------------------------------------------------------------------------------------- {"hierarchical" : true, "language": "en", "url": "http://terminology.hl7.org/ValueSet/v3-ObservationType", "version": "3.0.0"}#### e: { "source" : tx.fhir.org, "valueSet" : { "resourceType" : "ValueSet", "language" : "en", "text" : { "status" : "generated", "div" : "

Expansion from tx.fhir.org based on:

This value set cannot be fully expanded, but a selection (293 codes) of the whole set of codes is shown here.

SystemCodeDisplay (en)InactiveDefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_MedicationObservationTypeMedicationObservationType
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLSHAPEshape

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

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLCOATINGcoating

Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration).

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Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLIMPRINTimprint

Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL.

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Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers.

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Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLSCORINGscoring

Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s).

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Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3.

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Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0REP_HALF_LIFErepresentative half-life

**Description:**This observation represents an 'average' or 'expected' half-life typical of the product.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLIMAGEimage

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

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLSIZEsize

Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter.

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Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLCOLORcolor

Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling.

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Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SPLSYMBOLsymbol

Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics.

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Constraints: The Observation.value must be a Boolean (BL) with <u>true</u> indicating the presence and <u>false</u> for the absence of marks or symbols.

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Example:

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationSeriesTypeObservationSeriesType
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ECGObservationSeriesTypeECGObservationSeriesType
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RHYTHMECG rhythm waveforms

This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0REPRESENTATIVE_BEATECG representative beat waveforms

This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_PatientCharacteristicObservationTypePatientCharacteristicObservationTypeinactive

Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationSequenceTypeObservationSequenceType
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ECGObservationSequenceTypeECGObservationSequenceTypeinactive
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TIME_ABSOLUTEabsolute time sequence

A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TIME_RELATIVErelative time sequence

A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DXObservationDiagnosisTypes

Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOInature of injury

The type of injury that the injury coding specifies.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ADMDXadmitting diagnosis

Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0INTDXintermediate diagnosis

Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DISDXdischarge diagnosis

Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GENEgene

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

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_IndividualCaseSafetyReportTypeIndividual Case Safety Report Type

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

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Example concepts include: Spontaneous, Report from study, Other.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PAT_ADV_EVNTpatient adverse event

Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0VAC_PROBLEMvaccine product problem

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

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationVisionPrescriptionTypeObservationVisionPrescriptionTypeinactive

Definition: Identifies the type of Vision Prescription Observation that is being described.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_AnnotationTypeAnnotationType
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ECGAnnotationTypeECGAnnotationTypeinactive
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActPatientAnnotationTypeActPatientAnnotationType

**Description:**Provides a categorization for annotations recorded directly against the patient .

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANNGENgeneral note

**Description:**A general or uncategorized note.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANNIMMimmunization note

A note that is specific to a patient's immunizations, either historical, current or planned.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANNDIdiagnostic image note

**Description:**A note that is specific to a patient's diagnostic images, either historical, current or planned.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANNLABlaboratory note

**Description:**A note that is specific to a patient's laboratory results, either historical, current or planned.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANNMEDmedication note

**Description:**A note that is specific to a patient's medications, either historical, current or planned.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_CommonClinicalObservationTypeCommonClinicalObservationTypeinactive

Used in a patient care message to report and query simple clinical (non-lab) observations.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GISTIERGIS tier

Description: Accuracy determined as per the GIS tier code system.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0HHOBShousehold situation observation

Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_PopulationInclusionObservationTypePopulationInclusionObservationType

Observation types for specifying criteria used to assert that a subject is included in a particular population.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DENEXCEPdenominator exceptions

Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:

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  • Medical reasons
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  • Patient (or subject) reasons
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  • System reasons
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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSROBSmeasure observation

Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population.

