Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."
    An observation that reports the volume of a sample.
    A patient encounter where the patient and the practitioner(s) are not in the same physical location.
    Vision dispense invoice for up to 2 lens (left and right), frame and optional discount.
    Accommodations in which there are 3 or more beds.
    Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not.
    Insurance policy for injuries sustained in the work place or in the course of employment.
    Transaction counts and value totals for each calendar week within the date range specified.
    Description: A person enters a wellness or preventive care reminder for a given patient.
    Description: A person reviews a list of wellness or preventive care reminders for a given patient.
    null
    Description: Work Injury related additional Information Attachment
    Description: Exposure interaction occurred in a work setting, i.e.
    Incident or accident is the result of a work place accident
    Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment.
    Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).
    Description: Digital X-Ray Attachment
    Transaction counts and value totals for each calendar year within the date range specified.
  • Method Summary

    Modifier and Type
    Method
    Description
    static V3ActCode
    fromCode(String codeString)
     
     
     
     
     
    static V3ActCode
    Returns the enum constant of this type with the specified name.
    static V3ActCode[]
    Returns an array containing the constants of this enum type, in the order they are declared.

    Methods inherited from class java.lang.Enum

    clone, compareTo, equals, finalize, getDeclaringClass, hashCode, name, ordinal, toString, valueOf

    Methods inherited from class java.lang.Object

    getClass, notify, notifyAll, wait, wait, wait
  • Enum Constant Details

    • _ACTACCOUNTCODE

      public static final V3ActCode _ACTACCOUNTCODE
      An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.
    • ACCTRECEIVABLE

      public static final V3ActCode ACCTRECEIVABLE
      An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.
    • CASH

      public static final V3ActCode CASH
      Cash
    • CC

      public static final V3ActCode CC
      Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.
    • AE

      public static final V3ActCode AE
      American Express
    • DN

      public static final V3ActCode DN
      Diner's Club
    • DV

      public static final V3ActCode DV
      Discover Card
    • MC

      public static final V3ActCode MC
      Master Card
    • V

      public static final V3ActCode V
      Visa
    • PBILLACCT

      public static final V3ActCode PBILLACCT
      An account representing charges and credits (financial transactions) for a patient's encounter.
    • _ACTADJUDICATIONCODE

      public static final V3ActCode _ACTADJUDICATIONCODE
      Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
    • _ACTADJUDICATIONGROUPCODE

      public static final V3ActCode _ACTADJUDICATIONGROUPCODE
      Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
    • CONT

      public static final V3ActCode CONT
      Transaction counts and value totals by Contract Identifier.
    • DAY

      public static final V3ActCode DAY
      Transaction counts and value totals for each calendar day within the date range specified.
    • LOC

      public static final V3ActCode LOC
      Transaction counts and value totals by service location (e.g clinic).
    • MONTH

      public static final V3ActCode MONTH
      Transaction counts and value totals for each calendar month within the date range specified.
    • PERIOD

      public static final V3ActCode PERIOD
      Transaction counts and value totals for the date range specified.
    • PROV

      public static final V3ActCode PROV
      Transaction counts and value totals by Provider Identifier.
    • WEEK

      public static final V3ActCode WEEK
      Transaction counts and value totals for each calendar week within the date range specified.
    • YEAR

      public static final V3ActCode YEAR
      Transaction counts and value totals for each calendar year within the date range specified.
    • AA

      public static final V3ActCode AA
      The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
    • ANF

      public static final V3ActCode ANF
      The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
    • AR

      public static final V3ActCode AR
      The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).
    • AS

      public static final V3ActCode AS
      The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
    • _ACTADJUDICATIONRESULTACTIONCODE

      Actions to be carried out by the recipient of the Adjudication Result information.
    • DISPLAY

      public static final V3ActCode DISPLAY
      The adjudication result associated is to be displayed to the receiver of the adjudication result.
    • FORM

      public static final V3ActCode FORM
      The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
    • _ACTBILLABLEMODIFIERCODE

      public static final V3ActCode _ACTBILLABLEMODIFIERCODE
      Definition:An identifying modifier code for healthcare interventions or procedures.
    • CPTM

      public static final V3ActCode CPTM
      Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
    • HCPCSA

      public static final V3ActCode HCPCSA
      Description:HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.
    • _ACTBILLINGARRANGEMENTCODE

      The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
    • BLK

      public static final V3ActCode BLK
      A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.
    • CAP

      public static final V3ActCode CAP
      A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).
    • CONTF

      public static final V3ActCode CONTF
      A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.
    • FINBILL

      public static final V3ActCode FINBILL
      A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.
    • ROST

      public static final V3ActCode ROST
      A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
    • SESS

      public static final V3ActCode SESS
      A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.
    • FFS

      public static final V3ActCode FFS
      A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.
    • FFPS

      public static final V3ActCode FFPS
      A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)
    • FFCS

      public static final V3ActCode FFCS
      A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • TFS

      public static final V3ActCode TFS
      A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • _ACTBOUNDEDROICODE

      public static final V3ActCode _ACTBOUNDEDROICODE
      Type of bounded ROI.
    • ROIFS

      public static final V3ActCode ROIFS
      A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.
    • ROIPS

      public static final V3ActCode ROIPS
      A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.
    • _ACTCAREPROVISIONCODE

      public static final V3ActCode _ACTCAREPROVISIONCODE
      Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
    • _ACTCREDENTIALEDCARECODE

      public static final V3ActCode _ACTCREDENTIALEDCARECODE
      Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. Example:Hospital license; physician license; clinic accreditation.
    • _ACTCREDENTIALEDCAREPROVISIONPERSONCODE

      Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
    • CACC

      public static final V3ActCode CACC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CAIC

      public static final V3ActCode CAIC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CAMC

      public static final V3ActCode CAMC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CANC

      public static final V3ActCode CANC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CAPC

      public static final V3ActCode CAPC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CBGC

      public static final V3ActCode CBGC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CCCC

      public static final V3ActCode CCCC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CCGC

      public static final V3ActCode CCGC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CCPC

      public static final V3ActCode CCPC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CCSC

      public static final V3ActCode CCSC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CDEC

      public static final V3ActCode CDEC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CDRC

      public static final V3ActCode CDRC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CEMC

      public static final V3ActCode CEMC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CFPC

      public static final V3ActCode CFPC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CIMC

      public static final V3ActCode CIMC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CMGC

      public static final V3ActCode CMGC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CNEC

      public static final V3ActCode CNEC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
    • CNMC

      public static final V3ActCode CNMC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CNQC

      public static final V3ActCode CNQC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CNSC

      public static final V3ActCode CNSC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • COGC

      public static final V3ActCode COGC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • COMC

      public static final V3ActCode COMC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • COPC

      public static final V3ActCode COPC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • COSC

      public static final V3ActCode COSC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • COTC

      public static final V3ActCode COTC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CPEC

      public static final V3ActCode CPEC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CPGC

      public static final V3ActCode CPGC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CPHC

      public static final V3ActCode CPHC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CPRC

      public static final V3ActCode CPRC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CPSC

      public static final V3ActCode CPSC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CPYC

      public static final V3ActCode CPYC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CROC

      public static final V3ActCode CROC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CRPC

      public static final V3ActCode CRPC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CSUC

      public static final V3ActCode CSUC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CTSC

      public static final V3ActCode CTSC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CURC

      public static final V3ActCode CURC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • CVSC

      public static final V3ActCode CVSC
      Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
    • LGPC

      public static final V3ActCode LGPC
      Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.
    • _ACTCREDENTIALEDCAREPROVISIONPROGRAMCODE

      Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.
    • AALC

      public static final V3ActCode AALC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • AAMC

      public static final V3ActCode AAMC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • ABHC

      public static final V3ActCode ABHC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • ACAC

      public static final V3ActCode ACAC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • ACHC

      public static final V3ActCode ACHC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • AHOC

      public static final V3ActCode AHOC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • ALTC

      public static final V3ActCode ALTC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • AOSC

      public static final V3ActCode AOSC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
    • CACS

      public static final V3ActCode CACS
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CAMI

      public static final V3ActCode CAMI
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CAST

      public static final V3ActCode CAST
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CBAR

      public static final V3ActCode CBAR
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CCAD

      public static final V3ActCode CCAD
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CCAR

      public static final V3ActCode CCAR
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CDEP

      public static final V3ActCode CDEP
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CDGD

      public static final V3ActCode CDGD
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CDIA

      public static final V3ActCode CDIA
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CEPI

      public static final V3ActCode CEPI
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CFEL

      public static final V3ActCode CFEL
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CHFC

      public static final V3ActCode CHFC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CHRO

      public static final V3ActCode CHRO
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CHYP

      public static final V3ActCode CHYP
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CMIH

      public static final V3ActCode CMIH
      Description:.
    • CMSC

      public static final V3ActCode CMSC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • COJR

      public static final V3ActCode COJR
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CONC

      public static final V3ActCode CONC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • COPD

      public static final V3ActCode COPD
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CORT

      public static final V3ActCode CORT
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CPAD

      public static final V3ActCode CPAD
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CPND

      public static final V3ActCode CPND
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CPST

      public static final V3ActCode CPST
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CSDM

      public static final V3ActCode CSDM
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CSIC

      public static final V3ActCode CSIC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CSLD

      public static final V3ActCode CSLD
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CSPT

      public static final V3ActCode CSPT
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CTBU

      public static final V3ActCode CTBU
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CVDC

      public static final V3ActCode CVDC
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CWMA

      public static final V3ActCode CWMA
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • CWOH

      public static final V3ActCode CWOH
      Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
    • _ACTENCOUNTERCODE

      public static final V3ActCode _ACTENCOUNTERCODE
      Domain provides codes that qualify the ActEncounterClass (ENC)
    • AMB

      public static final V3ActCode AMB
      A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
    • EMER

      public static final V3ActCode EMER
      A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
    • FLD

      public static final V3ActCode FLD
      A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
    • HH

      public static final V3ActCode HH
      Healthcare encounter that takes place in the residence of the patient or a designee
    • IMP

      public static final V3ActCode IMP
      A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
    • ACUTE

      public static final V3ActCode ACUTE
      An acute inpatient encounter.
    • NONAC

      public static final V3ActCode NONAC
      Any category of inpatient encounter except 'acute'
    • PRENC

      public static final V3ActCode PRENC
      A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.
    • SS

      public static final V3ActCode SS
      An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
    • VR

      public static final V3ActCode VR
      A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.
    • _ACTMEDICALSERVICECODE

      public static final V3ActCode _ACTMEDICALSERVICECODE
      General category of medical service provided to the patient during their encounter.
    • ALC

      public static final V3ActCode ALC
      Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.
    • CARD

      public static final V3ActCode CARD
      Provision of diagnosis and treatment of diseases and disorders affecting the heart
    • CHR

      public static final V3ActCode CHR
      Provision of recurring care for chronic illness.
    • DNTL

      public static final V3ActCode DNTL
      Provision of treatment for oral health and/or dental surgery.
    • DRGRHB

      public static final V3ActCode DRGRHB
      Provision of treatment for drug abuse.
    • GENRL

      public static final V3ActCode GENRL
      General care performed by a general practitioner or family doctor as a responsible provider for a patient.
    • MED

      public static final V3ActCode MED
      Provision of diagnostic and/or therapeutic treatment.
    • OBS

      public static final V3ActCode OBS
      Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.
    • ONC

      public static final V3ActCode ONC
      Provision of treatment and/or diagnosis related to tumors and/or cancer.
    • PALL

      public static final V3ActCode PALL
      Provision of care for patients who are living or dying from an advanced illness.
    • PED

      public static final V3ActCode PED
      Provision of diagnosis and treatment of diseases and disorders affecting children.
    • PHAR

      public static final V3ActCode PHAR
      Pharmaceutical care performed by a pharmacist.
    • PHYRHB

      public static final V3ActCode PHYRHB
      Provision of treatment for physical injury.
    • PSYCH

      public static final V3ActCode PSYCH
      Provision of treatment of psychiatric disorder relating to mental illness.
    • SURG

      public static final V3ActCode SURG
      Provision of surgical treatment.
    • _ACTCLAIMATTACHMENTCATEGORYCODE

