v3 Vocabulary

ActCode

ActCode2.16.840.1.113883.5.4

Details

NameActCode
Title—
OID2.16.840.1.113883.5.4
Concepts1,262
In the unified registry

Concepts1262

CodeDisplayStatus
_ActAccountCodeActAccountCodeAn 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.active
_ActAdjudicationCodeActAdjudicationCodeIncludes 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.active
_ActAdjudicationGroupCodeActAdjudicationGroupCode_ActAdjudicationCodeActAdjudicationCodeCatagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).active
_ActAdjudicationInformationCodeActAdjudicationInformationCodeExplanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice. Codes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim). Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year.retired
_ActAdjudicationResultActionCodeActAdjudicationResultActionCodeActions to be carried out by the recipient of the Adjudication Result information.active
_ActAdministrativeAuthorizationDetectedIssueCodeActAdministrativeAuthorizationDetectedIssueCode_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCodeactive
_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCodeISSUEdetected issueIdentifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.active
_ActAdministrativeDetectedIssueManagementCodeActAdministrativeDetectedIssueManagementCode_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.active
_ActAdministrativeRuleDetectedIssueCodeActAdministrativeRuleDetectedIssueCode_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCodeactive
_ActBillableModifierCodeActBillableModifierCode**Definition:**An identifying modifier code for healthcare interventions or procedures.active
_ActBillableServiceCodeActBillableServiceCode_ActProcedureCodeActProcedureCodeDefinition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.retired
_ActBillableTreatmentPlanCodeActBillableTreatmentPlanCoderetired
_ActBillingArrangementCodeActBillingArrangementCodeThe type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.active
_ActBoundedROICodeActBoundedROICodeType of bounded ROI.active
_ActCareProvisionCodeact care provision**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.active
_ActClaimAttachmentCategoryCodeActClaimAttachmentCategoryCodeDescription: Coded types of attachments included to support a healthcare claim.active
_ActCognitiveProfessionalServiceCodeActCognitiveProfessionalServiceCodeDenotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.retired
_ActConsent_ActConsent_ActPolicyTypeActPolicyTypeSpecifies the type or actual definition of a contractually binding agreement or a non-binding representation of that agreement between a grantor and a grantee as to the exchange of the grantee's considerations in return for the grantor's control of certain assets. The type of assets exchanged include rights, license, terms of service, valued items, information and real property assets and control over such assets such as physical and locatable property; intellectual property; biospecimen; genomic and genetic information related to an individual including that disclosed by genetically related individuals with or without the individual's consent; personal identifiable, pseudonymized, anonymized, de-identified per some rubric, and relinkable variants. Usage Note: Types or actual definitions of a contractually binding agreement or a non-binding representation of that agreement include: * \_ActDecision (formally ActConsentDirective), which specifies the type of decision made by the grantor. The decision types are mapped to ISO/TS 17975 Health informatics - Principles and data requirements for consent in the Collection, Use or Disclosure of personal health information; * \_ActPrivacyConsentDirective, which is the parent of types of registry participation consent directives, and of realm specific privacy consent directive policies such as \_USPrivacyConsentDirective and \_GDPRPrivacyConsentDirective.active
_ActConsentDirectiveActConsentDirective_ActPrivacyPolicyActPrivacyPolicySpecifies 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.active
_ActConsentTypeActConsentTypeDefinition: 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.active
_ActContainerRegistrationCodeActContainerRegistrationCodeConstrains the ActCode to the domain of Container Registrationactive
_ActControlVariableActControlVariableAn 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).active
_ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCode_ActCoverageConfirmationCodeActCoverageConfirmationCodeIndication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.active
_ActCoverageConfirmationCodeActCoverageConfirmationCodeResponse to an insurance coverage eligibility query or authorization request.active
_ActCoverageEligibilityConfirmationCodeActCoverageEligibilityConfirmationCode_ActCoverageConfirmationCodeActCoverageConfirmationCodeIndication of eligibility coverage for healthcare service(s) and/or product(s).retired
_ActCoverageLimitCodeActCoverageLimitCodeCriteria that are applicable to the authorized coverage.active
_ActCoveragePartyLimitGroupCodeActCoveragePartyLimitGroupCode_ActCoveredPartyLimitCodeActCoveredPartyLimitCodeCodes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.retired
_ActCoverageQuantityLimitCodeActCoverageQuantityLimitCode_ActCoverageLimitCodeActCoverageLimitCodeMaximum 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.active
_ActCoverageTypeCodeActCoverageTypeCodeDefinition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.active
_ActCoveredPartyLimitCodeActCoveredPartyLimitCode_ActCoverageLimitCodeActCoverageLimitCodeCodes representing the types of covered parties that may receive covered benefits under a policy or program.retired
_ActCredentialedCareCodeact credentialed care_ActCareProvisionCodeact care provision**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.active
_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron_ActCredentialedCareCodeact credentialed care**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.active
_ActCredentialedCareProvisionProgramCodeact credentialed care provision program_ActCredentialedCareCodeact credentialed care**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.active
_ActDecision_ActDecision_ActConsentSpecifies 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.active
_ActDetectedIssueCodeActDetectedIssueCode_HL7DefinedActCodesHL7DefinedActCodesIdentifies types of detected issues for Act class "ALRT"retired
_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observationsactive
_ActEncounterAccommodationCodeActEncounterAccommodationCode_ActInvoiceDetailPreferredAccommodationCodeActInvoiceDetailPreferredAccommodationCodeAccommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.active
_ActEncounterCodeActEncounterCode_ActCareProvisionCodeact care provisionDomain provides codes that qualify the ActEncounterClass (ENC)active
_ActExposureCodeActExposureCodeConcepts 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.active
_ActFinancialDetectedIssueCodeActFinancialDetectedIssueCodeISSUEdetected issueIdentifies types of detected issues for Act class "ALRT" for the financial acts domain.retired
_ActFinancialDetectedIssueManagementCodeActFinancialDetectedIssueManagementCode_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeCodes dealing with the management of Detected Issue observations for the financial acts domain.retired
_ActFinancialTransactionCodeActFinancialTransactionCodeactive
_ActGDPRConsentDirective_ActGDPRConsentDirective_ActPrivacyConsentDirectiveEuropean Union General Data Protection Regulation (GDPR) consent directives.active
_ActGDPRPrivacyLawGeneral Data Protection Regulation_ActPrivacyLawActPrivacyLawGDPR is a regulation on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (Data Protection Directive). Promulgated by the European Parliament and Council of the European Union. Regulation available at L119, 4 May 2016, p. 1-88. GDPR privacy policies specifying types of lawful personal data processing based on a controller meeting one or more processing condition such as specified by law, compliance with data controller legal obligations, protection of data subject's vital interests, perform tasks in the public interest, related to legal claims, research and statistics, management of health or social care systems, legitimate interests of controller or third party. Processing sensitive personal data, including genetic, biometric and health data, as well as personal data from which racial and ethnic origin, political opinions, religious or ideological convictions or membership in a union can be attributed to a person, requires meeting at least one sensitive personal processing condition. GDPR 'processing' means any operation or set of operations which is performed on personal data or on sets of personal data, whether or not by automated means, such as collection, recording, organisation, structuring, storage, adaptation or alteration, retrieval, consultation, use, disclosure by transmission, dissemination or otherwise making available, alignment or combination, restriction, erasure or destruction. Article 4 https://gdpr-info.eu/art-4-gdpr/ Usage Note: * Confidentiality: e.g., U (unrestricted) for anonymized personal information; L (low) for pseudonymized U (unrestricted) for anonymized personal information; M (moderate) for indirectly identifiable information such as test scores and work times; N (normal) for personal information; and R (restricted) for sensitive personal information * DPR sensitivity \[personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation, some of which are defined at Article 4 https://gdpr-info.eu/art-4-gdpr/ * GDPR processing policies and GDPR ConsentDirectiveTypes, such as data subject consent and research consent. * Other security category codes, such as compartment codes for legitimate relationship, * Handling instructions including * Purpose of use stipulated in a GDPR consent or contract restricting processing or related to the scope of the processing policy such as public health, research, and legal obligations * Obligation policies such as GDPR Information Obligations https://gdpr-info.eu/issues/information-obligations, data minimization and deleting when processing is complete * Refrain policies such as no relinking See Intersoft GDPR at https://gdpr-info.eu/issues/personal-data/ Art. 4 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ Art. 9 GDPR Processing of special categories of personal data https://gdpr-info.eu/art-9-gdpr/ Relevant Recitals (26) Not applicable to anonymous data (30) Online identifiers for profiling and identification (34) Genetic data (35) Health data (51) Protecting sensitive personal data at Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/ Authorities * European Data Protection Supervisor - Security Measures for Personal Data Processing (Link) * Data Protection Authority Isle of Man - Know your data - Mapping the 5 W's (Link) * Data Protection Authority UK - Key definitions (Link) * European Commission - What is personal data? (Link) * European Commission - What personal data is considered sensitive? (Link) * EU publications - Handbook on European data protection law - Personal data, page 83 (Link) Expert contribution A&L Goodbody - The GDPR: A Guide for Businesses - Definition of Personal & Sensitive Data, Page 8 (Link) Bird & Bird - Sensitive data and lawful processing (Link) https://ec.europa.eu/commission/priorities/justice-and-fundamental-rights/data-protection/2018-reform-eu-data-protection-rules\_en General Data Protection Regulation https://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1528874672298&uri=CELEX%3A32016R0679 Communication on data protection - guidance on direct application of the GDPR http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1517578296944&uri=CELEX%3A52018DC0043 Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/active