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Examples:

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  • the median time from arrival in the Emergency Room to departure
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  • the median time from decision to admit to a hospital to the actual admission for Emergency Room patients
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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRPOPLmeasure population

Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRPOPLEXmeasure population exclusions

Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DENEXdenominator exclusions

Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DENOMdenominator

Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NUMERnumerator

Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NUMEXnumerator exclusions

Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0IPOPinitial population

Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0IPPOPinitial patient population

Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActSpecObsCodeActSpecObsCode

Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ARTBLDActSpecObsArtBldCode

Describes the artificial blood identifier that is associated with the specimen.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0EVNFCTSActSpecObsEvntfctsCode

Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DILUTIONActSpecObsDilutionCode

An observation that reports the dilution of a sample.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PREPre-Dilution

The dilution of the specimen made prior to being loaded onto analytical equipment

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0AUTO-HIGHAuto-High Dilution

The dilution of a sample performed by automated equipment. The value is specified by the equipment

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0AUTO-LOWAuto-Low Dilution

The dilution of a sample performed by automated equipment. The value is specified by the equipment

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RERUNRerun Dilution

The value of the dilution of a sample after it had been analyzed at a prior dilution value

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0INTFRActSpecObsInterferenceCode

An observation that relates to factors that may potentially cause interference with the observation

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FIBRINFibrin

The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0HEMOLYSISHemolysis

An observation of the hemolysis index of the specimen in g/L

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LIPEMIALipemia

An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ICTERUSIcterus

An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0VOLUMEActSpecObsVolumeCode

An observation that reports the volume of a sample.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CURRENTCurrent Volume

The current quantity of the specimen, i.e., initial quantity minus what has been actually used.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0INITIALInitial Volume

The initial quantity of the specimen in inventory

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CONSUMPTIONConsumption Volume

The quantity of specimen that is used each time the equipment uses this substance

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0AVAILABLEAvailable Volume

The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SEVSeverity Observation

A subjective evaluation of the seriousness or intensity associated with another observation.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ImmunizationObservationTypeImmunizationObservationType

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

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0OBSANTCantigen count

Description: Indicates the valid antigen count.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0OBSANTVantigen validity

Description: Indicates whether an antigen is valid or invalid.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationCausalityAssessmentTypeobservation causality assessmentinactive

**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

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**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.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationAllergyTestCodeobservation allergy testinactive

**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.

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**Example:**Skin tests and eosinophilia evaluations.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_LOINCObservationActContextAgeTypeLOINCObservationActContextAgeType

**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.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a021611-9age patient qn est

**Definition:**Estimated age.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a029553-5age patient qn calc

**Definition:**Calculated age.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a021612-7age patient qn reported

**Definition:**Reported age.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a030972-4age at onset of adverse event

**Definition:**Age at onset of associated adverse event; no implied method of determination.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a030525-0age patient qn definition

**Definition:**General specification of age with no implied method of determination.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ASSERTIONAssertion

**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.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationIndicationTypeObservationIndicationTypeinactive

Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_AdverseSubstanceAdministrationEventActionTakenTypeAdverseSubstanceAdministrationEventActionTakenTypeinactive

Definition: 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.

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Examples: Example values include dose withdrawn, dose reduced, dose not changed.

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NOTE: The concept domain is currently supported by a value set created by the International Conference on Harmonization

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_CaseTransmissionModecase transmission mode

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

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANHUMTRNSanimal to human transmission

Communication of an agent from an animal to a proximate person.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0HUMHUMTRNShuman to human transmission

Communication of an agent from a person to a proximate person.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TRNSFTRNStransfusion transmission

Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0AIRTRNSairborne transmission

Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0BLDTRNSblood borne transmission

Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ENVTRNSenvironmental exposure transmission

Communication of an agent from an environmental surface or source to a living subject by direct contact.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FECTRNSfecal-oral transmission

Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FOMTRNSfomite transmission

Communication of an agent from an non-living material to a living subject through direct contact.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0INDTRNSindeterminate disease transmission mode

Communication of an agent to a living subject via an undetermined route.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LACTTRNSlactation transmission

Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ANANTRNSanimal to animal transmission

Communication of an agent from one animal to another proximate animal.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DERMTRNStransdermal transmission

Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FOODTRNSfood-borne transmission

Communication of an agent from a food source to a living subject via oral consumption.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOSTRNSnosocomial transmission

Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PARTRNSparenteral transmission

Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PLACTRNStransplacental transmission

Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SEXTRNSsexual transmission

Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0VECTRNSvector-borne transmission

Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0WATTRNSwater-borne transmission

Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0BDYFLDTRNSbody fluid contact transmission

Communication of an agent from one living subject to another living subject through direct contact with any body fluid.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationDiagnosisTypesObservationDiagnosisTypesinactive

Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CDIOcase disease imported observation

An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship.