      Description: Coded types of attachments included to support a healthcare claim.
    • AUTOATTCH

      public static final V3ActCode AUTOATTCH
      Description: Automobile Information Attachment
    • DOCUMENT

      public static final V3ActCode DOCUMENT
      Description: Document Attachment
    • HEALTHREC

      public static final V3ActCode HEALTHREC
      Description: Health Record Attachment
    • IMG

      public static final V3ActCode IMG
      Description: Image Attachment
    • LABRESULTS

      public static final V3ActCode LABRESULTS
      Description: Lab Results Attachment
    • MODEL

      public static final V3ActCode MODEL
      Description: Digital Model Attachment
    • WIATTCH

      public static final V3ActCode WIATTCH
      Description: Work Injury related additional Information Attachment
    • XRAY

      public static final V3ActCode XRAY
      Description: Digital X-Ray Attachment
    • _ACTCONSENTTYPE

      public static final V3ActCode _ACTCONSENTTYPE
      Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
    • ICOL

      public static final V3ActCode ICOL
      Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.
    • IDSCL

      public static final V3ActCode IDSCL
      Definition: Consent to have collected healthcare information disclosed.
    • INFA

      public static final V3ActCode INFA
      Definition: Consent to access healthcare information.
    • INFAO

      public static final V3ActCode INFAO
      Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be. Example: Opened and then emailed or screen printed for use outside of the consent directive purpose.
    • INFASO

      public static final V3ActCode INFASO
      Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
    • IRDSCL

      public static final V3ActCode IRDSCL
      Definition: Information re-disclosed without the patient's consent.
    • RESEARCH

      public static final V3ActCode RESEARCH
      Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
    • RSDID

      public static final V3ActCode RSDID
      Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.
    • RSREID

      public static final V3ActCode RSREID
      Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. Example:: Where there is a need to inform the subject of potential health issues.
    • _ACTCONTAINERREGISTRATIONCODE

      Constrains the ActCode to the domain of Container Registration
    • ID

      public static final V3ActCode ID
      Used by one system to inform another that it has received a container.
    • IP

      public static final V3ActCode IP
      Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
    • L

      public static final V3ActCode L
      Used by one system to inform another that the container has been released from that system.
    • M

      public static final V3ActCode M
      Used by one system to inform another that the container did not arrive at its next expected location.
    • O

      public static final V3ActCode O
      Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.
    • R

      public static final V3ActCode R
      Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.
    • X

      public static final V3ActCode X
      Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).
    • _ACTCONTROLVARIABLE

      public static final V3ActCode _ACTCONTROLVARIABLE
      An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).
    • AUTO

      public static final V3ActCode AUTO
      Specifies whether or not automatic repeat testing is to be initiated on specimens.
    • ENDC

      public static final V3ActCode ENDC
      A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.
    • REFLEX

      public static final V3ActCode REFLEX
      Specifies whether or not further testing may be automatically or manually initiated on specimens.
    • _ACTCOVERAGECONFIRMATIONCODE

      Response to an insurance coverage eligibility query or authorization request.
    • _ACTCOVERAGEAUTHORIZATIONCONFIRMATIONCODE

      Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
    • AUTH

      public static final V3ActCode AUTH
      Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
    • NAUTH

      public static final V3ActCode NAUTH
      Authorization for specified healthcare service(s) and/or product(s) denied.
    • _ACTCOVERAGEELIGIBILITYCONFIRMATIONCODE

      Indication of eligibility coverage for healthcare service(s) and/or product(s).
    • ELG

      public static final V3ActCode ELG
      Insurance coverage is in effect for healthcare service(s) and/or product(s).
    • NELG

      public static final V3ActCode NELG
      Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
    • _ACTCOVERAGELIMITCODE

      public static final V3ActCode _ACTCOVERAGELIMITCODE
      Criteria that are applicable to the authorized coverage.
    • _ACTCOVERAGEQUANTITYLIMITCODE

      Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
    • COVPRD

      public static final V3ActCode COVPRD
      Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
    • LFEMX

      public static final V3ActCode LFEMX
      Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
    • NETAMT

      public static final V3ActCode NETAMT
      Maximum net amount that will be covered for the product or service specified.
    • PRDMX

      public static final V3ActCode PRDMX
      Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.
    • UNITPRICE

      public static final V3ActCode UNITPRICE
      Maximum unit price that will be covered for the authorized product or service.
    • UNITQTY

      public static final V3ActCode UNITQTY
      Maximum number of items that will be covered of the product or service specified.
    • COVMX

      public static final V3ActCode COVMX
      Definition: Codes representing the maximum coverate or financial participation requirements.
    • _ACTCOVEREDPARTYLIMITCODE

      public static final V3ActCode _ACTCOVEREDPARTYLIMITCODE
      Codes representing the types of covered parties that may receive covered benefits under a policy or program.
    • _ACTCOVERAGETYPECODE

      public static final V3ActCode _ACTCOVERAGETYPECODE
      Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
    • _ACTINSURANCEPOLICYCODE

      public static final V3ActCode _ACTINSURANCEPOLICYCODE
      Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
    • EHCPOL

      public static final V3ActCode EHCPOL
      Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
    • HSAPOL

      public static final V3ActCode HSAPOL
      Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.
    • AUTOPOL

      public static final V3ActCode AUTOPOL
      Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
    • COL

      public static final V3ActCode COL
      Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.
    • UNINSMOT

      public static final V3ActCode UNINSMOT
      Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.
    • PUBLICPOL

      public static final V3ActCode PUBLICPOL
      Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).
    • DENTPRG

      public static final V3ActCode DENTPRG
      Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.
    • DISEASEPRG

      public static final V3ActCode DISEASEPRG
      Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. Example: Reproductive health, sexually transmitted disease, and end renal disease programs.
    • CANPRG

      public static final V3ActCode CANPRG
      Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages. Example: To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.
    • ENDRENAL

      public static final V3ActCode ENDRENAL
      Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services. Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.
    • HIVAIDS

      public static final V3ActCode HIVAIDS
      Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.
    • MANDPOL

      public static final V3ActCode MANDPOL
      mandatory health program
    • MENTPRG

      public static final V3ActCode MENTPRG
      Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
    • SAFNET

      public static final V3ActCode SAFNET
      Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.
    • SUBPRG

      public static final V3ActCode SUBPRG
      Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
    • SUBSIDIZ

      public static final V3ActCode SUBSIDIZ
      Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
    • SUBSIDMC

      public static final V3ActCode SUBSIDMC
      Definition: A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.
    • SUBSUPP

      public static final V3ActCode SUBSUPP
      Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Example: Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy. Discussion: The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.
    • WCBPOL

      public static final V3ActCode WCBPOL
      Insurance policy for injuries sustained in the work place or in the course of employment.
    • _ACTINSURANCETYPECODE

      public static final V3ActCode _ACTINSURANCETYPECODE
      Definition: Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. Discussion: In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.
    • _ACTHEALTHINSURANCETYPECODE

      Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).
    • DENTAL

      public static final V3ActCode DENTAL
      Definition: A health insurance policy that that covers benefits for dental services.
    • DISEASE

      public static final V3ActCode DISEASE
      Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.
    • DRUGPOL

      public static final V3ActCode DRUGPOL
      Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
    • HIP

      public static final V3ActCode HIP
      Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.
    • LTC

      public static final V3ActCode LTC
      Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including: Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing Care in the community, such as in an adult day care facility Supervised care provided in an assisted living facility Skilled care provided in a nursing home
    • MCPOL

      public static final V3ActCode MCPOL
      Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.
    • POS

      public static final V3ActCode POS
      Definition: A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.
    • HMO

      public static final V3ActCode HMO
      Definition: A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.
    • PPO

      public static final V3ActCode PPO
      Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.
    • MENTPOL

      public static final V3ActCode MENTPOL
      Definition: A health insurance policy that covers benefits for mental health services and prescriptions.
    • SUBPOL

      public static final V3ActCode SUBPOL
      Definition: A health insurance policy that covers benefits for substance use services.
    • VISPOL

      public static final V3ActCode VISPOL
      Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services. A health insurance policy that covers benefits for vision care services, prescriptions, and products.
    • DIS

      public static final V3ActCode DIS
      Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.
    • EWB

      public static final V3ActCode EWB
      Definition: An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.
    • FLEXP

      public static final V3ActCode FLEXP
      Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan. Discussion: See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.
    • LIFE

      public static final V3ActCode LIFE
      Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion. Discussion:A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).
    • ANNU

      public static final V3ActCode ANNU
      Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals. For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.
    • TLIFE

      public static final V3ActCode TLIFE
      Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.
    • ULIFE

      public static final V3ActCode ULIFE
      Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing
    • PNC

      public static final V3ActCode PNC
      Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms "casualty" and "liability" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.
    • REI

      public static final V3ActCode REI
      Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company. Discussion: Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies. For example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called risk control insurance or stop-loss insurance.
    • SURPL

      public static final V3ActCode SURPL
      Definition: A risk or part of a risk for which there is no normal insurance market available. Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.
    • UMBRL

      public static final V3ActCode UMBRL
      Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.
    • _ACTPROGRAMTYPECODE

      public static final V3ActCode _ACTPROGRAMTYPECODE
      Definition: A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. Discussion: Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.
    • CHAR

      public static final V3ActCode CHAR
      Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.
    • CRIME

      public static final V3ActCode CRIME
      Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.
    • EAP

      public static final V3ActCode EAP
      Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.
    • GOVEMP

      public static final V3ActCode GOVEMP
      Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S.
    • HIRISK

      public static final V3ActCode HIRISK
      Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.
    • IND

      public static final V3ActCode IND
      Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S.
    • MILITARY

      public static final V3ActCode MILITARY
      Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS.
    • RETIRE

      public static final V3ActCode RETIRE
      Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.
    • SOCIAL

      public static final V3ActCode SOCIAL
      Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.
    • VET

      public static final V3ActCode VET
      Definition: Services provided directly and through contracted and operated veteran health programs.
    • _ACTDETECTEDISSUEMANAGEMENTCODE

      Codes dealing with the management of Detected Issue observations
    • _ACTADMINISTRATIVEDETECTEDISSUEMANAGEMENTCODE

      Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
    • _AUTHORIZATIONISSUEMANAGEMENTCODE

      Authorization Issue Management Code
    • EMAUTH

      public static final V3ActCode EMAUTH
      Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
    • _21

      public static final V3ActCode _21
      Description: Indicates that the permissions have been externally verified and the request should be processed.
    • _1

      public static final V3ActCode _1
      Confirmed drug therapy appropriate
    • _19

      public static final V3ActCode _19
      Consulted other supplier/pharmacy, therapy confirmed
    • _2

      public static final V3ActCode _2
      Assessed patient, therapy is appropriate
    • _22

      public static final V3ActCode _22
      Description: The patient has the appropriate indication or diagnosis for the action to be taken.
    • _23

      public static final V3ActCode _23
      Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
    • _3

      public static final V3ActCode _3
      Patient gave adequate explanation
    • _4

      public static final V3ActCode _4
      Consulted other supply source, therapy still appropriate
    • _5

      public static final V3ActCode _5
      Consulted prescriber, therapy confirmed
    • _6

      public static final V3ActCode _6
      Consulted prescriber and recommended change, prescriber declined
    • _7

      public static final V3ActCode _7
      Concurrent therapy triggering alert is no longer on-going or planned
    • _14

      public static final V3ActCode _14
      Confirmed supply action appropriate
    • _15

      public static final V3ActCode _15
      Patient's existing supply was lost/wasted
    • _16

      public static final V3ActCode _16
      Supply date is due to patient vacation
    • _17

      public static final V3ActCode _17
      Supply date is intended to carry patient over weekend
    • _18

      public static final V3ActCode _18
      Supply is intended for use during a leave of absence from an institution.
    • _20

      public static final V3ActCode _20
      Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
    • _8

      public static final V3ActCode _8
      Order is performed as issued, but other action taken to mitigate potential adverse effects
    • _10

      public static final V3ActCode _10
      Provided education or training to the patient on appropriate therapy use
    • _11

      public static final V3ActCode _11
      Instituted an additional therapy to mitigate potential negative effects
    • _12

      public static final V3ActCode _12
      Suspended existing therapy that triggered interaction for the duration of this therapy
    • _13

      public static final V3ActCode _13
      Aborted existing therapy that triggered interaction.
    • _9

      public static final V3ActCode _9
      Arranged to monitor patient for adverse effects
    • _ACTEXPOSURECODE

      public static final V3ActCode _ACTEXPOSURECODE
      Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.
    • CHLDCARE

      public static final V3ActCode CHLDCARE
      Description: Exposure participants' interaction occurred in a child care setting
    • CONVEYNC

      public static final V3ActCode CONVEYNC
      Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).
    • HLTHCARE

      public static final V3ActCode HLTHCARE
      Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).
    • HOMECARE

      public static final V3ActCode HOMECARE
      Description: Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.
    • HOSPPTNT

      public static final V3ActCode HOSPPTNT
      Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
    • HOSPVSTR

      public static final V3ActCode HOSPVSTR
      Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
    • HOUSEHLD

      public static final V3ActCode HOUSEHLD
      Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.
    • INMATE

      public static final V3ActCode INMATE
      Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
    • INTIMATE

      public static final V3ActCode INTIMATE
      Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).
    • LTRMCARE

      public static final V3ActCode LTRMCARE
      Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).
    • PLACE

      public static final V3ActCode PLACE
      Description: An interaction where the exposure participants were both present in the same location/place/space.
    • PTNTCARE

      public static final V3ActCode PTNTCARE
      Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).
    • SCHOOL2

      public static final V3ActCode SCHOOL2
      Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
    • SOCIAL2

      public static final V3ActCode SOCIAL2
      Description: An interaction where the exposure participants are social associates or members of the same extended family
    • SUBSTNCE

      public static final V3ActCode SUBSTNCE
      Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).
    • TRAVINT

      public static final V3ActCode TRAVINT
      Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).
    • WORK2

      public static final V3ActCode WORK2
      Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.
    • _ACTFINANCIALTRANSACTIONCODE

