Enum V3ActReason
- All Implemented Interfaces:
Serializable,Comparable<V3ActReason>
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Enum Constant Summary
Enum ConstantsEnum ConstantDescriptionIdentifies the reason the patient is assigned to this accommodation typeReason for Clinical Service being performed.Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program.Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.Description: Types of reasons why a substance is invalid for use.Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.A coded description of the reason for why a patient did not receive a scheduled immunization.Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision.Definition:Specifies the reason that an event occurred in a clinical research study.Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study.Description:Indicates why the prescription should be suspended.Description:Identifies reasons for nullifying (retracting) a particular control act.Description: Reasons to refuse a transaction to be undone.Identifies why a specific query, request, or other trigger event occurred.Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.Description:Identifies why a change is being made to a record.Description:Indicates the reason the medication order should be aborted.Definition:A collection of concepts that indicate why the prescription should be released from suspended state.Types of reason why a prescription is being changed.Definition:A collection of concepts identifying why the patient's profile is being queried.Definition:Identifies why the dispense event was not completed.Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication.Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.Definition:A collection of concepts that identifies why a renewal prescription has been refused.Description: Identifies why a request to add (or activate) a record is being refused.Reasons for cancelling or rescheduling an AppointmentIndicates why the act revision (status update) is being refused.Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.Reasons why substitution of a substance administration request is not permitted.SubstanceAdminSubstitutionReasonDefinition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).The explanation for why a patient is moved from one location to another within the organizationDescription:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or serviceAccommodation requested is not available.Order was created with incorrect data and is changed to reflect the intended accuracy of the order.Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.Description: Storage conditions caused the substance to be ineffective.A person becomes eligible for a program based on age.Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.Definition:Patient has already been given a new (renewal) prescription.Description:This therapy has been ordered as a backup to a preferred therapy.Description:The decision on which the recorded information was based was changed before the decision had an effect.The time slots previously allocated are now blocked and no longer available for booking AppointmentsnullTo perform one or more operations on information for provision of health care coordination.Description:The level of coverage under the policy or program is available only to childrenDescription:Information has changed since the record was created.Description:Clarification is required before the order can be acted upon.Order is changed based on a clinical reason.To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.To perform health care as part of the clinical trial protocol.To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.Description: Cold chain was not maintained for the substance.Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.Description:Operational activities required to meet a mandate related to an activity, product, or serviceDefinition:Contraindication identifiedTo perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.To perform one or more operations on information for conducting activities related to coverage under a program or policy.When a client has no contact with the health system for an extended period, coverage is suspended.A person becomes eligible for insurance or a program because of crime related health condition or injury.Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy.The Patient is deceasedClient deceased.Description:The level of coverage under the policy or program is available only to a subscriber's dependents.A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.Description:The medication is no longer being manufactured or is otherwise no longer available.To perform one or more operations on information used for cadaveric organ, eye or tissue donation.Description:The medication is being re-prescribed at a different dosage.Description:The current level of the medication in the patient's system is too high.Description:The level of coverage under the policy or program is available to an employee and his or her children.nullDescription:The information was recorded incorrectly or was recorded in the wrong record.To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy.To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy.Description:The level of coverage under the policy or program is available only to an employee.A person becomes eligible for insurance provided as an employment benefit based on employment status.Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or serviceTo perform one or more operations on information used for enrolling a covered party in a program or policy.Moved to an error in placing the patient in the original location.Description:The level of coverage under the policy or program is available to an employee and his or her spouse.To perform one or more operations on information for provision of immediately needed health care for an emergent condition.Description: The lot from which the substance was drawn was expired.Description:The level of coverage under the policy or program is available to a subscriber's family.Definition:Request for further authorization must be done through patient's family physician.To perform one or more operations on information in response to a request by a family member authorized by the patient.Ordered quantity has already been completely fulfilled.Patient unable to pay and not covered by insuranceA person becomes eligible for a program based on financial criteria.Description:Previously recorded information was erroneous and is being corrected.Accommodation is assigned for floor convenience.Definition:The bulk supply is issued to replenish a ward for local dispensing.Definition:Order to be fulfilled was abortedDefinition:Order to be fulfilled was suspendedIndicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.To perform one or more operations on information used for fraud detection and prevention processes.Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically.Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.Definition:Product not available or manufactured.Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order.To perform one or more operations on information used within government processes.To perform one or more operations on information for conducting activities related to meeting accreditation criteria.To perform one or more operations on information used for conducting activities required to meet a mandate.To perform one or more operations on information used for handling deceased patient matters.To perform one or more operation operations on information used to manage a patient directory.A person becomes eligible for a program because of a qualifying health condition or injury.To perform one or more operations on information for conducting activities required by legal proceeding.To perform one or more operations on information for marketing services and products related to health care.Definition:The original reason for suspending the medication has ended.Definition:To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.To perform one or more operations on information used for conducting activities to meet program accounting requirements.To perform one or more operations on information used for conducting administrative activities to improve health care quality.To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.To perform one or more operations on information to administer the electronic systems used for the delivery of health care.Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.Definition:The patient's medical condition has nearly abated.The covered party (patient) specified with the Invoice is not correct.The billing information, specified in the Invoice Elements, is not correct.The policy specified with the Invoice is not correct.The provider specified with the Invoice is not correct.Description:The level of coverage under the policy or program is available to an individual.Description:The therapy has been found to not have the desired therapeutic benefit on the patient.The record is already in the requested state.Description:The patient has an intolerance to the medication.nullDescription:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.Definition:To provide information as a result of a subpoena.Definition:The prescription may not be reassigned from the original pharmacy.Definition:The bulk supply will be administered within a long term care facility.Description:Information is combined into the record.The medical condition of the Patient has changedRequired for medical reasons(s).Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.Definition:Therapy has been changed and new prescription issuedDescription:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.The Physician is in a meeting.A person becomes eligible for a program based on more than one criterion.Definition:Patient must see prescriber prior to further fills.Description:New information has become available to supplement the record.Definition:The current medication will be replaced by a new strength of the same medication.Definition:A new therapy will be commenced when current supply exhausted.Description: The agent does not have permission.Description: There is no match.Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.Description: There is no permission.Definition:Patient did not come to get medicationDescription: There is no match for the product in the master file repository.Description: There is no match for the record in the database.Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.Description: There is no match for the service in the master file repository.Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.Definition:Patient no longer or has never been under this prescribers care.Definition:The user does not have permissionDescription: The user does not have permission.Description: There is no match for the record and version.Definition:The observation or test was neither defined or scheduled in the study protocol.added to help the parsersDefinition:The bulk supply is intended for general clinician office use.Definition:This medication is on hold.Description:Administrative and contractual processes required to support an activity, product, or serviceIn the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock.Definition:There was no supply of the product on hand to perform the service.Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or serviceThe substance was administered outside of the recommended schedule or practice.To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.To perform one or more operations on information to which the patient declined to consent for providing health care.To perform one or more operations on information to which the patient has not consented for public safety reasons.To perform one or more operations on information to which the patient has not consented for third party safety.The Patient requested the actionTo perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.Definition:To obtain records as part of patient care.Definition:Patient changed their mind regarding obtaining medicationDefinition:Patient not eligible for drugDefinition:The patient or their guardian objects to receiving the vaccine.Definition:Patient requests information from their profile.To perform one or more operations on information in response to a patient's request.To perform one or more operations on information in processes related to ensuring the safety of health care.Description:Administrative, financial, and contractual processes related to payment for an activity, product, or serviceTo perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.Definition:The bulk supply is being transferred to another dispensing facility to.Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.The Physician requested the actionA person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy.To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.Definition:To evaluate the provider's current practice for professional-improvement reasons.Description:The patient refused to take the product.Description:The patient is pregnant or breast feeding.Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or serviceDescription:This product is not available or manufactured.nullDescription: The substance was recalled by the manufacturer.Definition:The bulk supply is intended for dispensing according to a specific program.Definition:Patient does not meet required protocolDefinition:Provider is not authorized to prescribe or dispenseTo perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or serviceDefinition:Patient requested a revised quantity of medicationDescription:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.To perform one or more operations on information used within the health records management process.nullClient was registered in error.Description:Review for the purpose of regulatory compliance.Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.To perform one or more operations on information about the amount remitted for a health care claim.Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.Description:Current order was issued with incorrect data and a new order has/will be created to replace it.Description:Investigative activities conducted for the purposes of obtaining knowledgeDefinition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.nullMoved at the request of the patient.Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.Definition:To provide research data, as authorized by the patient.Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.Definition:The event occurred due to it being scheduled in the research protocol.Description:The drug interacts with a short-term treatment that is more urgently required.Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy.Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.Description:The level of coverage under the policy or program is available to a subscriber's spouse and childrenDescription:The level of coverage under the policy or program is available only to a subscribers spouseDescription:Provision of a service, product, or capability to an individual or organizationA person becomes eligible for a program based on statutory criteria.Renewing or original prescriber informed patient to stop using the medication.To perform one or more operations on information in response to a request by a person authorized by the patient.Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future.Description:Operational activities conducted to administer the electronic systems used for an activity, product, or serviceThe prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.Definition:The patient should have medication remaining.To perform one or more operations on information used in training and education.nullTo perform one or more operations on information for provision of health care.Definition: The specific manufactured drug is part of a clinical trial.Definition:The event occurred in order to terminate the subject's participation in the study.Information is separated from the record.Description:invalid input: '<'The patient is not (or is no longer) able to use the medication in a manner prescribed.Definition:The target facility does not recognize the dispensing facility.Definition:The event that occurred was initiated by a study participant (e.g.:The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.Definition:The intended vaccine has expired or is otherwise believed to no longer be effective.Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.Description:To validate the patient's record.A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.Description:The patient was previously receiving a medication contraindicated with the current medication.A person becomes eligible for insurance or a program because of a work related health condition or injury.Description: The record and version requested to update is not the current version. -
Method Summary
Modifier and TypeMethodDescriptionstatic V3ActReasontoCode()static V3ActReasonReturns the enum constant of this type with the specified name.static V3ActReason[]values()Returns an array containing the constants of this enum type, in the order they are declared.
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Enum Constant Details
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_ACTACCOMMODATIONREASON