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OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_PatientImmunizationRelatedObservationTypePatientImmunizationRelatedObservationType

Description: Reporting codes that are related to an immunization event.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GRADEgrade

Description: The school grade or level the patient was in when immunized.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SCHLDIVschool division

Description: The school division or district associated with the patient during the immunization event.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SCHLschool

Description: The school the patient attended when immunized.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TEACHERteacher

Description: The patient's teacher when immunized.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CLSSRMclassroom

Description: The class room associated with the patient during the immunization event.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationGenomicFamilyHistoryTypeObservationGenomicFamilyHistoryTypeinactive
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0OINTintolerance

Hypersensitivity resulting in an adverse reaction upon exposure to an agent.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ALGAllergy

Hypersensitivity to an agent caused by an immunologic response to an initial exposure

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DALGDrug Allergy

An allergy to a pharmaceutical product.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FALGFood Allergy

An allergy to a substance generally consumed for nutritional purposes.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0EALGEnvironmental Allergy

An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DINTDrug Intolerance

Hypersensitivity resulting in an adverse reaction upon exposure to a drug.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DNAINTDrug Non-Allergy Intolerance

Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FINTFood Intolerance

Hypersensitivity resulting in an adverse reaction upon exposure to food.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FNAINTFood Non-Allergy Intolerance

Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0EINTEnvironmental Intolerance

Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ENAINTEnvironmental Non-Allergy Intolerance

Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NAINTNon-Allergy Intolerance

Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationAllergyTestTypeObservationAllergyTestTypeinactive

Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationDosageDefinitionPreconditionTypeobservation dosage definition precondition typeinactive

Definition:

\n

The set of observation type concepts that can be used to express pre-conditions to a particular dosage definition.

\n

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.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationQualityMeasureAttributeObservationQualityMeasureAttribute

Codes used to define various metadata aspects of a health quality measure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CRSclinical recommendation statement

Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRADJrisk adjustment

The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRAGGrate aggregation

Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two).

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Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRIMPROVhealth quality measure improvement notation

Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TRANFtransmission format

Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DEFdefinition

Description of individual terms, provided as needed.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRJURjurisdiction

The list of jurisdiction(s) for which the measure applies.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0KEYkeyword

A significant word that aids in discoverability.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DISCdisclaimer

Disclaimer information for the eMeasure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSDmeasurement start date

The start date of the measurement period.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RATrationale

Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0REFreference

Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRSEThealth quality measure care setting

Location(s) in which care being measured is rendered

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Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SDEsupplemental data elements

Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0STRATstratification

Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRRPTRreporter type

Type of person or organization that is expected to report the issue.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0USEnotice of use

Usage notes.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CMPMSRSCRWGHTcomponent measure scoring weight

An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRTYPEmeasure type

Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CMPMSRMTHcomposite measure method

Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ITMCNTitems counted

Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0IDURimprovement notation

Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MEDTmeasurement end date

The end date of the measurement period.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GUIDEguidance

Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRSCOREmeasure scoring

Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0COPYcopyright

Identifies the organization(s) who own the intellectual property represented by the eMeasure.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FINALDTfinalized date/time

The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRTPmeasurement period

The time period for which the eMeasure applies.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRTOPIChealth quality measure topic type
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0AGGREGATEaggregate measure observation

Indicates that the observation is carrying out an aggregation calculation, contained in the value element.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MSRRPTTIMEtimeframe for reporting

The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CRITcriticality

A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CASESERcase seriousness criteria

**Definition:**An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ISSUEdetected issue

There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.

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Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActAdministrativeDetectedIssueCodeActAdministrativeDetectedIssueCode

Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActAdministrativeAuthorizationDetectedIssueCodeActAdministrativeAuthorizationDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NATInsufficient authorization

The requesting party has insufficient authorization to invoke the interaction.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0VALIDATvalidation issue

**Description:**The specified element did not pass business-rule validation.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0BUSbusiness constraint violation

**Description:**A local business rule relating multiple elements has been violated.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LEN_RANGElength out of range

**Description:**The length of the data specified falls out of the range defined for the element.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LEN_LONGlength is too long

**Description:**The length of the data specified is greater than the maximum length defined for the element.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LEN_SHORTlength is too short

**Description:**The length of the data specified is less than the minimum length defined for the element.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEDosage problem