      ActFinancialTransactionCode
    • CHRG

      public static final V3ActCode CHRG
      A type of transaction that represents a charge for a service or product. Expressed in monetary terms.
    • REV

      public static final V3ActCode REV
      A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.
    • _ACTINCIDENTCODE

      public static final V3ActCode _ACTINCIDENTCODE
      Set of codes indicating the type of incident or accident.
    • MVA

      public static final V3ActCode MVA
      Incident or accident as the result of a motor vehicle accident
    • SCHOOL

      public static final V3ActCode SCHOOL
      Incident or accident is the result of a school place accident.
    • SPT

      public static final V3ActCode SPT
      Incident or accident is the result of a sporting accident.
    • WPA

      public static final V3ActCode WPA
      Incident or accident is the result of a work place accident
    • _ACTINFORMATIONACCESSCODE

      public static final V3ActCode _ACTINFORMATIONACCESSCODE
      Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.
    • ACADR

      public static final V3ActCode ACADR
      Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.
    • ACALL

      public static final V3ActCode ACALL
      Description: Provide consent to collect, use, disclose, or access all information for a patient.
    • ACALLG

      public static final V3ActCode ACALLG
      Description: Provide consent to collect, use, disclose, or access allergy information for a patient.
    • ACCONS

      public static final V3ActCode ACCONS
      Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.
    • ACDEMO

      public static final V3ActCode ACDEMO
      Description: Provide consent to collect, use, disclose, or access demographics information for a patient.
    • ACDI

      public static final V3ActCode ACDI
      Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.
    • ACIMMUN

      public static final V3ActCode ACIMMUN
      Description: Provide consent to collect, use, disclose, or access immunization information for a patient.
    • ACLAB

      public static final V3ActCode ACLAB
      Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.
    • ACMED

      public static final V3ActCode ACMED
      Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.
    • ACMEDC

      public static final V3ActCode ACMEDC
      Definition: Provide consent to view or access medical condition information for a patient.
    • ACMEN

      public static final V3ActCode ACMEN
      Description:Provide consent to collect, use, disclose, or access mental health information for a patient.
    • ACOBS

      public static final V3ActCode ACOBS
      Description: Provide consent to collect, use, disclose, or access common observation information for a patient.
    • ACPOLPRG

      public static final V3ActCode ACPOLPRG
      Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.
    • ACPROV

      public static final V3ActCode ACPROV
      Description: Provide consent to collect, use, disclose, or access provider information for a patient.
    • ACPSERV

      public static final V3ActCode ACPSERV
      Description: Provide consent to collect, use, disclose, or access professional service information for a patient.
    • ACSUBSTAB

      public static final V3ActCode ACSUBSTAB
      Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.
    • _ACTINFORMATIONACCESSCONTEXTCODE

      Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.
    • INFAUT

      public static final V3ActCode INFAUT
      Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.
    • INFCON

      public static final V3ActCode INFCON
      Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.
    • INFCRT

      public static final V3ActCode INFCRT
      Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.
    • INFDNG

      public static final V3ActCode INFDNG
      Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.
    • INFEMER

      public static final V3ActCode INFEMER
      Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.
    • INFPWR

      public static final V3ActCode INFPWR
      Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.
    • INFREG

      public static final V3ActCode INFREG
      Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.
    • _ACTINFORMATIONCATEGORYCODE

      Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
    • ALLCAT

      public static final V3ActCode ALLCAT
      Description: All patient information.
    • ALLGCAT

      public static final V3ActCode ALLGCAT
      Definition:All information pertaining to a patient's allergy and intolerance records.
    • ARCAT

      public static final V3ActCode ARCAT
      Description: All information pertaining to a patient's adverse drug reactions.
    • COBSCAT

      public static final V3ActCode COBSCAT
      Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
    • DEMOCAT

      public static final V3ActCode DEMOCAT
      Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
    • DICAT

      public static final V3ActCode DICAT
      Definition:All information pertaining to a patient's diagnostic image records (orders & results).
    • IMMUCAT

      public static final V3ActCode IMMUCAT
      Definition:All information pertaining to a patient's vaccination records.
    • LABCAT

      public static final V3ActCode LABCAT
      Description: All information pertaining to a patient's lab test records (orders & results)
    • MEDCCAT

      public static final V3ActCode MEDCCAT
      Definition:All information pertaining to a patient's medical condition records.
    • MENCAT

      public static final V3ActCode MENCAT
      Description: All information pertaining to a patient's mental health records.
    • PSVCCAT

      public static final V3ActCode PSVCCAT
      Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
    • RXCAT

      public static final V3ActCode RXCAT
      Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
    • _ACTINVOICEELEMENTCODE

      public static final V3ActCode _ACTINVOICEELEMENTCODE
      Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
    • _ACTINVOICEADJUDICATIONPAYMENTCODE

      Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
    • _ACTINVOICEADJUDICATIONPAYMENTGROUPCODE

      Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
    • ALEC

      public static final V3ActCode ALEC
      Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).
    • BONUS

      public static final V3ActCode BONUS
      Bonus payments based on performance, volume, etc. as agreed to by the payor.
    • CFWD

      public static final V3ActCode CFWD
      An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
    • EDU

      public static final V3ActCode EDU
      Fees deducted on behalf of a payee for tuition and continuing education.
    • EPYMT

      public static final V3ActCode EPYMT
      Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
    • GARN

      public static final V3ActCode GARN
      Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
    • INVOICE

      public static final V3ActCode INVOICE
      Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
    • PINV

      public static final V3ActCode PINV
      Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
    • PPRD

      public static final V3ActCode PPRD
      An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
    • PROA

      public static final V3ActCode PROA
      Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
    • RECOV

      public static final V3ActCode RECOV
      Retroactive adjustment such as fee rate adjustment due to contract negotiations.
    • RETRO

      public static final V3ActCode RETRO
      Bonus payments based on performance, volume, etc. as agreed to by the payor.
    • TRAN

      public static final V3ActCode TRAN
      Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
    • _ACTINVOICEADJUDICATIONPAYMENTSUMMARYCODE

      Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
    • INVTYPE

      public static final V3ActCode INVTYPE
      Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
    • PAYEE

      public static final V3ActCode PAYEE
      Transaction counts and value totals by each instance of an invoice payee.
    • PAYOR

      public static final V3ActCode PAYOR
      Transaction counts and value totals by each instance of an invoice payor.
    • SENDAPP

      public static final V3ActCode SENDAPP
      Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.
    • _ACTINVOICEDETAILCODE

      public static final V3ActCode _ACTINVOICEDETAILCODE
      Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
    • _ACTINVOICEDETAILCLINICALPRODUCTCODE

      An identifying data string for healthcare products.
    • UNSPSC

      public static final V3ActCode UNSPSC
      Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
    • _ACTINVOICEDETAILDRUGPRODUCTCODE

      An identifying data string for A substance used as a medication or in the preparation of medication.
    • GTIN

      public static final V3ActCode GTIN
      Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
    • UPC

      public static final V3ActCode UPC
      Description:Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.
    • _ACTINVOICEDETAILGENERICCODE

      The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
    • _ACTINVOICEDETAILGENERICADJUDICATORCODE

      The billable item codes to identify adjudicator specified components to the total billing of a claim.
    • COIN

      public static final V3ActCode COIN
      That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
    • COPAYMENT

      public static final V3ActCode COPAYMENT
      That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
    • DEDUCTIBLE

      public static final V3ActCode DEDUCTIBLE
      That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
    • PAY

      public static final V3ActCode PAY
      The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.
    • SPEND

      public static final V3ActCode SPEND
      That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results
    • COINS

      public static final V3ActCode COINS
      The covered party pays a percentage of the cost of covered services.
    • _ACTINVOICEDETAILGENERICMODIFIERCODE

      The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
    • AFTHRS

      public static final V3ActCode AFTHRS
      Premium paid on service fees in compensation for practicing outside of normal working hours.
    • ISOL

      public static final V3ActCode ISOL
      Premium paid on service fees in compensation for practicing in a remote location.
    • OOO

      public static final V3ActCode OOO
      Premium paid on service fees in compensation for practicing at a location other than normal working location.
    • _ACTINVOICEDETAILGENERICPROVIDERCODE

      The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
    • CANCAPT

      public static final V3ActCode CANCAPT
      A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
    • DSC

      public static final V3ActCode DSC
      A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
    • ESA

      public static final V3ActCode ESA
      A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
    • FFSTOP

      public static final V3ActCode FFSTOP
      Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.
    • FNLFEE

      public static final V3ActCode FNLFEE
      Anticipated or actual final fee associated with treating a patient.
    • FRSTFEE

      public static final V3ActCode FRSTFEE
      Anticipated or actual initial fee associated with treating a patient.
    • MARKUP

      public static final V3ActCode MARKUP
      An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.
    • MISSAPT

      public static final V3ActCode MISSAPT
      A charge to compensate the provider when a patient does not show for an appointment.
    • PERFEE

      public static final V3ActCode PERFEE
      Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.
    • PERMBNS

      public static final V3ActCode PERMBNS
      The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.
    • RESTOCK

      public static final V3ActCode RESTOCK
      A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.
    • TRAVEL

      public static final V3ActCode TRAVEL
      A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.
    • URGENT

      public static final V3ActCode URGENT
      Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
    • _ACTINVOICEDETAILTAXCODE

      public static final V3ActCode _ACTINVOICEDETAILTAXCODE
      The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
    • FST

      public static final V3ActCode FST
      Federal tax on transactions such as the Goods and Services Tax (GST)
    • HST

      public static final V3ActCode HST
      Joint Federal/Provincial Sales Tax
    • PST

      public static final V3ActCode PST
      Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
    • _ACTINVOICEDETAILPREFERREDACCOMMODATIONCODE

      An identifying data string for medical facility accommodations.
    • _ACTENCOUNTERACCOMMODATIONCODE

      Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
    • _HL7ACCOMMODATIONCODE

      public static final V3ActCode _HL7ACCOMMODATIONCODE
      Description:Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
    • I

      public static final V3ActCode I
      Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
    • P

      public static final V3ActCode P
      Accommodations in which there is only 1 bed.
    • S

      public static final V3ActCode S
      Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
    • SP

      public static final V3ActCode SP
      Accommodations in which there are 2 beds.
    • W

      public static final V3ActCode W
      Accommodations in which there are 3 or more beds.
    • _ACTINVOICEDETAILCLINICALSERVICECODE