Identifies the reason the patient is assigned to this accommodation type -
ACCREQNA
Accommodation requested is not available. -
FLRCNV
Accommodation is assigned for floor convenience. -
MEDNEC
Required for medical reasons(s). -
PAT
The Patient requested the action -
_ACTCOVERAGEREASON
Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties. -
_ELIGIBILITYACTREASONCODE
Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased invalid input: '&' adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status. -
_ACTINELIGIBILITYREASON
Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy. Examples are client deceased invalid input: '&' adopted client has been given a new policy identifier. -
COVSUS
When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc. Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect). -
DECSD
Client deceased. -
REGERR
Client was registered in error. -
_COVERAGEELIGIBILITYREASON
Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased invalid input: '&' adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status. -
AGE
A person becomes eligible for a program based on age. Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare. -
CRIME
A person becomes eligible for insurance or a program because of crime related health condition or injury. Example: A person is a claimant under the U.S. Crime Victims Compensation program. -
DIS
A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization. -
EMPLOY
A person becomes eligible for insurance provided as an employment benefit based on employment status. -
FINAN
A person becomes eligible for a program based on financial criteria. Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP. -
HEALTH
A person becomes eligible for a program because of a qualifying health condition or injury. Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program -
MULTI
A person becomes eligible for a program based on more than one criterion. Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles. -
PNC
A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises. -
STATUTORY
A person becomes eligible for a program based on statutory criteria. Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security. -
VEHIC
A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury. -
WORK
A person becomes eligible for insurance or a program because of a work related health condition or injury. Example: A person is a claimant under the U.S. Black Lung Program. -
_ACTINFORMATIONMANAGEMENTREASON
Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy. -
_ACTHEALTHINFORMATIONMANAGEMENTREASON
Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention. -
_ACTCONSENTINFORMATIONACCESSOVERRIDEREASON
To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety. Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives. -
OVRER
To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention. Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record. -
OVRPJ
To perform one or more operations on information to which the patient declined to consent for providing health care. Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent. -
OVRPS
To perform one or more operations on information to which the patient has not consented for public safety reasons. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety. -
OVRTPS
To perform one or more operations on information to which the patient has not consented for third party safety. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties. -
PURPOSEOFUSE
Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes. -
HMARKT
To perform one or more operations on information for marketing services and products related to health care. -
HOPERAT
To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care. -
DONAT
To perform one or more operations on information used for cadaveric organ, eye or tissue donation. -
FRAUD
To perform one or more operations on information used for fraud detection and prevention processes. -
GOV
To perform one or more operations on information used within government processes. -
HACCRED
To perform one or more operations on information for conducting activities related to meeting accreditation criteria. -
HCOMPL
To perform one or more operations on information used for conducting activities required to meet a mandate. -
HDECD
To perform one or more operations on information used for handling deceased patient matters. -
HDIRECT
To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory -
HLEGAL
To perform one or more operations on information for conducting activities required by legal proceeding. -
HOUTCOMS
To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions. -
HPRGRP
To perform one or more operations on information used for conducting activities to meet program accounting requirements. -
HQUALIMP
To perform one or more operations on information used for conducting administrative activities to improve health care quality. -
HSYSADMIN
To perform one or more operations on information to administer the electronic systems used for the delivery of health care. -
MEMADMIN
To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program. -
PATADMIN
To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient. -
PATSFTY
To perform one or more operations on information in processes related to ensuring the safety of health care. -
PERFMSR
To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions. -
RECORDMGT
To perform one or more operations on information used within the health records management process. -
TRAIN
To perform one or more operations on information used in training and education. -
HPAYMT
To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care. -
CLMATTCH
To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services. -
COVAUTH
To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services. -
COVERAGE