_ActGenericConsentDirective_ActGenericConsentDirective_ActPrivacyConsentDirectiveSpecifies types of consent directives authorizing a registry or repository to collect and, under certain terms, manage the access, use, and disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual. Registries governed by registry consent directives are data management systems, which use metadata to support the collection, access, use, and disclosure of personal information or effects as well as observational or analytic information generated about personal information or effects stored in federated repositories. Such registries are used for a variety of purposes by federated health information exchanges, health information systems, personal record systems, and research organizations to locate and retrieve personal information or effects as well as observational or analytic information generated about personal information stored externally to their systems. Repositories governed by registry consent directives are data stores used to collect, access, use, and disclose personal information or effects as well as observational or analytic information generated about personal information or effects and metadata used to manage the repository contents. Such repositories are used for a variety of purposes by centralized health information exchanges, health information systems used by providers and payers, personal record systems, and research organizations. A repository typically includes a registry component that provides the data store with content management capabilities for internal purposes. A repository may also interface with one or more external registries, which provide federated content management.active
_ActHealthInsuranceTypeCodeActHealthInsuranceTypeCode_ActInsuranceTypeCodeActInsuranceTypeCodeDefinition: 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).active
_ActIdentityDocumentCodeActIdentityDocumentCodeCode identifying the type of identification document (e.g. passport, drivers license) **Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.retired
_ActIncidentCodeActIncidentCodeSet of codes indicating the type of incident or accident.active
_ActInformationAccessCodeActInformationAccessCodeDescription: The type of health information to which the subject of the information or the subject's delegate consents or dissents.active
_ActInformationAccessContextCodeActInformationAccessContextCodeConcepts 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.active
_ActInformationActionPolicy_ActInformationActionPolicy_ActPolicyTypeActPolicyTypeThe type of action permitted on information by jurisdictional, organizational, or personal policy.active
_ActInformationCategoryCodeActInformationCategoryCode**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.active
_ActInformationPolicy_ActInformationPolicy_ActPolicyTypeActPolicyTypeInformation management directives related to privacy, security, integrity, and control concerns, which may be governed by specific laws; based on private sector self-governance; adopted "best practices" recognized by a community of interest; or terms of license, participation, or service as implemented in jurisdictional, organizational, or personal policies.active
_ActInformationSensitivityPolicyActInformationSensitivityPolicy_InformationSensitivityPolicyInformationSensitivityPolicyTypes 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.active
_ActInsurancePolicyCodeActInsurancePolicyCode_ActCoverageTypeCodeActCoverageTypeCodeSet of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.active
_ActInsuranceTypeCodeActInsuranceTypeCode_ActCoverageTypeCodeActCoverageTypeCodeDefinition: 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.active
_ActInvoiceAdjudicationPaymentCodeActInvoiceAdjudicationPaymentCode_ActInvoiceElementCodeActInvoiceElementCodeCodes 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.active
_ActInvoiceAdjudicationPaymentGroupCodeActInvoiceAdjudicationPaymentGroupCode_ActInvoiceAdjudicationPaymentCodeActInvoiceAdjudicationPaymentCodeCodes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.active
_ActInvoiceAdjudicationPaymentSummaryCodeActInvoiceAdjudicationPaymentSummaryCode_ActInvoiceAdjudicationPaymentCodeActInvoiceAdjudicationPaymentCodeCodes 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.active
_ActInvoiceDetailClinicalProductCodeActInvoiceDetailClinicalProductCode_ActInvoiceDetailCodeActInvoiceDetailCodeAn identifying data string for healthcare products.active
_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode_ActInvoiceDetailCodeActInvoiceDetailCodeAn identifying data string for healthcare procedures.retired
_ActInvoiceDetailCodeActInvoiceDetailCode_ActInvoiceElementCodeActInvoiceElementCodeCodes 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.active
_ActInvoiceDetailDrugProductCodeActInvoiceDetailDrugProductCode_ActInvoiceDetailCodeActInvoiceDetailCodeAn identifying data string for A substance used as a medication or in the preparation of medication.active
_ActInvoiceDetailGenericAdjudicatorCodeActInvoiceDetailGenericAdjudicatorCode_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCodeThe billable item codes to identify adjudicator specified components to the total billing of a claim.active
_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCode_ActInvoiceDetailCodeActInvoiceDetailCodeThe detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.active
_ActInvoiceDetailGenericModifierCodeActInvoiceDetailGenericModifierCode_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCodeThe billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.active
_ActInvoiceDetailGenericProviderCodeActInvoiceDetailGenericProviderCode_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCodeThe billable item codes to identify provider supplied charges or changes to the total billing of a claim.active
_ActInvoiceDetailOralHealthProcedureCodeActInvoiceDetailOralHealthProcedureCode_ActInvoiceDetailCodeActInvoiceDetailCodeAn identifying data string for oral health procedure codes, e.g. extract tooth.retired
_ActInvoiceDetailPreferredAccommodationCodeActInvoiceDetailPreferredAccommodationCode_ActInvoiceDetailCodeActInvoiceDetailCodeAn identifying data string for medical facility accommodations.active
_ActInvoiceDetailTaxCodeActInvoiceDetailTaxCode_ActInvoiceDetailGenericCodeActInvoiceDetailGenericCodeThe 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.active
_ActInvoiceElementCodeActInvoiceElementCodeType 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.active
_ActInvoiceElementSummaryCodeActInvoiceElementSummaryCodeIdentifies 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.active
_ActInvoiceGroupCodeActInvoiceGroupCode_ActInvoiceElementCodeActInvoiceElementCodeType 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.active
_ActInvoiceInterGroupCodeActInvoiceInterGroupCode_ActInvoiceGroupCodeActInvoiceGroupCodeType 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.active
_ActInvoiceOverrideCodeActInvoiceOverrideCodeIncludes 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.active
_ActInvoiceRootGroupCodeActInvoiceRootGroupCode_ActInvoiceGroupCodeActInvoiceGroupCodeType 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.active
_ActListCodeActListCodeProvides codes associated with ActClass value of LIST (working list)active
_ActMedicalBillableServiceCodeActMedicalBillableServiceCode_ActBillableServiceCodeActBillableServiceCodeDefinition: An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.retired
_ActMedicalServiceCodeActMedicalServiceCode_ActCareProvisionCodeact care provisionGeneral category of medical service provided to the patient during their encounter.active
_ActMedicationTherapyDurationWorkingListCodeact medication therapy duration working list_ActTherapyDurationWorkingListCodeActTherapyDurationWorkingListCode**Definition:**A collection of concepts that identifies different types of 'duration-based' mediation working lists. **Examples:**"Continuous/Chronic" "Short-Term" and "As Needed"active
_ActMonitoringProtocolCodeActMonitoringProtocolCodeIdentifies types of monitoring programsactive
_ActNonMedicalBillableServiceCodeActNonMedicalBillableServiceCode_ActBillableServiceCodeActBillableServiceCodeDefinition: An identifying code for billable services that are not medical procedures, such as social services or governmental program services. Example: Building a wheelchair ramp, help with groceries, giving someone a ride, etc.retired
_ActNonObservationIndicationCodeActNonObservationIndicationCode**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.active
_ActObservationListActObservationList_ActListCodeActListCodeactive
_ActObservationVerificationTypeact observation verificationIdentifies 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)active
_ActOralHealthProcedureCodeActOralHealthProcedureCode_ActProcedureCodeActProcedureCode**Description:**An identifying code for oral health interventions/procedures.retired
_ActOrderCodeActOrderCodeThe type of order that was fulfilled by the clinical serviceretired
_ActPatientAnnotationTypeActPatientAnnotationType_AnnotationTypeAnnotationType**Description:**Provides a categorization for annotations recorded directly against the patient .active
_ActPatientSafetyIncidentCodeActPatientSafetyIncidentCode_ActIncidentCodeActIncidentCodeDefinition: A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents. **Examples:**"Medication incident", "slips, trips and falls incident".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under developmentretired
_ActPatientTransportationModeCodeActPatientTransportationModeCode_ActTransportationModeCodeActTransportationModeCodeDefinition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.active
_ActPaymentCodeActPaymentCodeCode identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)active
_ActPharmacySupplyTypeActPharmacySupplyTypeIdentifies types of dispensing eventsactive
_ActPolicyTypeActPolicyTypeA mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.active