      An identifying data string for healthcare procedures.
    • _ACTINVOICEGROUPCODE

      public static final V3ActCode _ACTINVOICEGROUPCODE
      Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
    • _ACTINVOICEINTERGROUPCODE

      public static final V3ActCode _ACTINVOICEINTERGROUPCODE
      Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.
    • CPNDDRGING

      public static final V3ActCode CPNDDRGING
      A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.
    • CPNDINDING

      public static final V3ActCode CPNDINDING
      A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.
    • CPNDSUPING

      public static final V3ActCode CPNDSUPING
      A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.
    • DRUGING

      public static final V3ActCode DRUGING
      A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
    • FRAMEING

      public static final V3ActCode FRAMEING
      A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
    • LENSING

      public static final V3ActCode LENSING
      A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
    • PRDING

      public static final V3ActCode PRDING
      A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.
    • _ACTINVOICEROOTGROUPCODE

      public static final V3ActCode _ACTINVOICEROOTGROUPCODE
      Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.
    • CPINV

      public static final V3ActCode CPINV
      Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.
    • CSINV

      public static final V3ActCode CSINV
      Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
    • CSPINV

      public static final V3ActCode CSPINV
      A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service).
    • FININV

      public static final V3ActCode FININV
      Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage.
    • OHSINV

      public static final V3ActCode OHSINV
      A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.
    • PAINV

      public static final V3ActCode PAINV
      HealthCare facility preferred accommodation invoice.
    • RXCINV

      public static final V3ActCode RXCINV
      Pharmacy dispense invoice for a compound.
    • RXDINV

      public static final V3ActCode RXDINV
      Pharmacy dispense invoice not involving a compound
    • SBFINV

      public static final V3ActCode SBFINV
      Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
    • VRXINV

      public static final V3ActCode VRXINV
      Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.
    • _ACTINVOICEELEMENTSUMMARYCODE

      Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.
    • _INVOICEELEMENTADJUDICATED

      Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
    • ADNFPPELAT

      public static final V3ActCode ADNFPPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    • ADNFPPELCT

      public static final V3ActCode ADNFPPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    • ADNFPPMNAT

      public static final V3ActCode ADNFPPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    • ADNFPPMNCT

      public static final V3ActCode ADNFPPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    • ADNFSPELAT

      public static final V3ActCode ADNFSPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    • ADNFSPELCT

      public static final V3ActCode ADNFSPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    • ADNFSPMNAT

      public static final V3ActCode ADNFSPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    • ADNFSPMNCT

      public static final V3ActCode ADNFSPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    • ADNPPPELAT

      public static final V3ActCode ADNPPPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • ADNPPPELCT

      public static final V3ActCode ADNPPPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • ADNPPPMNAT

      public static final V3ActCode ADNPPPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • ADNPPPMNCT

      public static final V3ActCode ADNPPPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • ADNPSPELAT

      public static final V3ActCode ADNPSPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • ADNPSPELCT

      public static final V3ActCode ADNPSPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • ADNPSPMNAT

      public static final V3ActCode ADNPSPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • ADNPSPMNCT

      public static final V3ActCode ADNPSPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • ADPPPPELAT

      public static final V3ActCode ADPPPPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • ADPPPPELCT

      public static final V3ActCode ADPPPPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • ADPPPPMNAT

      public static final V3ActCode ADPPPPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    • ADPPPPMNCT

      public static final V3ActCode ADPPPPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    • ADPPSPELAT

      public static final V3ActCode ADPPSPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • ADPPSPELCT

      public static final V3ActCode ADPPSPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • ADPPSPMNAT

      public static final V3ActCode ADPPSPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    • ADPPSPMNCT

      public static final V3ActCode ADPPSPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    • ADRFPPELAT

      public static final V3ActCode ADRFPPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
    • ADRFPPELCT

      public static final V3ActCode ADRFPPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
    • ADRFPPMNAT

      public static final V3ActCode ADRFPPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
    • ADRFPPMNCT

      public static final V3ActCode ADRFPPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
    • ADRFSPELAT

      public static final V3ActCode ADRFSPELAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
    • ADRFSPELCT

      public static final V3ActCode ADRFSPELCT
      Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
    • ADRFSPMNAT

      public static final V3ActCode ADRFSPMNAT
      Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
    • ADRFSPMNCT

      public static final V3ActCode ADRFSPMNCT
      Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
    • _INVOICEELEMENTPAID

      public static final V3ActCode _INVOICEELEMENTPAID
      Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
    • PDNFPPELAT

      public static final V3ActCode PDNFPPELAT
      Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    • PDNFPPELCT

      public static final V3ActCode PDNFPPELCT
      Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    • PDNFPPMNAT

      public static final V3ActCode PDNFPPMNAT
      Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    • PDNFPPMNCT

      public static final V3ActCode PDNFPPMNCT
      Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    • PDNFSPELAT

      public static final V3ActCode PDNFSPELAT
      Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    • PDNFSPELCT

      public static final V3ActCode PDNFSPELCT
      Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
    • PDNFSPMNAT

      public static final V3ActCode PDNFSPMNAT
      Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    • PDNFSPMNCT

      public static final V3ActCode PDNFSPMNCT
      Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    • PDNPPPELAT

      public static final V3ActCode PDNPPPELAT
      Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • PDNPPPELCT

      public static final V3ActCode PDNPPPELCT
      Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • PDNPPPMNAT

      public static final V3ActCode PDNPPPMNAT
      Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • PDNPPPMNCT

      public static final V3ActCode PDNPPPMNCT
      Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • PDNPSPELAT

      public static final V3ActCode PDNPSPELAT
      Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • PDNPSPELCT

      public static final V3ActCode PDNPSPELCT
      Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    • PDNPSPMNAT

      public static final V3ActCode PDNPSPMNAT
      Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • PDNPSPMNCT

      public static final V3ActCode PDNPSPMNCT
      Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    • PDPPPPELAT

      public static final V3ActCode PDPPPPELAT
      Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • PDPPPPELCT

      public static final V3ActCode PDPPPPELCT
      Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • PDPPPPMNAT

      public static final V3ActCode PDPPPPMNAT
      Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    • PDPPPPMNCT

      public static final V3ActCode PDPPPPMNCT
      Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    • PDPPSPELAT

      public static final V3ActCode PDPPSPELAT
      Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • PDPPSPELCT

      public static final V3ActCode PDPPSPELCT
      Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    • PDPPSPMNAT

      public static final V3ActCode PDPPSPMNAT
      Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    • PDPPSPMNCT

      public static final V3ActCode PDPPSPMNCT
      Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    • _INVOICEELEMENTSUBMITTED

      public static final V3ActCode _INVOICEELEMENTSUBMITTED
      Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
    • SBBLELAT

      public static final V3ActCode SBBLELAT
      Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
    • SBBLELCT

      public static final V3ActCode SBBLELCT
      Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
    • SBNFELAT

      public static final V3ActCode SBNFELAT
      Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
    • SBNFELCT

      public static final V3ActCode SBNFELCT
      Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
    • SBPDELAT

      public static final V3ActCode SBPDELAT
      Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
    • SBPDELCT

      public static final V3ActCode SBPDELCT
      Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
    • _ACTINVOICEOVERRIDECODE

      public static final V3ActCode _ACTINVOICEOVERRIDECODE
      Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
    • COVGE

      public static final V3ActCode COVGE
      Insurance coverage problems have been encountered. Additional explanation information to be supplied.
    • EFORM

      public static final V3ActCode EFORM
      Electronic form with supporting or additional information to follow.
    • FAX

      public static final V3ActCode FAX
      Fax with supporting or additional information to follow.
    • GFTH

      public static final V3ActCode GFTH
      The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.
    • LATE

      public static final V3ActCode LATE
      Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.
    • MANUAL

      public static final V3ActCode MANUAL
      Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.
    • OOJ

      public static final V3ActCode OOJ
      The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
    • ORTHO

      public static final V3ActCode ORTHO
      The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.
    • PAPER

      public static final V3ActCode PAPER
      Paper documentation (or other physical format) with supporting or additional information to follow.
    • PIE

      public static final V3ActCode PIE
      Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.
    • PYRDELAY

      public static final V3ActCode PYRDELAY
      Allows provider to explain lateness of invoice to a subsequent payor.
    • REFNR

      public static final V3ActCode REFNR
      Rules of practice do not require a physician's referral for the provider to perform a billable service.
    • REPSERV

      public static final V3ActCode REPSERV
      The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.
    • UNRELAT

      public static final V3ActCode UNRELAT
      The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.
    • VERBAUTH

      public static final V3ActCode VERBAUTH
      The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
    • _ACTLISTCODE

      public static final V3ActCode _ACTLISTCODE
      Provides codes associated with ActClass value of LIST (working list)
    • _ACTOBSERVATIONLIST

      public static final V3ActCode _ACTOBSERVATIONLIST
      ActObservationList
    • CARELIST

      public static final V3ActCode CARELIST
      List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.
    • CONDLIST

      public static final V3ActCode CONDLIST
      List of condition observations.
    • INTOLIST

      public static final V3ActCode INTOLIST
      List of intolerance observations.
    • PROBLIST

      public static final V3ActCode PROBLIST
      List of problem observations.
    • RISKLIST

      public static final V3ActCode RISKLIST
      List of risk factor observations.
    • GOALLIST

      public static final V3ActCode GOALLIST
      List of observations in goal mood.
    • _ACTTHERAPYDURATIONWORKINGLISTCODE

      Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
    • _ACTMEDICATIONTHERAPYDURATIONWORKINGLISTCODE

      Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists. Examples:"Continuous/Chronic" "Short-Term" and "As Needed"
    • ACU

      public static final V3ActCode ACU
      Definition:A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.
    • CHRON

      public static final V3ActCode CHRON
      Definition:A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.
    • ONET

      public static final V3ActCode ONET
      Definition:A list of medications which the patient is intended to be administered only once.
    • PRN

      public static final V3ActCode PRN
      Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.
    • MEDLIST

      public static final V3ActCode MEDLIST
      List of medications.
    • CURMEDLIST

      public static final V3ActCode CURMEDLIST
      List of current medications.
    • DISCMEDLIST

      public static final V3ActCode DISCMEDLIST
      List of discharge medications.
    • HISTMEDLIST

      public static final V3ActCode HISTMEDLIST
      Historical list of medications.
    • _ACTMONITORINGPROTOCOLCODE

      Identifies types of monitoring programs
    • CTLSUB

      public static final V3ActCode CTLSUB
      A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
    • INV

      public static final V3ActCode INV
      Definition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated
    • LU

      public static final V3ActCode LU
      Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
    • OTC

      public static final V3ActCode OTC
      Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.
    • RX

      public static final V3ActCode RX
      Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.
    • SA

      public static final V3ActCode SA
      Definition:A drug that requires prior approval (to be reimbursed) before being dispensed
    • SAC

      public static final V3ActCode SAC
      Description:A drug that requires special access permission to be prescribed and dispensed.
    • _ACTNONOBSERVATIONINDICATIONCODE

      Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
    • IND01

      public static final V3ActCode IND01
      Description:Contrast agent required for imaging study.
    • IND02

      public static final V3ActCode IND02
      Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
    • IND03

      public static final V3ActCode IND03
      Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
    • IND04

      public static final V3ActCode IND04
      Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
    • IND05

      public static final V3ActCode IND05
      Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.
    • _ACTOBSERVATIONVERIFICATIONTYPE

      Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. Examples: Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program Verification of record - e.g., person has record in an immunization registry Verification of enumeration - e.g. NPI Verification of Board Certification - provider specific Verification of Certification - e.g. JAHCO, NCQA, URAC Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria Verification of Provider Credentials Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)
    • VFPAPER

      public static final V3ActCode VFPAPER
      Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.
    • _ACTPAYMENTCODE

      public static final V3ActCode _ACTPAYMENTCODE
      Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
    • ACH

      public static final V3ActCode ACH
      Automated Clearing House (ACH).
    • CHK

      public static final V3ActCode CHK
      A written order to a bank to pay the amount specified from funds on deposit.
    • DDP

      public static final V3ActCode DDP
      Electronic Funds Transfer (EFT) deposit into the payee's bank account
    • NON

      public static final V3ActCode NON
      Non-Payment Data.
    • _ACTPHARMACYSUPPLYTYPE

      public static final V3ActCode _ACTPHARMACYSUPPLYTYPE
      Identifies types of dispensing events
    • DF

      public static final V3ActCode DF
      A fill providing sufficient supply for one day
    • EM

      public static final V3ActCode EM
      A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)
    • SO

      public static final V3ActCode SO
      An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
    • FF

      public static final V3ActCode FF
      The initial fill against an order. (This includes initial fills against refill orders.)
    • FFC

      public static final V3ActCode FFC
      A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).
    • FFP

      public static final V3ActCode FFP
      A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
    • FFSS

      public static final V3ActCode FFSS
      A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • TF

      public static final V3ActCode TF
      A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
    • FS

      public static final V3ActCode FS
      A supply action to restock a smaller more local dispensary.
    • MS

      public static final V3ActCode MS
      A supply of a manufacturer sample
    • RF

      public static final V3ActCode RF
      A fill against an order that has already been filled (or partially filled) at least once.
    • UD

      public static final V3ActCode UD
      A supply action that provides sufficient material for a single dose.
    • RFC

      public static final V3ActCode RFC
      A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)
    • RFCS

      public static final V3ActCode RFCS
      A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • RFF

      public static final V3ActCode RFF
      The first fill against an order that has already been filled at least once at another facility.
    • RFFS

      public static final V3ActCode RFFS
      The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • RFP

      public static final V3ActCode RFP
      A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
    • RFPS

      public static final V3ActCode RFPS
      A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • RFS

      public static final V3ActCode RFS
      A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • TB

      public static final V3ActCode TB
      A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
    • TBS

      public static final V3ActCode TBS
      A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
    • UDE

      public static final V3ActCode UDE
      A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.
    • _ACTPOLICYTYPE

      public static final V3ActCode _ACTPOLICYTYPE
      Description:Types of policies that further specify the ActClassPolicy value set.
    • _ACTPRIVACYPOLICY

      public static final V3ActCode _ACTPRIVACYPOLICY
      A policy deeming certain information to be private to an individual or organization. Definition: A mandate, obligation, requirement, rule, or expectation relating to privacy. Discussion: ActPrivacyPolicyType codes support the designation of the 1..* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Usage Note: Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.
    • _ACTCONSENTDIRECTIVE

      public static final V3ActCode _ACTCONSENTDIRECTIVE
      Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered "consent directives" or "contracts" depending on the context, and are considered closely related or synonymous from a legal perspective. Examples: Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats. Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability. Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability. Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor. Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an "award" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling. A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service. Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.
    • EMRGONLY

      public static final V3ActCode EMRGONLY
      This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. Definition: Opt-in to disclosure of health information for emergency only consent directive.
    • GRANTORCHOICE

      public static final V3ActCode GRANTORCHOICE
      A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions. Comment: A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms. Usage Note: If the grantor's term of agreement must be accepted in full, then this is considered "basic consent". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered "granular consent". Examples: Healthcare: A PHR account holder [grantor] may require any PHR user [grantee] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. Non-healthcare: The owner of a resource server [grantor] may require any authorization server [grantee] to meet authorization requirements stipulated in the grantor's terms of agreement.
    • IMPLIED

      public static final V3ActCode IMPLIED
      A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee. Comment: Implied or "implicit" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms. Usage Note: Implied consent with no opportunity to assent or dissent to certain terms is considered "basic consent". Examples: Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient [grantor] agrees to the rights granted to the provider [grantee] in an implicit consent directive. An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.
    • IMPLIEDD

      public static final V3ActCode IMPLIEDD
      A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms. Comment: A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent. Usage Note: Implied or "implicit" consent with an "opportunity to dissent" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered "granular consent". Examples: Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures. A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.
    • NOCONSENT

      public static final V3ActCode NOCONSENT
      No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement. Comment: A "No Consent" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles [FIPP] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures. Usage Note: The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge. Examples: Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.
    • NOPP

      public static final V3ActCode NOPP
      Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified.
    • OPTIN

      public static final V3ActCode OPTIN
      A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms. Comment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement.
    • OPTINR

      public static final V3ActCode OPTINR
      A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms. Comment: A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent. Usage Note: Opt-in with restrictions is considered "granular consent" because the grantor has an opportunity to narrow the permissions sought by the grantee. Examples: Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.
    • OPTOUT

      public static final V3ActCode OPTOUT
      A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms. Comment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies. Usage Note: Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered "basic consent". Examples: Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. Non-healthcare: An employee [grantor] refuses to sign an employer's [grantee's] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights. A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption.
    • OPTOUTE

      public static final V3ActCode OPTOUTE
      A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms. Comment: A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms. Usage Note: Opt-out with exceptions is considered a "granular consent" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms. Examples: Healthcare: A patient [grantor] dissents to a health information exchange consent directive with the exception of disclosure based on a limited "time to live" shared secret [e.g., a token or password], which the patient can give to a provider when seeking care. Non-healthcare: A social media user [grantor] dissents from public access to their account, but assents to access to a circle of friends.
    • _ACTPRIVACYLAW

      public static final V3ActCode _ACTPRIVACYLAW
      A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on: The activity of a governed party The behavior of a governed party The manner in which an act is executed by a governed party
    • _ACTUSPRIVACYLAW

      public static final V3ActCode _ACTUSPRIVACYLAW
      Definition: A jurisdictional mandate in the U.S. relating to privacy. Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.
    • _42CFRPART2

      public static final V3ActCode _42CFRPART2
      42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program. Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
    • COMMONRULE

      public static final V3ActCode COMMONRULE
      U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements. Definition: U.S. federal laws governing research-related privacy policies. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.
    • HIPAANOPP

      public static final V3ActCode HIPAANOPP
      The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law. Definition: Notification of HIPAA Privacy Practices. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.
    • HIPAAPSYNOTES

      public static final V3ActCode HIPAAPSYNOTES
      The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes. Definition: Authorization that must be obtained for disclosure of psychotherapy notes. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
    • HIPAASELFPAY

      public static final V3ActCode HIPAASELFPAY
      Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan. Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
    • TITLE38SECTION7332

      public static final V3ActCode TITLE38SECTION7332
      Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfil the duties of the contract; and researchers who provide assurances that the information will not be identified in any report. This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes. Definition: Title 38 Part 1 - Section 1.462 Confidentiality restrictions. (a) General. The patient records to which Sections 1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b). Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
    • _INFORMATIONSENSITIVITYPOLICY

      A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations. Usage Note: Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an employee's sensitivity code would make little sense for use outside of a policy domain. 'Taboo' would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable InformationSensitivityPolicy Act.code may be useful in some scenarios if used in combination with a sensitivity identifier and/or Act.title.
    • _ACTINFORMATIONSENSITIVITYPOLICY

      Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
    • ETH

      public static final V3ActCode ETH
      Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • GDIS

      public static final V3ActCode GDIS
      Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • HIV

      public static final V3ActCode HIV
      Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • PSY

      public static final V3ActCode PSY
      Policy for handling psychiatry information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to psychiatry information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • SCA

      public static final V3ActCode SCA
      Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.
    • SOC

      public static final V3ActCode SOC
      Information about provision of social services. Usage Note: This is a temporary addition to FHIR to be proposed in harmonization.
    • SDV

      public static final V3ActCode SDV
      Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • SEX

      public static final V3ActCode SEX
      Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • STD

      public static final V3ActCode STD
      Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • TBOO

      public static final V3ActCode TBOO
      Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.
    • SICKLE

      public static final V3ActCode SICKLE
      Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
    • _ENTITYSENSITIVITYPOLICYTYPE

      Types of sensitivity policies that may apply to a sensitive attribute on an Entity. Usage Note: EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
    • DEMO

      public static final V3ActCode DEMO
      Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • DOB

      public static final V3ActCode DOB
      Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • GENDER

      public static final V3ActCode GENDER
      Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • LIVARG

      public static final V3ActCode LIVARG
      Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • MARST

      public static final V3ActCode MARST
      Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • RACE

      public static final V3ActCode RACE
      Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • REL

      public static final V3ActCode REL
      Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • _ROLEINFORMATIONSENSITIVITYPOLICY

      Types of sensitivity policies that apply to Roles. Usage Notes: RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
    • B

      public static final V3ActCode B
      Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • EMPL

      public static final V3ActCode EMPL
      Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • LOCIS

      public static final V3ActCode LOCIS
      Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • SSP

      public static final V3ActCode SSP
      Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • ADOL

      public static final V3ActCode ADOL
      Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • CEL

      public static final V3ActCode CEL
      Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • DIA

      public static final V3ActCode DIA
      Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • DRGIS

      public static final V3ActCode DRGIS
      Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • EMP

      public static final V3ActCode EMP
      Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.
    • PDS

      public static final V3ActCode PDS
      Policy for handling information reported by the patient about another person, e.g., a family member, which will be afforded heightened confidentiality. Sensitive information reported by the patient about another person, e.g., family members may be deemed sensitive by default. The flag may be set or cleared on patient's request. Usage Note: For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • PRS

      public static final V3ActCode PRS
      For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a patient as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
    • COMPT

      public static final V3ActCode COMPT
      This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
    • HRCOMPT

      public static final V3ActCode HRCOMPT
      A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.
    • RESCOMPT

      public static final V3ActCode RESCOMPT
      A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.
    • RMGTCOMPT

      public static final V3ActCode RMGTCOMPT
      A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.
    • ACTTRUSTPOLICYTYPE

      public static final V3ActCode ACTTRUSTPOLICYTYPE
      A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. [Based on ISO IEC 10181-1 and NIST SP 800-63-2] For example, identity proofing , level of assurance, and Trust Framework.
    • TRSTACCRD

      public static final V3ActCode TRSTACCRD
      Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
    • TRSTAGRE

      public static final V3ActCode TRSTAGRE
      Type of security metadata about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
    • TRSTASSUR

      public static final V3ActCode TRSTASSUR
      Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
    • TRSTCERT

      public static final V3ActCode TRSTCERT
      Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]
    • TRSTFWK

      public static final V3ActCode TRSTFWK
      Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
    • TRSTMEC

      public static final V3ActCode TRSTMEC
      Type of security metadata about a security architecture system component that supports enforcement of security policies.
    • COVPOL

      public static final V3ActCode COVPOL
      Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.
    • SECURITYPOLICY

      public static final V3ActCode SECURITYPOLICY
      Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent
    • OBLIGATIONPOLICY

      public static final V3ActCode OBLIGATIONPOLICY
      Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
    • ANONY

      public static final V3ActCode ANONY
      Custodian system must remove any information that could result in identifying the information subject.
    • AOD

      public static final V3ActCode AOD
      Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual‚??s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.
    • AUDIT

      public static final V3ActCode AUDIT
      Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.
    • AUDTR

      public static final V3ActCode AUDTR
      Custodian system must monitor and maintain retrievable log for each user and operation on information.
    • CPLYCC

      public static final V3ActCode CPLYCC
      Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
    • CPLYCD

      public static final V3ActCode CPLYCD
      Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
    • CPLYJPP

      public static final V3ActCode CPLYJPP
      Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
    • CPLYOPP

      public static final V3ActCode CPLYOPP
      Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
    • CPLYOSP

      public static final V3ActCode CPLYOSP
      Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
    • CPLYPOL

      public static final V3ActCode CPLYPOL
      Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
    • DECLASSIFYLABEL

      public static final V3ActCode DECLASSIFYLABEL
      Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
    • DEID

      public static final V3ActCode DEID
      Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
    • DELAU

      public static final V3ActCode DELAU
      Custodian system must remove target information from access after use.
    • DOWNGRDLABEL

      public static final V3ActCode DOWNGRDLABEL
      Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
    • DRIVLABEL

      public static final V3ActCode DRIVLABEL
      Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
    • ENCRYPT

      public static final V3ActCode ENCRYPT
      Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)
    • ENCRYPTR

      public static final V3ActCode ENCRYPTR
      Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
    • ENCRYPTT

      public static final V3ActCode ENCRYPTT
      Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
    • ENCRYPTU

      public static final V3ActCode ENCRYPTU
      Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.
    • HUAPRV

      public static final V3ActCode HUAPRV
      Custodian system must require human review and approval for permission requested.
    • LABEL

      public static final V3ActCode LABEL
      Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.
    • MASK

      public static final V3ActCode MASK
      Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".
    • MINEC

      public static final V3ActCode MINEC
      Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.
    • PERSISTLABEL