To perform one or more operations on information for conducting activities related to coverage under a program or policy. -
ELIGDTRM
To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment. -
ELIGVER
To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays. -
ENROLLM
To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices. -
REMITADV
To perform one or more operations on information about the amount remitted for a health care claim. -
HRESCH
To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. -
CLINTRCH
To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge. -
PATRQT
To perform one or more operations on information in response to a patient's request. -
FAMRQT
To perform one or more operations on information in response to a request by a family member authorized by the patient. -
PWATRNY
To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative. -
SUPNWK
To perform one or more operations on information in response to a request by a person authorized by the patient. -
PUBHLTH
To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions. -
DISASTER
To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone. -
THREAT
To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence. -
TREAT
To perform one or more operations on information for provision of health care. -
CAREMGT
To perform one or more operations on information for provision of health care coordination. -
CLINTRL
To perform health care as part of the clinical trial protocol. -
ETREAT
To perform one or more operations on information for provision of immediately needed health care for an emergent condition. -
POPHLTH
To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program. -
_ACTINFORMATIONPRIVACYREASON
Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order. -
MARKT
Description: -
OPERAT
Description:Administrative and contractual processes required to support an activity, product, or service -
LEGAL
Definition:To provide information as a result of a subpoena. -
ACCRED
Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service -
COMPL
Description:Operational activities required to meet a mandate related to an activity, product, or service -
ENADMIN
Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service -
OUTCOMS
Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service -
PRGRPT
Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service -
QUALIMP
Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service -
SYSADMN
Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service -
PAYMT
Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service -
RESCH
Description:Investigative activities conducted for the purposes of obtaining knowledge -
SRVC
Description:Provision of a service, product, or capability to an individual or organization -
_ACTINVALIDREASON
Description: Types of reasons why a substance is invalid for use. -
ADVSTORAGE
Description: Storage conditions caused the substance to be ineffective. -
COLDCHNBRK
Description: Cold chain was not maintained for the substance. -
EXPLOT
Description: The lot from which the substance was drawn was expired. -
OUTSIDESCHED
The substance was administered outside of the recommended schedule or practice. -
PRODRECALL
Description: The substance was recalled by the manufacturer. -
_ACTINVOICECANCELREASON
Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping. -
INCCOVPTY
The covered party (patient) specified with the Invoice is not correct. -
INCINVOICE
The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice. -
INCPOLICY
The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party. -
INCPROV
The provider specified with the Invoice is not correct. -
_ACTNOIMMUNIZATIONREASON
A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy -
IMMUNE
Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization. -
MEDPREC
Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted. -
OSTOCK
Definition:There was no supply of the product on hand to perform the service. -
PATOBJ
Definition:The patient or their guardian objects to receiving the vaccine. -
PHILISOP
Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs. -
RELIG
Definition:The patient or their guardian objects to receiving the vaccine on religious grounds. -
VACEFF
Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure. -
VACSAF
Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety. -
_ACTSUPPLYFULFILLMENTREFUSALREASON
Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations) -
FRR01
Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc. -
FRR02
Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current. -
FRR03
Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc. -
FRR04
Definition:Product not available or manufactured. Cannot supply. -
FRR05
Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product. -
FRR06
Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc. -
_CLINICALRESEARCHEVENTREASON
Definition:Specifies the reason that an event occurred in a clinical research study. -
RET
Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol. -
SCH
Definition:The event occurred due to it being scheduled in the research protocol. -
TRM
Definition:The event occurred in order to terminate the subject's participation in the study. -
UNS
Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons. -
_CLINICALRESEARCHOBSERVATIONREASON
Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study. Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications. -
NPT
Definition:The observation or test was neither defined or scheduled in the study protocol. -
PPT
Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol. -
UPT
:The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol. -
_COMBINEDPHARMACYORDERSUSPENDREASONCODE
Description:Indicates why the prescription should be suspended. -
ALTCHOICE
Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful. -
CLARIF