_ActPrivacyConsentDirective_ActPrivacyConsentDirective_ActConsentSpecifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.active
_ActPrivacyLawActPrivacyLaw_ActPrivacyPolicyActPrivacyPolicyA 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 partyactive
_ActPrivacyPolicyActPrivacyPolicy_ActPolicyTypeActPolicyTypeA 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.active
_ActPrivilegeCategorizationActPrivilegeCategorizationAn Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.retired
_ActPrivilegeCategorizationTypeActPrivilegeCategorizationType_ObservationTypeObservationTypeThis domain includes observations used to characterize a privilege, under which this additional information is classified. *Examples:*A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.retired
_ActProcedureCategoryListActProcedureCategoryList_ActListCodeActListCode**Description:**Describes the high level classification of professional services for grouping. **Examples:**Education, Counseling, Surgery, etc.retired
_ActProcedureCodeActProcedureCodeAn identifying code for healthcare interventions/procedures.retired
_ActProductAcquisitionCodeActProductAcquisitionCodeThe 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.active
_ActProgramTypeCodeActProgramTypeCode_ActCoverageTypeCodeActCoverageTypeCodeDefinition: 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.active
_ActRegistryCodeActRegistryCodeThis is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.retired
_ActSecurityObjectCodeActSecurityObjectCode**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)retired
_ActSpecimenTransportCodeActSpecimenTransportCodeTransportation of a specimen.active
_ActSpecimenTreatmentCodeActSpecimenTreatmentCodeSet of codes related to specimen treatmentsactive
_ActSpecObsCodeActSpecObsCode_ObservationTypeObservationTypeIdentifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretationactive
_ActSubstanceAdministrationCodeActSubstanceAdministrationCodeDescription: 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.active
_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCodeISSUEdetected issueIdentifies types of detected issues regarding the administration or supply of an item to a patient.active
_ActTaskCodeActTaskCodeDescription: 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).active
_ActTherapyDurationWorkingListCodeActTherapyDurationWorkingListCode_ActListCodeActListCodeCodes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".active
_ActTransportationModeCodeActTransportationModeCodeCharacterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.active
_ActUSPrivacyConsentDirective_ActUSPrivacyConsentDirective_ActPrivacyConsentDirectiveSpecific US privacy consent directives in accordance with US federal, state, regional, organizational, or personal privacy policies.active
_ActUSPrivacyLaw_ActUSPrivacyLaw_ActPrivacyLawActPrivacyLawDefinition: 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.active
_AdministrationDetectedIssueCodeAdministrationDetectedIssueCode_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCodeAdministration of the proposed therapy may be inappropriate or contraindicated as proposedactive
_AdvanceBeneficiaryNoticeTypeAdvanceBeneficiaryNoticeTypeDescription: Represents types of consent that patient must sign prior to receipt of service, which is required for billing purposes. Examples: * Advanced beneficiary medically necessity notice. * Advanced beneficiary agreement to pay notice. * Advanced beneficiary requests payer billed.retired
_AdverseSubstanceAdministrationEventActionTakenTypeAdverseSubstanceAdministrationEventActionTakenType_ObservationTypeObservationTypeDefinition: Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner's response to the patient's problem. Examples: Example values include dose withdrawn, dose reduced, dose not changed. NOTE: The concept domain is currently supported by a value set created by the International Conference on Harmonizationretired
_AnnotationTypeAnnotationType_ObservationTypeObservationTypeactive
_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCode_AdministrationDetectedIssueCodeAdministrationDetectedIssueCodeactive
_AuthorizationIssueManagementCodeAuthorization Issue Management Code_ActAdministrativeDetectedIssueManagementCodeActAdministrativeDetectedIssueManagementCodeactive
_CaseTransmissionModecase transmission mode_ObservationIssueTriggerCodedObservationTypeObservationIssueTriggerCodedObservationTypeCode 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.active
_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCodeISSUEdetected issueIdentifies types of issues detected regarding the performance of a clinical action on a patient.active
_CommonClinicalObservationTypeCommonClinicalObservationType_ObservationTypeObservationTypeUsed in a patient care message to report and query simple clinical (non-lab) observations.retired
_CPT4CPT4**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).retired
_CPT5CPT5_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode_ActProcedureCodeActProcedureCode**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).retired
_CreditCardCreditCard_ActAccountCodeActAccountCoderetired
_DEADrugScheduleDEADrugScheduleCTLSUBControlled SubstanceDEA schedule for a drug.retired
_DrugActionDetectedIssueCodeDrugActionDetectedIssueCode_AdministrationDetectedIssueCodeAdministrationDetectedIssueCodeProposed therapy may be contraindicated or ineffective based on an existing or recent drug therapyretired
_ECGAnnotationTypeECGAnnotationType_AnnotationTypeAnnotationTyperetired
_ECGControlVariableECGControlVariable_ActControlVariableActControlVariableretired
_ECGObservationSequenceTypeECGObservationSequenceType_ObservationSequenceTypeObservationSequenceTyperetired
_ECGObservationSeriesTypeECGObservationSeriesType_ObservationSeriesTypeObservationSeriesTypeactive
_EntitySensitivityPolicyTypeEntityInformationSensitivityPolicy_InformationSensitivityPolicyInformationSensitivityPolicyTypes 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."active
_ExternallyDefinedActCodesExternallyDefinedActCodesretired
_FDALabelDataFDALabelData_ObservationTypeObservationTypeFDA label dataretired
_GeneticObservationTypeGeneticObservationType_ObservationTypeObservationTypeDescription: None providedactive
_HCPCSHCPCS_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode_ActProcedureCodeActProcedureCode**Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance Administration's (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.retired
_HCPCSAccommodationCodeHCPCSAccommodationCode_ActEncounterAccommodationCodeActEncounterAccommodationCode**Description:**External value set for accommodation types used in the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.retired
_HL7AccommodationCodeHL7AccommodationCode_ActEncounterAccommodationCodeActEncounterAccommodationCode**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.active
_HL7DefinedActCodesHL7DefinedActCodesDomain provides the root for HL7-defined detailed or rich codes for the Act classes.retired
_HL7TriggerEventCodeHL7TriggerEventCode_HL7DefinedActCodesHL7DefinedActCodesThe trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.retired
_ICD10PCSICD10PCS_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode_ActProcedureCodeActProcedureCode**Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes.retired
_ICD9PCSICD9PCS_ActInvoiceDetailClinicalServiceCodeActInvoiceDetailClinicalServiceCode_ActProcedureCodeActProcedureCode**Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes.retired
_ImmunizationObservationTypeImmunizationObservationType_ObservationTypeObservationTypeDescription: Observation codes which describe characteristics of the immunization material.active
_IndividualCaseSafetyReportCriteriaIndividualCaseSafetyReportCriteriaDescription: Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.retired
_IndividualCaseSafetyReportProductCharacteristicIndividualCaseSafetyReportProductCharacteristicDescription: Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports. **Examples:**Weight, color, dimensions.retired
_IndividualCaseSafetyReportTypeIndividual Case Safety Report Type_ObservationTypeObservationTypeA 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.active
_InformationSensitivityPolicyInformationSensitivityPolicy_ActPrivacyPolicyActPrivacyPolicyA 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.active
_InteractionDetectedIssueCodeInteractionDetectedIssueCode_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCodeactive
_InvoiceElementAdjudicatedInvoiceElementAdjudicated_ActInvoiceElementSummaryCodeActInvoiceElementSummaryCodeTotal 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.active
_InvoiceElementPaidInvoiceElementPaid_ActInvoiceElementSummaryCodeActInvoiceElementSummaryCodeTotal counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.active
_InvoiceElementSubmittedInvoiceElementSubmitted_ActInvoiceElementSummaryCodeActInvoiceElementSummaryCodeTotal counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.active
_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType_ObservationTypeObservationType**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.active
_MedicationObservationTypeMedicationObservationType_ObservationTypeObservationTypeactive
_ObservationActAgeGroupTypeObservationActAgeGroupType**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.retired
_ObservationAllergyTestCodeobservation allergy test_ObservationTypeObservationType**Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities. **Example:**Skin tests and eosinophilia evaluations.retired
_ObservationAllergyTestTypeObservationAllergyTestType_ObservationTypeObservationTypeIndicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performedretired
_ObservationCausalityAssessmentTypeobservation causality assessment_ObservationTypeObservationType**Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation **Example:**Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing.retired
_ObservationDosageDefinitionPreconditionTypeobservation dosage definition precondition type_ObservationTypeObservationTypeDefinition: The set of observation type concepts that can be used to express pre-conditions to a particular dosage definition. Rationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable.retired
_ObservationGenomicFamilyHistoryTypeObservationGenomicFamilyHistoryType_ObservationTypeObservationTyperetired
_ObservationIndicationTypeObservationIndicationType_ObservationTypeObservationTypeIncludes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab testsretired
_ObservationIssueTriggerCodedObservationTypeObservationIssueTriggerCodedObservationType_ObservationTypeObservationTypeDistinguishes 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.active
_ObservationIssueTriggerMeasuredObservationTypeObservationIssueTriggerMeasuredObservationType_ObservationTypeObservationTypeDistinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.retired