      public static final V3ActCode PERSISTLABEL
      Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.
    • PRIVMARK

      public static final V3ActCode PRIVMARK
      Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."
    • PSEUD

      public static final V3ActCode PSEUD
      Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.
    • REDACT

      public static final V3ActCode REDACT
      Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.
    • UPGRDLABEL

      public static final V3ActCode UPGRDLABEL
      Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
    • REFRAINPOLICY

      public static final V3ActCode REFRAINPOLICY
      Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
    • NOAUTH

      public static final V3ActCode NOAUTH
      Prohibition on disclosure without information subject's authorization.
    • NOCOLLECT

      public static final V3ActCode NOCOLLECT
      Prohibition on collection or storage of the information.
    • NODSCLCD

      public static final V3ActCode NODSCLCD
      Prohibition on disclosure without organizational approved patient restriction.
    • NODSCLCDS

      public static final V3ActCode NODSCLCDS
      Prohibition on disclosure without a consent directive from the information subject.
    • NOINTEGRATE

      public static final V3ActCode NOINTEGRATE
      Prohibition on Integration into other records.
    • NOLIST

      public static final V3ActCode NOLIST
      Prohibition on disclosure except to entities on specific access list.
    • NOMOU

      public static final V3ActCode NOMOU
      Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
    • NOORGPOL

      public static final V3ActCode NOORGPOL
      Prohibition on disclosure without organizational authorization.
    • NOPAT

      public static final V3ActCode NOPAT
      Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).
    • NOPERSISTP

      public static final V3ActCode NOPERSISTP
      Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
    • NORDSCLCD

      public static final V3ActCode NORDSCLCD
      Prohibition on redisclosure without patient consent directive.
    • NORDSCLCDS

      public static final V3ActCode NORDSCLCDS
      Prohibition on redisclosure without a consent directive from the information subject.
    • NORDSCLW

      public static final V3ActCode NORDSCLW
      Prohibition on disclosure without authorization under jurisdictional law.
    • NOREUSE

      public static final V3ActCode NOREUSE
      Prohibition on use of the information beyond the purpose of use initially authorized.
    • NOVIP

      public static final V3ActCode NOVIP
      Prohibition on disclosure except to principals with access permission to specific VIP information.
    • ORCON

      public static final V3ActCode ORCON
      Prohibition on disclosure except as permitted by the information originator.
    • _ACTPRODUCTACQUISITIONCODE

      The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.
    • LOAN

      public static final V3ActCode LOAN
      Temporary supply of a product without transfer of ownership for the product.
    • RENT

      public static final V3ActCode RENT
      Temporary supply of a product with financial compensation, without transfer of ownership for the product.
    • TRANSFER

      public static final V3ActCode TRANSFER
      Transfer of ownership for a product.
    • SALE

      public static final V3ActCode SALE
      Transfer of ownership for a product for financial compensation.
    • _ACTSPECIMENTRANSPORTCODE

      public static final V3ActCode _ACTSPECIMENTRANSPORTCODE
      Transportation of a specimen.
    • SREC

      public static final V3ActCode SREC
      Description:Specimen has been received by the participating organization/department.
    • SSTOR

      public static final V3ActCode SSTOR
      Description:Specimen has been placed into storage at a participating location.
    • STRAN

      public static final V3ActCode STRAN
      Description:Specimen has been put in transit to a participating receiver.
    • _ACTSPECIMENTREATMENTCODE

      public static final V3ActCode _ACTSPECIMENTREATMENTCODE
      Set of codes related to specimen treatments
    • ACID

      public static final V3ActCode ACID
      The lowering of specimen pH through the addition of an acid
    • ALK

      public static final V3ActCode ALK
      The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
    • DEFB

      public static final V3ActCode DEFB
      The removal of fibrin from whole blood or plasma through physical or chemical means
    • FILT

      public static final V3ActCode FILT
      The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
    • LDLP

      public static final V3ActCode LDLP
      LDL Precipitation
    • NEUT

      public static final V3ActCode NEUT
      The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
    • RECA

      public static final V3ActCode RECA
      The addition of calcium back to a specimen after it was removed by chelating agents
    • UFIL

      public static final V3ActCode UFIL
      The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
    • _ACTSUBSTANCEADMINISTRATIONCODE

      Description: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.
    • DRUG

      public static final V3ActCode DRUG
      The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
    • FD

      public static final V3ActCode FD
      Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).
    • IMMUNIZ

      public static final V3ActCode IMMUNIZ
      The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
    • BOOSTER

      public static final V3ActCode BOOSTER
      An additional immunization administration within a series intended to bolster or enhance immunity.
    • INITIMMUNIZ

      public static final V3ActCode INITIMMUNIZ
      The first immunization administration in a series intended to produce immunity
    • _ACTTASKCODE

      public static final V3ActCode _ACTTASKCODE
      Description: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).
    • OE

      public static final V3ActCode OE
      A clinician creates a request for a service to be performed for a given patient.
    • LABOE

      public static final V3ActCode LABOE
      A clinician creates a request for a laboratory test to be done for a given patient.
    • MEDOE

      public static final V3ActCode MEDOE
      A clinician creates a request for the administration of one or more medications to a given patient.
    • PATDOC

      public static final V3ActCode PATDOC
      A person enters documentation about a given patient.
    • ALLERLREV

      public static final V3ActCode ALLERLREV
      Description: A person reviews a list of known allergies of a given patient.
    • CLINNOTEE

      public static final V3ActCode CLINNOTEE
      A clinician enters a clinical note about a given patient
    • DIAGLISTE

      public static final V3ActCode DIAGLISTE
      A clinician enters a diagnosis for a given patient.
    • DISCHINSTE

      public static final V3ActCode DISCHINSTE
      A person provides a discharge instruction to a patient.
    • DISCHSUME

      public static final V3ActCode DISCHSUME
      A clinician enters a discharge summary for a given patient.
    • PATEDUE

      public static final V3ActCode PATEDUE
      A person provides a patient-specific education handout to a patient.
    • PATREPE

      public static final V3ActCode PATREPE
      A pathologist enters a report for a given patient.
    • PROBLISTE

      public static final V3ActCode PROBLISTE
      A clinician enters a problem for a given patient.
    • RADREPE

      public static final V3ActCode RADREPE
      A radiologist enters a report for a given patient.
    • IMMLREV

      public static final V3ActCode IMMLREV
      Description: A person reviews a list of immunizations due or received for a given patient.
    • REMLREV

      public static final V3ActCode REMLREV
      Description: A person reviews a list of health care reminders for a given patient.
    • WELLREMLREV

      public static final V3ActCode WELLREMLREV
      Description: A person reviews a list of wellness or preventive care reminders for a given patient.
    • PATINFO

      public static final V3ActCode PATINFO
      A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
    • ALLERLE

      public static final V3ActCode ALLERLE
      Description: A person enters a known allergy for a given patient.
    • CDSREV

      public static final V3ActCode CDSREV
      A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.
    • CLINNOTEREV

      public static final V3ActCode CLINNOTEREV
      A person reviews a clinical note of a given patient.
    • DISCHSUMREV

      public static final V3ActCode DISCHSUMREV
      A person reviews a discharge summary of a given patient.
    • DIAGLISTREV

      public static final V3ActCode DIAGLISTREV
      A person reviews a list of diagnoses of a given patient.
    • IMMLE

      public static final V3ActCode IMMLE
      Description: A person enters an immunization due or received for a given patient.
    • LABRREV

      public static final V3ActCode LABRREV
      A person reviews a list of laboratory results of a given patient.
    • MICRORREV

      public static final V3ActCode MICRORREV
      A person reviews a list of microbiology results of a given patient.
    • MICROORGRREV

      public static final V3ActCode MICROORGRREV
      A person reviews organisms of microbiology results of a given patient.
    • MICROSENSRREV

      public static final V3ActCode MICROSENSRREV
      A person reviews the sensitivity test of microbiology results of a given patient.
    • MLREV

      public static final V3ActCode MLREV
      A person reviews a list of medication orders submitted to a given patient
    • MARWLREV

      public static final V3ActCode MARWLREV
      A clinician reviews a work list of medications to be administered to a given patient.
    • OREV

      public static final V3ActCode OREV
      A person reviews a list of orders submitted to a given patient.
    • PATREPREV

      public static final V3ActCode PATREPREV
      A person reviews a pathology report of a given patient.
    • PROBLISTREV

      public static final V3ActCode PROBLISTREV
      A person reviews a list of problems of a given patient.
    • RADREPREV

      public static final V3ActCode RADREPREV
      A person reviews a radiology report of a given patient.
    • REMLE

      public static final V3ActCode REMLE
      Description: A person enters a health care reminder for a given patient.
    • WELLREMLE

      public static final V3ActCode WELLREMLE
      Description: A person enters a wellness or preventive care reminder for a given patient.
    • RISKASSESS

      public static final V3ActCode RISKASSESS
      A person reviews a Risk Assessment Instrument report of a given patient.
    • FALLRISK

      public static final V3ActCode FALLRISK
      A person reviews a Falls Risk Assessment Instrument report of a given patient.
    • _ACTTRANSPORTATIONMODECODE

      Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.
    • _ACTPATIENTTRANSPORTATIONMODECODE

      Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.
    • AFOOT

      public static final V3ActCode AFOOT
      pedestrian transport
    • AMBT

      public static final V3ActCode AMBT
      ambulance transport
    • AMBAIR

      public static final V3ActCode AMBAIR
      fixed-wing ambulance transport
    • AMBGRND

      public static final V3ActCode AMBGRND
      ground ambulance transport
    • AMBHELO

      public static final V3ActCode AMBHELO
      helicopter ambulance transport
    • LAWENF

      public static final V3ActCode LAWENF
      law enforcement transport
    • PRVTRN

      public static final V3ActCode PRVTRN
      private transport
    • PUBTRN

      public static final V3ActCode PUBTRN
      public transport
    • _OBSERVATIONTYPE

      public static final V3ActCode _OBSERVATIONTYPE
      Identifies the kinds of observations that can be performed
    • _ACTSPECOBSCODE

      public static final V3ActCode _ACTSPECOBSCODE
      Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
    • ARTBLD

      public static final V3ActCode ARTBLD
      Describes the artificial blood identifier that is associated with the specimen.
    • DILUTION

      public static final V3ActCode DILUTION
      An observation that reports the dilution of a sample.
    • AUTOHIGH

      public static final V3ActCode AUTOHIGH
      The dilution of a sample performed by automated equipment. The value is specified by the equipment
    • AUTOLOW

      public static final V3ActCode AUTOLOW
      The dilution of a sample performed by automated equipment. The value is specified by the equipment
    • PRE

      public static final V3ActCode PRE
      The dilution of the specimen made prior to being loaded onto analytical equipment
    • RERUN

      public static final V3ActCode RERUN
      The value of the dilution of a sample after it had been analyzed at a prior dilution value
    • EVNFCTS

      public static final V3ActCode EVNFCTS
      Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)
    • INTFR

      public static final V3ActCode INTFR
      An observation that relates to factors that may potentially cause interference with the observation
    • FIBRIN

      public static final V3ActCode FIBRIN
      The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1
    • HEMOLYSIS

      public static final V3ActCode HEMOLYSIS
      An observation of the hemolysis index of the specimen in g/L
    • ICTERUS

      public static final V3ActCode ICTERUS
      An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin
    • LIPEMIA

      public static final V3ActCode LIPEMIA
      An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).
    • VOLUME

      public static final V3ActCode VOLUME
      An observation that reports the volume of a sample.
    • AVAILABLE

      public static final V3ActCode AVAILABLE
      The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)
    • CONSUMPTION

      public static final V3ActCode CONSUMPTION
      The quantity of specimen that is used each time the equipment uses this substance
    • CURRENT

      public static final V3ActCode CURRENT
      The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
    • INITIAL

      public static final V3ActCode INITIAL
      The initial quantity of the specimen in inventory
    • _ANNOTATIONTYPE

      public static final V3ActCode _ANNOTATIONTYPE
      AnnotationType
    • _ACTPATIENTANNOTATIONTYPE

      public static final V3ActCode _ACTPATIENTANNOTATIONTYPE
      Description:Provides a categorization for annotations recorded directly against the patient .
    • ANNDI

      public static final V3ActCode ANNDI
      Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.
    • ANNGEN

      public static final V3ActCode ANNGEN
      Description:A general or uncategorized note.
    • ANNIMM

      public static final V3ActCode ANNIMM
      A note that is specific to a patient's immunizations, either historical, current or planned.
    • ANNLAB

      public static final V3ActCode ANNLAB
      Description:A note that is specific to a patient's laboratory results, either historical, current or planned.
    • ANNMED

      public static final V3ActCode ANNMED
      Description:A note that is specific to a patient's medications, either historical, current or planned.
    • _GENETICOBSERVATIONTYPE

      public static final V3ActCode _GENETICOBSERVATIONTYPE
      Description: None provided
    • GENE

      public static final V3ActCode GENE
      Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology
    • _IMMUNIZATIONOBSERVATIONTYPE