Description:Clarification is required before the order can be acted upon. -
DRUGHIGH
Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level. -
HOSPADM
Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge. -
LABINT
Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed. -
NONAVAIL
Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason. -
PREG
Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding. -
SALG
Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm. -
SDDI
Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. -
SDUPTHER
Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete. -
SINTOL
Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm. -
SURG
Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery. -
WASHOUT
Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system. -
_CONTROLACTNULLIFICATIONREASONCODE
Description:Identifies reasons for nullifying (retracting) a particular control act. -
ALTD
Description:The decision on which the recorded information was based was changed before the decision had an effect. Example:Aborted prescription before patient left office, released prescription before suspend took effect. -
EIE
Description:The information was recorded incorrectly or was recorded in the wrong record. -
NORECMTCH
Description: There is no match for the record in the database. -
_CONTROLACTNULLIFICATIONREFUSALREASONTYPE
Description: Reasons to refuse a transaction to be undone. -
INRQSTATE
The record is already in the requested state. -
NOMATCH
Description: There is no match. -
NOPRODMTCH
Description: There is no match for the product in the master file repository. -
NOSERMTCH
Description: There is no match for the service in the master file repository. -
NOVERMTCH
Description: There is no match for the record and version. -
NOPERM
Description: There is no permission. -
NOUSERPERM
Definition:The user does not have permission -
NOAGNTPERM
Description: The agent does not have permission. -
NOUSRPERM
Description: The user does not have permission. -
WRNGVER
Description: The record and version requested to update is not the current version. -
_CONTROLACTREASON
Identifies why a specific query, request, or other trigger event occurred. -
_MEDICATIONORDERABORTREASONCODE
Description:Indicates the reason the medication order should be aborted. -
DISCONT
Description:The medication is no longer being manufactured or is otherwise no longer available. -
INEFFECT
Description:The therapy has been found to not have the desired therapeutic benefit on the patient. -
MONIT
Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate. -
NOREQ
Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed. -
NOTCOVER
Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy. -
PREFUS
Description:The patient refused to take the product. -
RECALL
Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation. -
REPLACE
Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it. -
DOSECHG
Description:The medication is being re-prescribed at a different dosage. -
REPLACEFIX
Description:Current order was issued with incorrect data and a new order has/will be created to replace it. -
UNABLE
Description:invalid input: '<'The patient is not (or is no longer) able to use the medication in a manner prescribed. Example:CanaTMt swallow. -
_MEDICATIONORDERRELEASEREASONCODE
Definition:A collection of concepts that indicate why the prescription should be released from suspended state. -
HOLDDONE
Definition:The original reason for suspending the medication has ended. -
HOLDINAP
Definition: -
_MODIFYPRESCRIPTIONREASONTYPE
Types of reason why a prescription is being changed. -
ADMINERROR
Order was created with incorrect data and is changed to reflect the intended accuracy of the order. -
CLINMOD
Order is changed based on a clinical reason. -
_PHARMACYSUPPLYEVENTABORTREASON
Definition:Identifies why the dispense event was not completed. -
CONTRA
Definition:Contraindication identified -
FOABORT
Definition:Order to be fulfilled was aborted -
FOSUSP
Definition:Order to be fulfilled was suspended -
NOPICK
Definition:Patient did not come to get medication -
PATDEC
Definition:Patient changed their mind regarding obtaining medication -
QUANTCHG
Definition:Patient requested a revised quantity of medication -
_PHARMACYSUPPLYEVENTSTOCKREASONCODE
Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication. -
FLRSTCK
Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.) -
LTC
Definition:The bulk supply will be administered within a long term care facility. -
OFFICE
Definition:The bulk supply is intended for general clinician office use. -
PHARM
Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage. -
PROG
Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization. -
_PHARMACYSUPPLYREQUESTRENEWALREFUSALREASONCODE
Definition:A collection of concepts that identifies why a renewal prescription has been refused. -
ALREADYRX
Definition:Patient has already been given a new (renewal) prescription. -
FAMPHYS
Definition:Request for further authorization must be done through patient's family physician. -
MODIFY
Definition:Therapy has been changed and new prescription issued -
NEEDAPMT
Definition:Patient must see prescriber prior to further fills. -
NOTAVAIL
Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient. -
NOTPAT
Definition:Patient no longer or has never been under this prescribers care. -
ONHOLD
Definition:This medication is on hold. -
PRNA
Description:This product is not available or manufactured. -
STOPMED
Renewing or original prescriber informed patient to stop using the medication. -
TOOEARLY
Definition:The patient should have medication remaining. -
_SUPPLYORDERABORTREASONCODE
Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed). -
IMPROV
Definition:The patient's medical condition has nearly abated. -
INTOL
Description:The patient has an intolerance to the medication. -