_ObservationQualityMeasureAttributeObservationQualityMeasureAttribute_ObservationTypeObservationTypeCodes used to define various metadata aspects of a health quality measure.active
_ObservationQueryMatchTypeObservationQueryMatchType_ObservationTypeObservationTypeDefinition: An observation related to a query response. **Example:**The degree of match or match weight returned by a matching algorithm in a response to a query.retired
_ObservationSequenceTypeObservationSequenceType_ObservationTypeObservationTypeactive
_ObservationSeriesTypeObservationSeriesType_ObservationTypeObservationTypeactive
_ObservationTypeObservationTypeIdentifies the kinds of observations that can be performedactive
_ObservationVisionPrescriptionTypeObservationVisionPrescriptionType_ObservationTypeObservationTypeDefinition: Identifies the type of Vision Prescription Observation that is being described.retired
_PatientCharacteristicObservationTypePatientCharacteristicObservationType_ObservationTypeObservationTypeIndicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.retired
_PatientImmunizationRelatedObservationTypePatientImmunizationRelatedObservationType_ObservationTypeObservationTypeDescription: Reporting codes that are related to an immunization event.active
_PopulationInclusionObservationTypePopulationInclusionObservationType_ObservationTypeObservationTypeObservation types for specifying criteria used to assert that a subject is included in a particular population.active
_PreferenceObservationType_PreferenceObservationType_ObservationTypeObservationTypeTypes of observations that can be made about Preferences.active
_ROIOverlayShapeROIOverlayShapeShape of the region on the object being referencedactive
_RoleInformationSensitivityPolicyRoleInformationSensitivityPolicy_InformationSensitivityPolicyInformationSensitivityPolicyTypes 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."active
_SimpleMeasurableClinicalObservationTypeSimpleMeasurableClinicalObservationType_ObservationTypeObservationTypeTypes of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressureretired
_SubstanceAdministrationActCodeSubstanceAdministrationActCode_HL7DefinedActCodesHL7DefinedActCodesThe specific chemical or radiological substance administered or to be administered into the body for therapeutic effect.retired
_SupplyDetectedIssueCodeSupplyDetectedIssueCode_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCodeSupplying the product at this time may be inappropriate or indicate compliance issues with the associated therapyactive
_TimingDetectedIssueCodeTimingDetectedIssueCode_AdministrationDetectedIssueCodeAdministrationDetectedIssueCodeProposed therapy may be inappropriate or ineffective based on the proposed start or end time.retired
1Therapy Appropriate_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeConfirmed drug therapy appropriateactive
10Provided Patient Education8Other Action TakenProvided education or training to the patient on appropriate therapy useactive
11Added Concurrent Therapy8Other Action TakenInstituted an additional therapy to mitigate potential negative effectsactive
12Temporarily Suspended Concurrent Therapy8Other Action TakenSuspended existing therapy that triggered interaction for the duration of this therapyactive
13Stopped Concurrent Therapy8Other Action TakenAborted existing therapy that triggered interaction.active
14Supply Appropriate_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeConfirmed supply action appropriateactive
15Replacement14Supply AppropriatePatient's existing supply was lost/wastedactive
16Vacation Supply14Supply AppropriateSupply date is due to patient vacationactive
17Weekend Supply14Supply AppropriateSupply date is intended to carry patient over weekendactive
18Leave of Absence14Supply AppropriateSupply is intended for use during a leave of absence from an institution.active
19Consulted Supplier1Therapy AppropriateConsulted other supplier/pharmacy, therapy confirmedactive
2Assessed Patient1Therapy AppropriateAssessed patient, therapy is appropriateactive
20additional quantity on separate dispense14Supply AppropriateDescription: Supply is different than expected as an additional quantity has been supplied in a separate dispense.active
21authorization confirmedEMAUTHemergency authorization overrideDescription: Indicates that the permissions have been externally verified and the request should be processed.active
21611-9age patient qn est_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType**Definition:**Estimated age.active
21612-7age patient qn reported_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType**Definition:**Reported age.active
22appropriate indication or diagnosis1Therapy AppropriateDescription: The patient has the appropriate indication or diagnosis for the action to be taken.active
23prior therapy documented1Therapy AppropriateDescription: It has been confirmed that the appropriate pre-requisite therapy has been tried.active
29553-5age patient qn calc_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType**Definition:**Calculated age.active
3Patient Explanation1Therapy AppropriatePatient gave adequate explanationactive
30525-0age patient qn definition_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType**Definition:**General specification of age with no implied method of determination.active
30972-4age at onset of adverse event_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType**Definition:**Age at onset of associated adverse event; no implied method of determination.active
4Consulted Other Source1Therapy AppropriateConsulted other supply source, therapy still appropriateactive
42CFRPart242 CFR Part2_ActUSPrivacyLawA code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent. https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, the collection, access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use "42CFRPart2" as the security label policy code. Since information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code "R" (restricted).active
42CFRPart2CD42 CFR Part 2 consent directive_ActUSPrivacyConsentDirectiveA code representing an individual's privacy consent directive that complies with 42 CFR Part 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements of a written consent to a disclosure under the regulations in Part 2. (1) The name of the patient. (2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. (3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. (4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or (ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or (iii)Entities without a treating provider relationship with the patient. (A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or (B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and (1) The name(s) of an individual participant(s); or (2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or (3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. (i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). (ii) \[Reserved\] (5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. (6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer (7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. (8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. (9) The date on which the consent is signed. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's 42 CFR Part 2.31 consent directive, "42CFRPart2CD" as the security label policy code. Since information governed by an individual's 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR § 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).active
5Consulted Prescriber1Therapy AppropriateConsulted prescriber, therapy confirmedactive
6Prescriber Declined Change5Consulted PrescriberConsulted prescriber and recommended change, prescriber declinedactive
7Interacting Therapy No Longer Active/Planned1Therapy AppropriateConcurrent therapy triggering alert is no longer on-going or plannedactive
8Other Action Taken_ActDetectedIssueManagementCodeActDetectedIssueManagementCodeOrder is performed as issued, but other action taken to mitigate potential adverse effectsactive
9Instituted Ongoing Monitoring Program8Other Action TakenArranged to monitor patient for adverse effectsactive
a) HIPAAConsentHIPAA Consent_ActUSPrivacyLawCode retired in December 2019 and replaced by code HIPAAConsent. Originally entered with copy/paste error in code value. A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent." The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use "HIPAAConsent" as the security label policy code. Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).retired
AAadjudicated with adjustments_ActAdjudicationCodeActAdjudicationCodeThe 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).active
AALCaccredited assisted living care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
AAMCaccredited ambulatory care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
ABHCaccredited behavioral health care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
ABUSEcommonly abused/misused alertCOMPLYCompliance Alert**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.active
ACACaccredited critical access hospital care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
ACADRadverse drug reaction access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.active
ACALLall access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access all information for a patient.active
ACALLGallergy access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access allergy information for a patient.active
ACCESSCONSCHEMEaccess control schemeAUTHPOLauthorization policyAn access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies. Usage Note: Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service. There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also. An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996) Examples: * Attribute Based Access Control (ABAC) * Discretionary Access Control (DAC) * History Based Access Control (HBAC) * Identity Based Access Control (IBAC) * Mandatory Access Control (MAC) * Organization Based Access Control (OrBAC) * Relationship Based Access Control (RelBac) * Responsibility Based Access Control (RespBAC) * Risk Adaptable Access Control (RAdAC) >active
ACCONSinformational consent access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access informational consent information for a patient.active
ACCTRECEIVABLEaccount receivable_ActAccountCodeActAccountCodeAn 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.active
ACDEMOdemographics access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access demographics information for a patient.active
ACDIdiagnostic imaging access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.active
ACHAutomated Clearing House_ActPaymentCodeActPaymentCodeAutomated Clearing House (ACH).active
ACHCaccredited hospital care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