      Description: Observation codes which describe characteristics of the immunization material.
    • OBSANTC

      public static final V3ActCode OBSANTC
      Description: Indicates the valid antigen count.
    • OBSANTV

      public static final V3ActCode OBSANTV
      Description: Indicates whether an antigen is valid or invalid.
    • _INDIVIDUALCASESAFETYREPORTTYPE

      A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report. Example concepts include: Spontaneous, Report from study, Other.
    • PATADVEVNT

      public static final V3ActCode PATADVEVNT
      Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.
    • VACPROBLEM

      public static final V3ActCode VACPROBLEM
      Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.
    • _LOINCOBSERVATIONACTCONTEXTAGETYPE

      Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
    • _216119

      public static final V3ActCode _216119
      Definition:Estimated age.
    • _216127

      public static final V3ActCode _216127
      Definition:Reported age.
    • _295535

      public static final V3ActCode _295535
      Definition:Calculated age.
    • _305250

      public static final V3ActCode _305250
      Definition:General specification of age with no implied method of determination.
    • _309724

      public static final V3ActCode _309724
      Definition:Age at onset of associated adverse event; no implied method of determination.
    • _MEDICATIONOBSERVATIONTYPE

      MedicationObservationType
    • REPHALFLIFE

      public static final V3ActCode REPHALFLIFE
      Description:This observation represents an 'average' or 'expected' half-life typical of the product.
    • SPLCOATING

      public static final V3ActCode SPLCOATING
      Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.
    • SPLCOLOR

      public static final V3ActCode SPLCOLOR
      Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.
    • SPLIMAGE

      public static final V3ActCode SPLIMAGE
      Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.
    • SPLIMPRINT

      public static final V3ActCode SPLIMPRINT
      Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.
    • SPLSCORING

      public static final V3ActCode SPLSCORING
      Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).
    • SPLSHAPE

      public static final V3ActCode SPLSHAPE
      Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.
    • SPLSIZE

      public static final V3ActCode SPLSIZE
      Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.
    • SPLSYMBOL

      public static final V3ActCode SPLSYMBOL
      Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with true indicating the presence and false for the absence of marks or symbols. Example:
    • _OBSERVATIONISSUETRIGGERCODEDOBSERVATIONTYPE

      Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
    • _CASETRANSMISSIONMODE

      public static final V3ActCode _CASETRANSMISSIONMODE
      Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.
    • AIRTRNS

      public static final V3ActCode AIRTRNS
      Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
    • ANANTRNS

      public static final V3ActCode ANANTRNS
      Communication of an agent from one animal to another proximate animal.
    • ANHUMTRNS

      public static final V3ActCode ANHUMTRNS
      Communication of an agent from an animal to a proximate person.
    • BDYFLDTRNS

      public static final V3ActCode BDYFLDTRNS
      Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
    • BLDTRNS

      public static final V3ActCode BLDTRNS
      Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.
    • DERMTRNS

      public static final V3ActCode DERMTRNS
      Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
    • ENVTRNS

      public static final V3ActCode ENVTRNS
      Communication of an agent from an environmental surface or source to a living subject by direct contact.
    • FECTRNS

      public static final V3ActCode FECTRNS
      Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.
    • FOMTRNS

      public static final V3ActCode FOMTRNS
      Communication of an agent from an non-living material to a living subject through direct contact.
    • FOODTRNS

      public static final V3ActCode FOODTRNS
      Communication of an agent from a food source to a living subject via oral consumption.
    • HUMHUMTRNS

      public static final V3ActCode HUMHUMTRNS
      Communication of an agent from a person to a proximate person.
    • INDTRNS

      public static final V3ActCode INDTRNS
      Communication of an agent to a living subject via an undetermined route.
    • LACTTRNS

      public static final V3ActCode LACTTRNS
      Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
    • NOSTRNS

      public static final V3ActCode NOSTRNS
      Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.
    • PARTRNS

      public static final V3ActCode PARTRNS
      Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.
    • PLACTRNS

      public static final V3ActCode PLACTRNS
      Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.
    • SEXTRNS

      public static final V3ActCode SEXTRNS
      Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.
    • TRNSFTRNS

      public static final V3ActCode TRNSFTRNS
      Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.
    • VECTRNS

      public static final V3ActCode VECTRNS
      Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.
    • WATTRNS

      public static final V3ActCode WATTRNS
      Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.
    • _OBSERVATIONQUALITYMEASUREATTRIBUTE

      Codes used to define various metadata aspects of a health quality measure.
    • AGGREGATE

      public static final V3ActCode AGGREGATE
      Indicates that the observation is carrying out an aggregation calculation, contained in the value element.
    • CMPMSRMTH

      public static final V3ActCode CMPMSRMTH
      Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.
    • CMPMSRSCRWGHT

      public static final V3ActCode CMPMSRSCRWGHT
      An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.
    • COPY

      public static final V3ActCode COPY
      Identifies the organization(s) who own the intellectual property represented by the eMeasure.
    • CRS

      public static final V3ActCode CRS
      Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.
    • DEF

      public static final V3ActCode DEF
      Description of individual terms, provided as needed.
    • DISC

      public static final V3ActCode DISC
      Disclaimer information for the eMeasure.
    • FINALDT

      public static final V3ActCode FINALDT
      The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.
    • GUIDE

      public static final V3ActCode GUIDE
      Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.
    • IDUR

      public static final V3ActCode IDUR
      Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).
    • ITMCNT

      public static final V3ActCode ITMCNT
      Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)
    • KEY

      public static final V3ActCode KEY
      A significant word that aids in discoverability.
    • MEDT

      public static final V3ActCode MEDT
      The end date of the measurement period.
    • MSD

      public static final V3ActCode MSD
      The start date of the measurement period.
    • MSRADJ

      public static final V3ActCode MSRADJ
      The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.
    • MSRAGG

      public static final V3ActCode MSRAGG
      Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.
    • MSRIMPROV

      public static final V3ActCode MSRIMPROV
      Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.
    • MSRJUR

      public static final V3ActCode MSRJUR
      The list of jurisdiction(s) for which the measure applies.
    • MSRRPTR

      public static final V3ActCode MSRRPTR
      Type of person or organization that is expected to report the issue.
    • MSRRPTTIME

      public static final V3ActCode MSRRPTTIME
      The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.
    • MSRSCORE

      public static final V3ActCode MSRSCORE
      Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)
    • MSRSET

      public static final V3ActCode MSRSET
      Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).
    • MSRTOPIC

      public static final V3ActCode MSRTOPIC
      health quality measure topic type
    • MSRTP

      public static final V3ActCode MSRTP
      The time period for which the eMeasure applies.
    • MSRTYPE

      public static final V3ActCode MSRTYPE
      Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).
    • RAT

      public static final V3ActCode RAT
      Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.
    • REF

      public static final V3ActCode REF
      Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.
    • SDE

      public static final V3ActCode SDE
      Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.
    • STRAT

      public static final V3ActCode STRAT
      Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).
    • TRANF

      public static final V3ActCode TRANF
      Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.
    • USE

      public static final V3ActCode USE
      Usage notes.
    • _OBSERVATIONSEQUENCETYPE

      public static final V3ActCode _OBSERVATIONSEQUENCETYPE
      ObservationSequenceType
    • TIMEABSOLUTE

      public static final V3ActCode TIMEABSOLUTE
      A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar
    • TIMERELATIVE

      public static final V3ActCode TIMERELATIVE
      A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.
    • _OBSERVATIONSERIESTYPE

      public static final V3ActCode _OBSERVATIONSERIESTYPE
      ObservationSeriesType
    • _ECGOBSERVATIONSERIESTYPE

      public static final V3ActCode _ECGOBSERVATIONSERIESTYPE
      ECGObservationSeriesType
    • REPRESENTATIVEBEAT

      public static final V3ActCode REPRESENTATIVEBEAT
      This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.
    • RHYTHM

      public static final V3ActCode RHYTHM
      This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.
    • _PATIENTIMMUNIZATIONRELATEDOBSERVATIONTYPE

      Description: Reporting codes that are related to an immunization event.
    • CLSSRM

      public static final V3ActCode CLSSRM
      Description: The class room associated with the patient during the immunization event.
    • GRADE

      public static final V3ActCode GRADE
      Description: The school grade or level the patient was in when immunized.
    • SCHL

      public static final V3ActCode SCHL
      Description: The school the patient attended when immunized.
    • SCHLDIV

      public static final V3ActCode SCHLDIV
      Description: The school division or district associated with the patient during the immunization event.
    • TEACHER

      public static final V3ActCode TEACHER
      Description: The patient's teacher when immunized.
    • _POPULATIONINCLUSIONOBSERVATIONTYPE

      Observation types for specifying criteria used to assert that a subject is included in a particular population.
    • DENEX

      public static final V3ActCode DENEX
      Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.
    • DENEXCEP

      public static final V3ActCode DENEXCEP
      Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient (or subject) reasons System reasons
    • DENOM

      public static final V3ActCode DENOM
      Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.
    • IPOP

      public static final V3ActCode IPOP
      Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
    • IPPOP

      public static final V3ActCode IPPOP
      Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.
    • MSRPOPL

      public static final V3ActCode MSRPOPL
      Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.
    • MSRPOPLEX

      public static final V3ActCode MSRPOPLEX
      Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).
    • NUMER

      public static final V3ActCode NUMER
      Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
    • NUMEX

      public static final V3ActCode NUMEX
      Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.
    • _PREFERENCEOBSERVATIONTYPE

      Types of observations that can be made about Preferences.
    • PREFSTRENGTH

      public static final V3ActCode PREFSTRENGTH
      An observation about how important a preference is to the target of the preference.
    • ADVERSEREACTION

      public static final V3ActCode ADVERSEREACTION
      Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.
    • ASSERTION

      public static final V3ActCode ASSERTION
      Description:Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture.
    • CASESER

      public static final V3ActCode CASESER
      Definition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.
    • CDIO

      public static final V3ActCode CDIO
      An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.
    • CRIT

      public static final V3ActCode CRIT
      A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
    • CTMO

      public static final V3ActCode CTMO
      An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.
    • DX

      public static final V3ActCode DX
      Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
    • ADMDX

      public static final V3ActCode ADMDX
      Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
    • DISDX

      public static final V3ActCode DISDX
      Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
    • INTDX

      public static final V3ActCode INTDX
      Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
    • NOI

      public static final V3ActCode NOI
      The type of injury that the injury coding specifies.
    • GISTIER

      public static final V3ActCode GISTIER
      Description: Accuracy determined as per the GIS tier code system.
    • HHOBS

      public static final V3ActCode HHOBS
      Indicates that the observation is of a person?s living situation in a household including the household composition and circumstances.
    • ISSUE

      public static final V3ActCode ISSUE
      There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)
    • _ACTADMINISTRATIVEDETECTEDISSUECODE

      Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
    • _ACTADMINISTRATIVEAUTHORIZATIONDETECTEDISSUECODE

      ActAdministrativeAuthorizationDetectedIssueCode
    • NAT

      public static final V3ActCode NAT
      The requesting party has insufficient authorization to invoke the interaction.
    • SUPPRESSED

      public static final V3ActCode SUPPRESSED
      Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
    • VALIDAT

      public static final V3ActCode VALIDAT
      Description:The specified element did not pass business-rule validation.
    • KEY204

      public static final V3ActCode KEY204
      The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
    • KEY205

      public static final V3ActCode KEY205
      The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
    • COMPLY

      public static final V3ActCode COMPLY
      There may be an issue with the patient complying with the intentions of the proposed therapy
    • DUPTHPY

      public static final V3ActCode DUPTHPY
      The proposed therapy appears to duplicate an existing therapy
    • DUPTHPCLS

      public static final V3ActCode DUPTHPCLS
      Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
    • DUPTHPGEN

      public static final V3ActCode DUPTHPGEN
      Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.
    • ABUSE

      public static final V3ActCode ABUSE
      Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
    • FRAUD

      public static final V3ActCode FRAUD
      Description:The request is suspected to have a fraudulent basis.
    • PLYDOC

      public static final V3ActCode PLYDOC
      A similar or identical therapy was recently ordered by a different practitioner.
    • PLYPHRM

      public static final V3ActCode PLYPHRM
      This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
    • DOSE

      public static final V3ActCode DOSE
      Proposed dosage instructions for therapy differ from standard practice.
    • DOSECOND

      public static final V3ActCode DOSECOND
      Description:Proposed dosage is inappropriate due to patient's medical condition.
    • DOSEDUR

      public static final V3ActCode DOSEDUR
      Proposed length of therapy differs from standard practice.
    • DOSEDURH

      public static final V3ActCode DOSEDURH
      Proposed length of therapy is longer than standard practice
    • DOSEDURHIND

      public static final V3ActCode DOSEDURHIND
      Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
    • DOSEDURL

      public static final V3ActCode DOSEDURL
      Proposed length of therapy is shorter than that necessary for therapeutic effect
    • DOSEDURLIND

      public static final V3ActCode DOSEDURLIND
      Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
    • DOSEH

      public static final V3ActCode DOSEH
      Proposed dosage exceeds standard practice
    • DOSEHINDA

      public static final V3ActCode DOSEHINDA
      Proposed dosage exceeds standard practice for the patient's age
    • DOSEHIND

      public static final V3ActCode DOSEHIND
      High Dose for Indication Alert
    • DOSEHINDSA

      public static final V3ActCode DOSEHINDSA
      Proposed dosage exceeds standard practice for the patient's height or body surface area
    • DOSEHINDW

      public static final V3ActCode DOSEHINDW
      Proposed dosage exceeds standard practice for the patient's weight
    • DOSEIVL

      public static final V3ActCode DOSEIVL
      Proposed dosage interval/timing differs from standard practice
    • DOSEIVLIND

      public static final V3ActCode DOSEIVLIND
      Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
    • DOSEL

      public static final V3ActCode DOSEL
      Proposed dosage is below suggested therapeutic levels
    • DOSELINDA

      public static final V3ActCode DOSELINDA
      Proposed dosage is below suggested therapeutic levels for the patient's age
    • DOSELIND

      public static final V3ActCode DOSELIND
      Low Dose for Indication Alert
    • DOSELINDSA

      public static final V3ActCode DOSELINDSA
      Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
    • DOSELINDW

      public static final V3ActCode DOSELINDW
      Proposed dosage is below suggested therapeutic levels for the patient's weight
    • MDOSE

      public static final V3ActCode MDOSE
      Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.
    • OBSA

      public static final V3ActCode OBSA
      Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
    • AGE

      public static final V3ActCode AGE
      Proposed therapy may be inappropriate or contraindicated due to patient age
    • ADALRT

      public static final V3ActCode ADALRT
      Proposed therapy is outside of the standard practice for an adult patient.
    • GEALRT

      public static final V3ActCode GEALRT
      Proposed therapy is outside of standard practice for a geriatric patient.
    • PEALRT

      public static final V3ActCode PEALRT
      Proposed therapy is outside of the standard practice for a pediatric patient.
    • COND

      public static final V3ActCode COND
      Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
    • HGHT

      public static final V3ActCode HGHT
      null
    • LACT

      public static final V3ActCode LACT
      Proposed therapy may be inappropriate or contraindicated when breast-feeding
    • PREG

      public static final V3ActCode PREG
      Proposed therapy may be inappropriate or contraindicated during pregnancy
    • WGHT

      public static final V3ActCode WGHT
      null
    • CREACT

      public static final V3ActCode CREACT
      Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. Example:There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.
    • GEN

      public static final V3ActCode GEN
      Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
    • GEND

      public static final V3ActCode GEND
      Proposed therapy may be inappropriate or contraindicated due to patient gender.
    • LAB

      public static final V3ActCode LAB
      Proposed therapy may be inappropriate or contraindicated due to recent lab test results
    • REACT

      public static final V3ActCode REACT
      Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
    • ALGY

      public static final V3ActCode ALGY
      Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
    • INT

      public static final V3ActCode INT
      Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
    • RREACT

      public static final V3ActCode RREACT
      Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
    • RALG

      public static final V3ActCode RALG
      Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
    • RAR

      public static final V3ActCode RAR
      Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
    • RINT

      public static final V3ActCode RINT
      Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)
    • BUS

      public static final V3ActCode BUS
      Description:A local business rule relating multiple elements has been violated.
    • CODEINVAL

      public static final V3ActCode CODEINVAL
      Description:The specified code is not valid against the list of codes allowed for the element.
    • CODEDEPREC

      public static final V3ActCode CODEDEPREC
      Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.
    • FORMAT

      public static final V3ActCode FORMAT
      Description:The element does not follow the formatting or type rules defined for the field.
    • ILLEGAL

      public static final V3ActCode ILLEGAL
      Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
    • LENRANGE

      public static final V3ActCode LENRANGE
      Description:The length of the data specified falls out of the range defined for the element.
    • LENLONG

      public static final V3ActCode LENLONG
      Description:The length of the data specified is greater than the maximum length defined for the element.
    • LENSHORT

      public static final V3ActCode LENSHORT
      Description:The length of the data specified is less than the minimum length defined for the element.
    • MISSCOND

      public static final V3ActCode MISSCOND
      Description:The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.
    • MISSMAND

      public static final V3ActCode MISSMAND
      Description:The specified element is mandatory and was not included in the instance.
    • NODUPS

      public static final V3ActCode NODUPS
      Description:More than one element with the same value exists in the set. Duplicates not permission in this set in a set.
    • NOPERSIST

      public static final V3ActCode NOPERSIST
      Description: Element in submitted message will not persist in data storage based on detected issue.
    • REPRANGE

      public static final V3ActCode REPRANGE
      Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
    • MAXOCCURS

      public static final V3ActCode MAXOCCURS
      Description:The number of repeating elements is above the maximum number of repetitions allowed.
    • MINOCCURS

      public static final V3ActCode MINOCCURS
      Description:The number of repeating elements is below the minimum number of repetitions allowed.
    • _ACTADMINISTRATIVERULEDETECTEDISSUECODE

      ActAdministrativeRuleDetectedIssueCode
    • KEY206

      public static final V3ActCode KEY206
      Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
    • OBSOLETE

      public static final V3ActCode OBSOLETE
      Description: One or more records in the query response have a status of 'obsolete'.
    • _ACTSUPPLIEDITEMDETECTEDISSUECODE

      Identifies types of detected issues regarding the administration or supply of an item to a patient.
    • _ADMINISTRATIONDETECTEDISSUECODE

      Administration of the proposed therapy may be inappropriate or contraindicated as proposed
    • _APPROPRIATENESSDETECTEDISSUECODE

      AppropriatenessDetectedIssueCode
    • _INTERACTIONDETECTEDISSUECODE

      InteractionDetectedIssueCode
    • FOOD

      public static final V3ActCode FOOD
      Proposed therapy may interact with certain foods
    • TPROD

      public static final V3ActCode TPROD
      Proposed therapy may interact with an existing or recent therapeutic product
    • DRG

      public static final V3ActCode DRG
      Proposed therapy may interact with an existing or recent drug therapy
    • NHP

      public static final V3ActCode NHP
      Proposed therapy may interact with existing or recent natural health product therapy
    • NONRX

      public static final V3ActCode NONRX
      Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
    • PREVINEF

      public static final V3ActCode PREVINEF
      Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
    • DACT

      public static final V3ActCode DACT
      Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
    • TIME

      public static final V3ActCode TIME
      Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
    • ALRTENDLATE

      public static final V3ActCode ALRTENDLATE
      Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
    • ALRTSTRTLATE

      public static final V3ActCode ALRTSTRTLATE
      Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
    • _TIMINGDETECTEDISSUECODE

      public static final V3ActCode _TIMINGDETECTEDISSUECODE
      Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
    • ENDLATE

      public static final V3ActCode ENDLATE
      Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
    • STRTLATE

      public static final V3ActCode STRTLATE
      Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
    • _SUPPLYDETECTEDISSUECODE

      public static final V3ActCode _SUPPLYDETECTEDISSUECODE
      Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
    • ALLDONE

      public static final V3ActCode ALLDONE
      Definition:The requested action has already been performed and so this request has no effect
    • FULFIL

      public static final V3ActCode FULFIL
      Definition:The therapy being performed is in some way out of alignment with the requested therapy.
    • NOTACTN

      public static final V3ActCode NOTACTN
      Definition:The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)
    • NOTEQUIV

      public static final V3ActCode NOTEQUIV
      Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
    • NOTEQUIVGEN

      public static final V3ActCode NOTEQUIVGEN
      Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
    • NOTEQUIVTHER

      public static final V3ActCode NOTEQUIVTHER
      Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
    • TIMING

      public static final V3ActCode TIMING
      Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
    • INTERVAL

      public static final V3ActCode INTERVAL
      Definition:The therapy action is being performed outside the bounds of the time period requested
    • MINFREQ

      public static final V3ActCode MINFREQ
      Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
    • HELD

      public static final V3ActCode HELD
      Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
    • TOOLATE

      public static final V3ActCode TOOLATE
      The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
    • TOOSOON

      public static final V3ActCode TOOSOON
      The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
    • HISTORIC

      public static final V3ActCode HISTORIC
      Description: While the record was accepted in the repository, there is a more recent version of a record of this type.
    • PATPREF

      public static final V3ActCode PATPREF
      Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
    • PATPREFALT

      public static final V3ActCode PATPREFALT
      Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.
    • KSUBJ

      public static final V3ActCode KSUBJ
      Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.
    • KSUBT

      public static final V3ActCode KSUBT
      Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.
    • OINT

      public static final V3ActCode OINT
      Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
    • ALG

      public static final V3ActCode ALG
      Hypersensitivity to an agent caused by an immunologic response to an initial exposure
    • DALG

      public static final V3ActCode DALG
      An allergy to a pharmaceutical product.
    • EALG

      public static final V3ActCode EALG
      An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
    • FALG

      public static final V3ActCode FALG
      An allergy to a substance generally consumed for nutritional purposes.
    • DINT

      public static final V3ActCode DINT
      Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
    • DNAINT

      public static final V3ActCode DNAINT
      Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    • EINT

      public static final V3ActCode EINT
      Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
    • ENAINT

      public static final V3ActCode ENAINT
      Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    • FINT

      public static final V3ActCode FINT
      Hypersensitivity resulting in an adverse reaction upon exposure to food.
    • FNAINT

      public static final V3ActCode FNAINT
      Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    • NAINT

      public static final V3ActCode NAINT
      Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
    • SEV

      public static final V3ActCode SEV
      A subjective evaluation of the seriousness or intensity associated with another observation.
    • _FDALABELDATA

      public static final V3ActCode _FDALABELDATA
      FDA label data
    • FDACOATING

      public static final V3ActCode FDACOATING
      FDA label coating
    • FDACOLOR

      public static final V3ActCode FDACOLOR
      FDA label color
    • FDAIMPRINTCD

      public static final V3ActCode FDAIMPRINTCD
      FDA label imprint code
    • FDASCORING

      public static final V3ActCode FDASCORING
      FDA label scoring
    • FDASHAPE

      public static final V3ActCode FDASHAPE
      FDA label shape
    • FDASIZE

      public static final V3ActCode FDASIZE
      FDA label size
    • _ROIOVERLAYSHAPE

      public static final V3ActCode _ROIOVERLAYSHAPE
      Shape of the region on the object being referenced
    • CIRCLE

      public static final V3ActCode CIRCLE
      A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.
    • ELLIPSE

      public static final V3ActCode ELLIPSE
      An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.
    • POINT

      public static final V3ActCode POINT
      A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
    • POLY

      public static final