NEWSTR
Definition:The current medication will be replaced by a new strength of the same medication. -
NEWTHER
Definition:A new therapy will be commenced when current supply exhausted. -
_GENERICUPDATEREASONCODE
Description:Identifies why a change is being made to a record. -
CHGDATA
Description:Information has changed since the record was created. -
FIXDATA
Description:Previously recorded information was erroneous and is being corrected. -
MDATA
Information is combined into the record. -
NEWDATA
Description:New information has become available to supplement the record. -
UMDATA
Information is separated from the record. -
_PATIENTPROFILEQUERYREASONCODE
Definition:A collection of concepts identifying why the patient's profile is being queried. -
ADMREV
Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures. -
PATCAR
Definition:To obtain records as part of patient care. -
PATREQ
Definition:Patient requests information from their profile. -
PRCREV
Definition:To evaluate the provider's current practice for professional-improvement reasons. -
REGUL
Description:Review for the purpose of regulatory compliance. -
RSRCH
Definition:To provide research data, as authorized by the patient. -
VALIDATION
Description:To validate the patient's record. Example:Merging or unmerging records. -
_PHARMACYSUPPLYREQUESTFULFILLERREVISIONREFUSALREASONCODE
Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused. -
LOCKED
Definition:The prescription may not be reassigned from the original pharmacy. -
UNKWNTARGET
Definition:The target facility does not recognize the dispensing facility. -
_REFUSALREASONCODE
Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action. -
_SCHEDULINGACTREASON
Reasons for cancelling or rescheduling an Appointment -
BLK
The time slots previously allocated are now blocked and no longer available for booking Appointments -
DEC
The Patient is deceased -
FIN
Patient unable to pay and not covered by insurance -
MED
The medical condition of the Patient has changed -
MTG
The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment -
PHY
The Physician requested the action -
_STATUSREVISIONREFUSALREASONCODE
Indicates why the act revision (status update) is being refused. -
FILLED
Ordered quantity has already been completely fulfilled. -
_SUBSTANCEADMINISTRATIONPERMISSIONREFUSALREASONCODE
Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused. -
PATINELIG
Definition:Patient not eligible for drug -
PROTUNMET
Definition:Patient does not meet required protocol -
PROVUNAUTH
Definition:Provider is not authorized to prescribe or dispense -
_SUBSTANCEADMINSUBSTITUTIONNOTALLOWEDREASON
Reasons why substitution of a substance administration request is not permitted. -
ALGINT
Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components. -
COMPCON
Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency. -
THERCHAR
The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications. -
TRIAL
Definition: The specific manufactured drug is part of a clinical trial. -
_SUBSTANCEADMINSUBSTITUTIONREASON
SubstanceAdminSubstitutionReason -
CT
Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent. -
FP
Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary. -
OS
In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock. -
RR
Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution. -
_TRANSFERACTREASON
The explanation for why a patient is moved from one location to another within the organization -
ER
Moved to an error in placing the patient in the original location. -
RQ
Moved at the request of the patient. -
_ACTBILLABLESERVICEREASON
Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services. -
_ACTBILLABLECLINICALSERVICEREASON
Reason for Clinical Service being performed. This domain excludes reasons specified by diagnosed conditions. Examples of values from this domain include duplicate therapy and fraudulent prescription. -
BONUS
null -
CHD
Description:The level of coverage under the policy or program is available only to children -
DEP
Description:The level of coverage under the policy or program is available only to a subscriber's dependents. -
ECH
Description:The level of coverage under the policy or program is available to an employee and his or her children. -
EDU
null -
EMP
Description:The level of coverage under the policy or program is available only to an employee. -
ESP
Description:The level of coverage under the policy or program is available to an employee and his or her spouse. -
FAM
Description:The level of coverage under the policy or program is available to a subscriber's family. -
IND
Description:The level of coverage under the policy or program is available to an individual. -
INVOICE
null -
PROA
null -
RECOV
null -
RETRO
null -
SPC
Description:The level of coverage under the policy or program is available to a subscriber's spouse and children -
SPO
Description:The level of coverage under the policy or program is available only to a subscribers spouse -
TRAN
null -
NULL
added to help the parsers
-
-
Method Details
-
values
Returns an array containing the constants of this enum type, in the order they are declared.- Returns:
- an array containing the constants of this enum type, in the order they are declared
-
valueOf
Returns the enum constant of this type with the specified name. The string must match exactly an identifier used to declare an enum constant in this type. (Extraneous whitespace characters are not permitted.)- Parameters:
name- the name of the enum constant to be returned.- Returns:
- the enum constant with the specified name
- Throws:
IllegalArgumentException- if this enum type has no constant with the specified nameNullPointerException- if the argument is null
-
fromCode
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
toCode
-
getSystem
-
getDefinition
-
getDisplay
-