ACIDAcidification_ActSpecimenTreatmentCodeActSpecimenTreatmentCodeThe lowering of specimen pH through the addition of an acidactive
ACIMMUNimmunization access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access immunization information for a patient.active
ACLABlab test result access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access lab test result information for a patient.active
ACMEDmedication access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access medical condition information for a patient.active
ACMEDCmedical condition access_ActInformationAccessCodeActInformationAccessCodeDefinition: Provide consent to view or access medical condition information for a patient.active
ACMENmental health access_ActInformationAccessCodeActInformationAccessCode**Description:**Provide consent to collect, use, disclose, or access mental health information for a patient.active
ACOBScommon observations access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access common observation information for a patient.active
ACOCOMPTaccountable care organization compartmentCOMPTcompartmentA group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group. Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that informationactive
ACPOLPRGpolicy or program information access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.active
ACPROVprovider information access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access provider information for a patient.active
ACPSERVprofessional service access_ActInformationAccessCodeActInformationAccessCodeDescription: Provide consent to collect, use, disclose, or access professional service information for a patient.active
ACSUBSTABsubstance abuse access_ActInformationAccessCodeActInformationAccessCode**Description:**Provide consent to collect, use, disclose, or access substance abuse information for a patient.active
ActTrustPolicyTypetrust policy_ActPolicyTypeActPolicyTypeA 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.active
ACUshort term/acute_ActMedicationTherapyDurationWorkingListCodeact medication therapy duration working list**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.active
ACUTEinpatient acuteIMPinpatient encounterAn acute inpatient encounter.active
ADALRTadult alertAGEAge AlertProposed therapy is outside of the standard practice for an adult patient.active
ADCNPPELATadjud. nullified prior-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNPPELCTadjud. nullified prior-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNPPMNATadjud. nullified prior-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNPPMNCTadjud. nullified prior-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNSPELATadjud. nullified same-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNSPELCTadjud. nullified same-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNSPMNATadjud. nullified same-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADCNSPMNCTadjud. nullified same-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.retired
ADMDXadmitting diagnosis_ObservationDiagnosisTypesDXObservationDiagnosisTypesAdmitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.active
ADNPPPELATadjud. non-payee payable prior-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPPPELCTadjud. non-payee payable prior-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPPPMNATadjud. non-payee payable prior-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPPPMNCTadjud. non-payee payable prior-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPSPELATadjud. non-payee payable same-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPSPELCTadjud. non-payee payable same-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPSPMNATadjud. non-payee payable same-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADNPSPMNCTadjud. non-payee payable same-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADOLadolescent information sensitivity_InformationSensitivityPolicyInformationSensitivityPolicyPolicy 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.active
ADPPPPELATadjud. payee payable prior-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPPPELCTadjud. payee payable prior-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPPPMNATadjud. payee payable prior-period manual amout_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPPPMNCTadjud. payee payable prior-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPSPELATadjud. payee payable same-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPSPELCTadjud. payee payable same-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPSPMNATadjud. payee payable same-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADPPSPMNCTadjud. payee payable same-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFPPELATadjud. refused prior-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFPPELCTadjud. refused prior-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFPPMNATadjud. refused prior-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFPPMNCTadjud. refused prior-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFSPELATadjud. refused same-period electronic amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFSPELCTadjud. refused same-period electronic count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.active
ADRFSPMNATadjud. refused same-period manual amount_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies 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.active
ADRFSPMNCTadjud. refused same-period manual count_InvoiceElementAdjudicatedInvoiceElementAdjudicatedIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.active
ADVERSE_REACTIONAdverse Reaction_ObservationTypeObservationTypeIndicates 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.active
AEAmerican ExpressCCcredit cardactive
AFOOTpedestrian transport_ActPatientTransportationModeCodeActPatientTransportationModeCodeactive
AFTHRSnon-normal hours_ActInvoiceDetailGenericModifierCodeActInvoiceDetailGenericModifierCodePremium paid on service fees in compensation for practicing outside of normal working hours.active
AGEAge AlertOBSAObservation AlertProposed therapy may be inappropriate or contraindicated due to patient ageactive
AGGREGATEaggregate measure observation_ObservationQualityMeasureAttributeObservationQualityMeasureAttributeIndicates that the observation is carrying out an aggregation calculation, contained in the value element.active
AHOCaccredited home care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
AIRTRNSairborne transmission_CaseTransmissionModecase transmission modeCommunication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.active
ALCAlternative Level of Care_ActMedicalServiceCodeActMedicalServiceCodeProvision 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.active
ALECalternate electronic_ActInvoiceAdjudicationPaymentGroupCodeActInvoiceAdjudicationPaymentGroupCode_ActInvoicePaymentCodePayment 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).active
ALGAllergyOINTintoleranceHypersensitivity to an agent caused by an immunologic response to an initial exposureactive
ALGYAllergy AlertREACTReaction AlertProposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)active
ALKAlkalization_ActSpecimenTreatmentCodeActSpecimenTreatmentCodeThe act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.active
ALLCATall categories_ActInformationCategoryCodeActInformationCategoryCodeDescription: All patient information.active
ALLDONEalready performed_SupplyDetectedIssueCodeSupplyDetectedIssueCode**Definition:**The requested action has already been performed and so this request has no effectactive
ALLERLEallergy list entryPATINFOpatient information review taskDescription: A person enters a known allergy for a given patient.active
ALLERLREVallergy list reviewPATDOCpatient documentation taskDescription: A person reviews a list of known allergies of a given patient.active
ALLGCATallergy category_ActInformationCategoryCodeActInformationCategoryCode**Definition:**All information pertaining to a patient's allergy and intolerance records.active
ALRTENDLATEend too late alertTIMEtiming detected issue**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.active
ALRTSTRTLATEstart too late alertTIMEtiming detected issue**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.active
ALTCaccredited long term care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
AMBambulatory_ActEncounterCodeActEncounterCodeA comprehensive term for health care provided in a healthcare facility (e.g. a practitioner's 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.active
AMBAIRfixed-wing ambulance transportAMBTambulance transportAmbulanceactive
AMBGRNDground ambulance transportAMBTambulance transportAmbulanceactive
AMBHELOhelicopter ambulance transportAMBTambulance transportAmbulanceactive
AMBTambulance transport_ActPatientTransportationModeCodeActPatientTransportationModeCodeactive
ANANTRNSanimal to animal transmission_CaseTransmissionModecase transmission modeCommunication of an agent from one animal to another proximate animal.active
ANFadjudicated with adjustments and no financial impactAAadjudicated with adjustmentsThe 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).active
ANHUMTRNSanimal to human transmission_CaseTransmissionModecase transmission modeCommunication of an agent from an animal to a proximate person.active
ANNDIdiagnostic image note_ActPatientAnnotationTypeActPatientAnnotationType**Description:**A note that is specific to a patient's diagnostic images, either historical, current or planned.active
ANNGENgeneral note_ActPatientAnnotationTypeActPatientAnnotationType**Description:**A general or uncategorized note.active
ANNIMMimmunization note_ActPatientAnnotationTypeActPatientAnnotationTypeA note that is specific to a patient's immunizations, either historical, current or planned.active
ANNLABlaboratory note_ActPatientAnnotationTypeActPatientAnnotationType**Description:**A note that is specific to a patient's laboratory results, either historical, current or planned.active
ANNMEDmedication note_ActPatientAnnotationTypeActPatientAnnotationType**Description:**A note that is specific to a patient's medications, either historical, current or planned.active
ANNUannuity policyLIFElife insurance policyDefinition: 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.active
ANONYanonymizeObligationPolicyobligation policyCustodian system must remove any information that could result in identifying the information subject.active
AODaccounting of disclosureObligationPolicyobligation policyCustodian 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.active
AOSCaccredited office-based surgery care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.active
ARadjudicated as refused_ActAdjudicationCodeActAdjudicationCodeThe 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).active
ARCATadverse drug reaction category_ActInformationCategoryCodeActInformationCategoryCodeDescription: All information pertaining to a patient's adverse drug reactions.active
ARTBLDActSpecObsArtBldCode_ActSpecObsCodeActSpecObsCodeDescribes the artificial blood identifier that is associated with the specimen.active
ASadjudicated as submitted_ActAdjudicationCodeActAdjudicationCodeThe 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).active
ASSERTIONAssertion_ObservationTypeObservationType**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.active
AUDITauditObligationPolicyobligation policyCustodian system must monitor systems to ensure that all users are authorized to operate on information objects.active
AUDTRaudit trailObligationPolicyobligation policyCustodian system must monitor and maintain retrievable log for each user and operation on information.active
AUTHAuthorized_ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCodeAuthorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.active
AUTHPOLauthorization policySecurityPolicysecurity policyAuthorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system. A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)active
AUTOauto-repeat permission_ActControlVariableActControlVariableSpecifies whether or not automatic repeat testing is to be initiated on specimens.active
AUTO-HIGHAuto-High DilutionDILUTIONActSpecObsDilutionCodeThe dilution of a sample performed by automated equipment. The value is specified by the equipmentactive
AUTO-LOWAuto-Low DilutionDILUTIONActSpecObsDilutionCodeThe dilution of a sample performed by automated equipment. The value is specified by the equipmentactive
AUTOATTCHauto attachment_ActClaimAttachmentCategoryCodeActClaimAttachmentCategoryCodeDescription: Automobile Information Attachmentactive
AUTOPOLautomobile_ActInsurancePolicyCodeActInsurancePolicyCode_ActInsuranceTypeCodeActInsuranceTypeCodeInsurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.active
AVAILABLEAvailable VolumeVOLUMEActSpecObsVolumeCodeThe available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)active
Bbusiness information sensitivity_RoleInformationSensitivityPolicyRoleInformationSensitivityPolicyPolicy 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.active
BDYFLDTRNSbody fluid contact transmission_CaseTransmissionModecase transmission modeCommunication of an agent from one living subject to another living subject through direct contact with any body fluid.active
BHbehavioral health information sensitivitySPIspecially protected information sensitivityPolicy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.active
BLDTRNSblood borne transmission_CaseTransmissionModecase transmission modeCommunication 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.active
BLKblock funding_ActBillingArrangementCodeActBillingArrangementCodeA 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.active
BONUSbonus_ActInvoiceAdjudicationPaymentGroupCodeActInvoiceAdjudicationPaymentGroupCode_ActInvoicePaymentCodeBonus payments based on performance, volume, etc. as agreed to by the payor.active
BOOSTERBooster ImmunizationIMMUNIZImmunizationAn additional immunization administration within a series intended to bolster or enhance immunity.retired
BRbreikost (GE)DIETDietA diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.active
BUSbusiness constraint violationVALIDATvalidation issue**Description:**A local business rule relating multiple elements has been violated.active
Ccorrected**Description:**Indicates that result data has been corrected.active
CACCcertified anatomic pathology and clinical pathology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CACScertified acute coronary syndrome care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CAICcertified allergy and immunology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CAMCcertified aerospace medicine care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CAMIcertified acute myocardial infarction care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CANCcertified anesthesiology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CANCAPTcancelled appointment_ActInvoiceDetailGenericProviderCodeActInvoiceDetailGenericProviderCodeA charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.active
CANPRGwomen's cancer detection programDISEASEPRGpublic health programDefinition: 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.active
CAPcapitation funding_ActBillingArrangementCodeActBillingArrangementCodeA 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).active
CAPCcertified anatomic pathology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CARDCardiology_ActMedicalServiceCodeActMedicalServiceCodeProvision of diagnosis and treatment of diseases and disorders affecting the heartactive
CAREGAPCaregap_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCode_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCodeIdentifies the type of detected issue is a care gapactive
CARELISTcare plan_ActObservationListActObservationListList 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.active
CASESERcase seriousness criteria_ObservationTypeObservationType**Definition:**An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.active
CASHCash_ActAccountCodeActAccountCodeactive
CASTcertified asthma care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CBARcertified bariatric surgery care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CBGCcertified clinical biochemical genetics care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CCcredit card_ActAccountCodeActAccountCodeDescription: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.active
CCADcertified coronary artery disease care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CCARcertified cardiac care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CCCCcertified clinical cytogenetics care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CCGCcertified clinical genetics (M.D.) care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CCPCcertified clinical pathology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CCSCcertified colon and rectal surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CDECcertified dermatology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CDEPcertified depression care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CDGDcertified digestive/gastrointestinal disorders care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CDIAcertified diabetes care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CDIOcase disease imported observation_ObservationTypeObservationTypeAn 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.active
CDRCcertified diagnostic radiology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CDSREVclinical decision support intervention reviewPATINFOpatient information review taskA person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.active
CDSSCOMPTCDS system compartmentCOMPTcompartmentThis compartment code may be used as a field value in an initiator's clearance to indicate permission for its Clinical Decision Support system (CDSS) to access and use an IT Resource with a security label having the same compartment value in the security category label field. This code permits a CDS system to algorithmically process information with this compartment tag for the purpose of alerting an unauthorized end user that masked information is needed to address an emergency or a patient safety issue, such as a contraindicated medication. The alert would advise the end user to "break the glass", to access the masked information in an accountable manner, or to ask the patient about possibly masked information. For example, releasing a list of sensitive medications with this compartment tag means that while the CDS system is permitted to use this list in its contraindication analysis, this sensitive information should not be shared directly with unauthorized end-users or end-user-facing Apps. Based on the results of the CDS system analysis (e.g., warnings about prescriptions) the end-user (e.g., a clinician) may still have the ability to access to the sensitive information by invoking "break-the-glass protocol". Usage Note: A security label with the CDS system compartment may be used in conjunction with other security labels, e.g., a label authorizing an end user with adequate clearance to access the same CDS system compartment tagged information. For example, a patient may restrict sharing sensitive information with most care team members except in an emergency or to prevent an adverse event, and may consent to sharing with their sensitive service care team providers, e.g., for mental health or substance abuse.active
CELcelebrity information sensitivity_InformationSensitivityPolicyInformationSensitivityPolicyPolicy 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.active
CEMCcertified emergency medicine care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CEPIcertified epilepsy care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CFELcertified frail elderly care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CFPCcertified family practice care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CFWDcarry forward adjusment_ActInvoiceAdjudicationPaymentGroupCodeActInvoiceAdjudicationPaymentGroupCode_ActInvoicePaymentCodeAn amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.active
CHARcharity program_ActProgramTypeCodeActProgramTypeCodeDefinition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.active
CHFCcertified heart failure care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CHKCheque_ActPaymentCodeActPaymentCodeA written order to a bank to pay the amount specified from funds on deposit.active
CHLDCAREDay care - Child care Interaction_ActExposureCodeActExposureCodeDescription: Exposure participants' interaction occurred in a child care settingactive
CHRChronic_ActMedicalServiceCodeActMedicalServiceCodeProvision of recurring care for chronic illness.active
CHRGStandard Charge_ActFinancialTransactionCodeActFinancialTransactionCodeA type of transaction that represents a charge for a service or product. Expressed in monetary terms.active
CHROcertified high risk obstetrics care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CHRONcontinuous/chronic_ActMedicationTherapyDurationWorkingListCodeact medication therapy duration working list**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.active
CHYPcertified hyperlipidemia care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CIMCcertified internal medicine care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CIRCLEcircle_ROIOverlayShapeROIOverlayShapeA 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.active
CLINNOTEEclinical note entry taskPATDOCpatient documentation taskA clinician enters a clinical note about a given patientactive
CLINNOTEREVclinical note review taskPATINFOpatient information review taskA person reviews a clinical note of a given patient.active
CLSSRMclassroom_PatientImmunizationRelatedObservationTypePatientImmunizationRelatedObservationTypeDescription: The class room associated with the patient during the immunization event.active
CMGCcertified clinical molecular genetics care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CMIHcertified migraine headache care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**.active
CMPMSRMTHcomposite measure method_ObservationQualityMeasureAttributeObservationQualityMeasureAttributeIndicates what method is used in a quality measure to combine the component measure results included in an composite measure.active
CMPMSRSCRWGHTcomponent measure scoring weight_ObservationQualityMeasureAttributeObservationQualityMeasureAttributeAn 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.active
CMSCcertified multiple sclerosis care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CNECcertified neurology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Boardactive
CNMCcertified nuclear medicine care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CNQCcertified neurology with special qualifications in child neurology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CNSCcertified neurological surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
COBSCATcommon observation category_ActInformationCategoryCodeActInformationCategoryCode**Definition:**All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).active
CODE_DEPRECcode has been deprecatedCODE_INVALcode is not valid**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.active
CODE_INVALcode is not validVALIDATvalidation issue**Description:**The specified code is not valid against the list of codes allowed for the element.active
CODINGGAPCodinggap_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCode_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCodeIdentifies the type of detected issue is a risk adjustment coding gapactive
COGCcertified obstetrics and gynecology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
COGNcognitive disability information sensitivityBHbehavioral health information sensitivityPolicy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code. Examples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.active
COINcoinsurance_ActInvoiceDetailGenericAdjudicatorCodeActInvoiceDetailGenericAdjudicatorCodeThat 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.active
COINSco-insurance_ActInvoiceDetailGenericAdjudicatorCodeActInvoiceDetailGenericAdjudicatorCodeThe covered party pays a percentage of the cost of covered services.retired
COJRcertified orthopedic joint replacement care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
COLcollision coverage policyAUTOPOLautomobileDefinition: 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.active
COMCcertified occupational medicine care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CommonRuleCommon Rule_ActUSPrivacyLawA code representing U.S. Federal laws governing research-related privacy policies known as the "Common Rule". The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which 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. Usage Note: Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use "COMMONRULE" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate).active
COMPLYCompliance Alert_AdministrationDetectedIssueCodeAdministrationDetectedIssueCodeVALIDATvalidation issueThere may be an issue with the patient complying with the intentions of the proposed therapyactive
CompoundResearchCDCompound HIPAA Research Authorization and Informed Consent for Research_ActUSPrivacyConsentDirectiveA code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization. Usage Note: The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf. Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.508 use "CompoundResearchCD" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate). See ActCode.\_ActPolicyType.\_ActPrivacyPolicy.\_ActPrivacyLaw.\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.aspactive
COMPTcompartment_ActPrivacyPolicyActPrivacyPolicyThis 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."active
CONCcertified oncology care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CONDCondition AlertOBSAObservation AlertProposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosisactive
CONDLISTcondition list_ActObservationListActObservationListList of condition observations.active
ConfidentialMarkconfidential markSecurityLabelMarkSecurity Label MarkA displayed mark rendered as "Confidential", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy. May be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy. Usage Note: The ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. Usage Note: Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes.active
CONSUMPTIONConsumption VolumeVOLUMEActSpecObsVolumeCodeThe quantity of specimen that is used each time the equipment uses this substanceactive
CONTcontract_ActAdjudicationGroupCodeActAdjudicationGroupCode_ActInvoiceAdjudicationPaymentSummaryCodeActInvoiceAdjudicationPaymentSummaryCodeTransaction counts and value totals by Contract Identifier.active
CONTFcontract funding_ActBillingArrangementCodeActBillingArrangementCodeA 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.active
CONTROLLEDCONTROLLEDControlledUnclassifiedInformationA displayed mark, required to be rendered as "CONTROLLED", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.active
ControlledUnclassifiedInformationControlledUnclassifiedInformationPrivacyMarkprivacy markInformation the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls. However, CUI does not include classified information (see definition above) or information a non-executive branch entity possesses and maintains in its own systems that did not come from, or was not created or possessed by or for, an executive branch agency or an entity acting for an agency. Law, regulation, or Government-wide policy may require or permit safeguarding or dissemination controls in three ways: Requiring or permitting agencies to control or protect the information but providing no specific controls, which makes the information CUI Basic; requiring or permitting agencies to control or protect the information and providing specific controls for doing so, which makes the information CUI Specified; or requiring or permitting agencies to control the information and specifying only some of those controls, which makes the information CUI Specified, but with CUI Basic controls where the authority does not specify. Based on CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html . Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. For definitions of key terms see CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.active
CONVEYNCCommon Conveyance Interaction_ActExposureCodeActExposureCodeDescription: 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).active
COPAY—retired
COPAYMENTpatient co-pay_ActInvoiceDetailGenericAdjudicatorCodeActInvoiceDetailGenericAdjudicatorCodeThat 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.active
COPCcertified ophthalmology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
COPDcertified chronic obstructive pulmonary disease care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
COPYcopyright_ObservationQualityMeasureAttributeObservationQualityMeasureAttributeIdentifies the organization(s) who own the intellectual property represented by the eMeasure.active
COPYMarkcopy of original markSecurityLabelMarkSecurity Label MarkA displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content. Usage Note: Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or "banner" of electronic or hardcopy pages, or as watermarks set diagonally across each page.active
CORTcertified organ transplant care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
COSCcertified orthopaedic surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
COTCcertified otolaryngology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
COVGEcoverage problem_ActInvoiceOverrideCodeActInvoiceOverrideCodeInsurance coverage problems have been encountered. Additional explanation information to be supplied.active
COVMXcoverage maximum_ActCoverageLimitCodeActCoverageLimitCodeDefinition: Codes representing the maximum coverate or financial participation requirements.active
COVPOLbenefit policy_ActPolicyTypeActPolicyType**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.active
COVPRDcoverage period_ActCoverageQuantityLimitCodeActCoverageQuantityLimitCodeCodes representing the time period during which coverage is available; or financial participation requirements are in effect.active
CPclinical product invoice_ActInvoiceRootGroupCodeActInvoiceRootGroupCodeClinical 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.retired
CPADcertified parkinsons disease care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CPECcertified pediatrics care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CPGCcertified Ph.D. medical genetics care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CPHCcertified public health and general preventive medicine care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CPLYCCcomply with confidentiality codeCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target. Usage Note: CPLYCC may be used as a security label code to inform senders and receivers of information tagged with a Confidentiality Code to comply with applicable level of protection required by the assigned confidentiality code.active
CPLYCDcomply with consent directiveCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with applicable information subject consent directives. Usage Note: CPLYCD may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType\_ActConsent code or an ActCode\_ActPolicyType\_ActPrivacyPolicy\_ActConsentDirective code to comply with applicable consent directives.active
CPLYCUIcomply with controlled unclassified information policyCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with applicable Controlled Unclassified Information (CUI) policies associated with the target information. Usage Note: In the US, CPLYCUI may be used as a security label code to inform recipients of information designated by a US Federal Agency as Controlled Unclassified Information (CUI) to comply with the applicable laws, regulations, executive orders, and other guidances, such as included in DURSAs, to persist, mark, and enforce required CUI controls Background: In accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI). The following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html * CUI is defined as "information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls." * Designating CUI occurs when an authorized holder, consistent with 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. * The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI. * The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information. * • Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency. Once designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook. CUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems. When HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings. Impact of CUI markings: CUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings. For most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf Federal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies. Applicable CUI policies include the following and any future applicable updates to policies or laws related to CUI: * Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information * US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf * NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf * NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A * CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf * CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info * CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination * CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidanceactive
CPLYJPPcomply with jurisdictional privacy policyCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information. Usage Note: CPLYJPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType\_ActPrivacyPolicy\_ActPrivacyLaw code or an ActCode\_ActPolicyType\_ActInformationPolicy.JurisIP code to comply with applicable jurisdictional privacy policy.active
CPLYJSPcomply with jurisdictional security policyCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with applicable jurisdictional security policies associated with the target information. Usage Note: CPLYJSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType.SecurityPolicy code to comply with applicable jurisdictional security policy.active
CPLYOPPcomply with organizational privacy policyCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information. Usage Note: CPLYOPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType\_ActInformationPolicy.OrgIP code to comply with applicable organizational privacy policy.active
CPLYOSPcomply with organizational security policyCPLYPOLcomply with policyCustodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information. Usage Note: CPLYOSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType.SecurityPolicy code to comply with applicable organizational security policy.active
CPLYPOLcomply with policyObligationPolicyobligation policyCustodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information. Usage Note: CPLYPOL may be used as a security label code to inform senders and receivers of the tagged information to comply with applicable policy without specifying the specific policy type(s).active
CPNDcertified pneumonia disease care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CPNDDRGINGcompound drug invoice group_ActInvoiceInterGroupCodeActInvoiceInterGroupCodeA 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.active
CPNDINDINGcompound ingredient invoice group_ActInvoiceInterGroupCodeActInvoiceInterGroupCodeA 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.active
CPNDSUPINGcompound supply invoice group_ActInvoiceInterGroupCodeActInvoiceInterGroupCodeA 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.active
CPRCcertified physical medicine and rehabilitation care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CPSCcertified plastic surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CPSTcertified primary stroke center care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CPTMCPT modifier codes_ActBillableModifierCodeActBillableModifierCode**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.active
CPYCcertified psychiatry care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CREACTcommon reaction alertOBSAObservation Alert**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.active
CRIMEcrime victim program_ActProgramTypeCodeActProgramTypeCodeDefinition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.active
CRITcriticality_ObservationTypeObservationTypeA 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.active
CROCcertified radiation oncology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CRPCcertified radiological physics care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CRSclinical recommendation statement_ObservationQualityMeasureAttributeObservationQualityMeasureAttributeSummary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.active
CSclinical service invoice_ActInvoiceRootGroupCodeActInvoiceRootGroupCodeClinical 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).retired
CSDMcertified stroke disease management care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CSICcertified sickle cell care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CSLDcertified sleep disorders care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CSPINVclinical service and product_ActInvoiceRootGroupCodeActInvoiceRootGroupCodeA 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).active
CSPTcertified spine treatment care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CSUCcertified surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CTBUcertified trauma/burn center care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CTCOMPTcare team compartmentCOMPTcompartmentCare coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that informationactive
CTLSUBControlled Substance_ActMonitoringProtocolCodeActMonitoringProtocolCodeA monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.active
CTMOcase transmission mode observation_ObservationTypeObservationTypeAn 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.active
CTSCcertified thoracic surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CUICUIControlledUnclassifiedInformationA displayed mark, required to be rendered as "CUI", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.active
CUIHLTHCUI//HLTHControlledUnclassifiedInformationA displayed mark, required to be rendered as "CUI//HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdfactive
CUIHLTHP(CUI//HLTH)ControlledUnclassifiedInformationA displayed mark, required to be rendered as "(CUI//HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdfactive
CUIMarkCUI MarkPRIVMARKprivacy markAn originator must mark, persist, display, and convey computable and renderable Controlled Unclassified Information (CUI) marks as required by policy. A recipient must consume, persist, display, and reconvey CUI marks on information received based on agreements with the originator.. Examples: * As CUI custodians, Federal Agencies and their contractors must mark, persist, display, and convey these marks. * All CUI receivers must consume, persist, display, and reconvey CUI markings on information further disclosed Usage Note: In accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI). The following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html * CUI is defined as "information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls" * Designating CUI occurs when an authorized holder, consistent with US 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. * The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI. * The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information. * Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency. Once designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook. CUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems. When HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings. Impact of CUI markings: CUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings. For most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf Federal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies. Applicable CUI policies include the following and any future applicable updates to policies or laws related to CUI: * Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information * US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf * NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf * NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A * CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf * CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info * CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination * CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidanceactive
CUIP(CUI)ControlledUnclassifiedInformationA displayed mark, required to be rendered as "(CUI)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdfactive
CUIPRVCYCUI//PRVCYControlledUnclassifiedInformationA displayed mark, required to be rendered as "CUI//PRVCY", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.active
CUIPRVCYP(CUI//PRVCY)ControlledUnclassifiedInformationA displayed mark, required to be rendered as "(CUI//PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.active
CUISP-HLTHCUI//SP-HLTHControlledUnclassifiedInformationA displayed mark, required to be rendered as "CUI//SP-HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf.active
CUISP-HLTHP(CUI//SP-HLTH)ControlledUnclassifiedInformationA displayed mark, required to be rendered as "(CUI//SP-HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdfactive
CUISP-PRVCYCUI//SP-PRVCYControlledUnclassifiedInformationA displayed mark, required to be rendered as "CUI//SP-PRVCY", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\_0.pdf.active
CUISP-PRVCYP(CUI//SP-PRVCY)ControlledUnclassifiedInformationA displayed mark, required to be rendered as "(CUI//SP-PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\_0.pdf.active
CURCcertified urology care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CURMEDLISTcurrent medication listMEDLISTmedication listList of current medications.active
CURRENTCurrent VolumeVOLUMEActSpecObsVolumeCodeThe current quantity of the specimen, i.e., initial quantity minus what has been actually used.active
CVDCcertified vascular diseases care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CVSCcertified vascular surgery care_ActCredentialedCareProvisionPersonCodeact credentialed care provision peron**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.active
CWMAcertified wound management care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
CWOHcertified women's health care_ActCredentialedCareProvisionProgramCodeact credentialed care provision program**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.active
DACTdrug action detected issue_AdministrationDetectedIssueCodeAdministrationDetectedIssueCode**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.active
DALGDrug AllergyALGAllergyDINTDrug IntoleranceAn allergy to a pharmaceutical product.active
DAYday_ActAdjudicationGroupCodeActAdjudicationGroupCode_ActInvoiceAdjudicationPaymentSummaryCodeActInvoiceAdjudicationPaymentSummaryCodeTransaction counts and value totals for each calendar day within the date range specified.active
+762 more concepts…