Proposed dosage instructions for therapy differ from standard practice.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MDOSEmaximum dosage reached

**Description:**The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEDURDose-Duration Alert

Proposed length of therapy differs from standard practice.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEDURHDose-Duration High Alert

Proposed length of therapy is longer than standard practice

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEDURHINDDose-Duration High for Indication Alert

Proposed length of therapy is longer than standard practice for the identified indication or diagnosis

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEDURLDose-Duration Low Alert

Proposed length of therapy is shorter than that necessary for therapeutic effect

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEDURLINDDose-Duration Low for Indication Alert

Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEIVLDose-Interval Alert

Proposed dosage interval/timing differs from standard practice

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEIVLINDDose-Interval for Indication Alert

Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSECONDdosage-condition alert

**Description:**Proposed dosage is inappropriate due to patient's medical condition.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEHHigh Dose Alert

Proposed dosage exceeds standard practice

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEHINDHigh Dose for Indication Alert
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEHINDSAHigh Dose for Height/Surface Area Alert

Proposed dosage exceeds standard practice for the patient's height or body surface area

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEHINDAHigh Dose for Age Alert

Proposed dosage exceeds standard practice for the patient's age

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSEHINDWHigh Dose for Weight Alert

Proposed dosage exceeds standard practice for the patient's weight

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSELLow Dose Alert

Proposed dosage is below suggested therapeutic levels

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSELINDLow Dose for Indication Alert
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSELINDSALow Dose for Height/Surface Area Alert

Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSELINDALow Dose for Age Alert

Proposed dosage is below suggested therapeutic levels for the patient's age

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DOSELINDWLow Dose for Weight Alert

Proposed dosage is below suggested therapeutic levels for the patient's weight

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FORMATinvalid format

**Description:**The element does not follow the formatting or type rules defined for the field.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0KEY204Unknown key identifier

The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0KEY205Duplicate key identifier

The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NODUPSduplicate values are not permitted

**Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CODE_INVALcode is not valid

**Description:**The specified code is not valid against the list of codes allowed for the element.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CODE_DEPRECcode has been deprecated

**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0OBSAObservation Alert

Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0AGEAge Alert

Proposed therapy may be inappropriate or contraindicated due to patient age

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ADALRTadult alert

Proposed therapy is outside of the standard practice for an adult patient.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GEALRTgeriatric alert

Proposed therapy is outside of standard practice for a geriatric patient.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PEALRTpediatric alert

Proposed therapy is outside of the standard practice for a pediatric patient.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GENGenetic Alert

Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LABLab Alert

Proposed therapy may be inappropriate or contraindicated due to recent lab test results

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CREACTcommon reaction alert

**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.

\n

**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.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0REACTReaction Alert

Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0INTIntolerance Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ALGYAllergy Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RREACTRelated Reaction Alert

Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RALGRelated Allergy Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RINTRelated Intolerance Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0RARRelated Prior Reaction Alert

Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0GENDGender Alert

Proposed therapy may be inappropriate or contraindicated due to patient gender.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CONDCondition Alert

Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0LACTLactation Alert

Proposed therapy may be inappropriate or contraindicated when breast-feeding

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0HGHT
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PREGPregnancy Alert

Proposed therapy may be inappropriate or contraindicated during pregnancy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0WGHT
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MISSMANDmandatory element missing

**Description:**The specified element is mandatory and was not included in the instance.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ILLEGALillegal

**Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MISSCONDconditional element missing

**Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0COMPLYCompliance Alert

There may be an issue with the patient complying with the intentions of the proposed therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FRAUDpotential fraud

**Description:**The request is suspected to have a fraudulent basis.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DUPTHPYDuplicate Therapy Alert

The proposed therapy appears to duplicate an existing therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DUPTHPCLSduplicate therapeutic alass alert

**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DUPTHPGENduplicate generic alert

**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PLYPHRMPoly-supplier Alert

This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ABUSEcommonly abused/misused alert

**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PLYDOCPoly-orderer Alert

A similar or identical therapy was recently ordered by a different practitioner.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOPERSISTelement will not be persisted

Description: Element in submitted message will not persist in data storage based on detected issue.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0REP_RANGErepetitions out of range

**Description:**The number of repeating elements falls outside the range of the allowed number of repetitions.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MAXOCCURSrepetitions above maximum

**Description:**The number of repeating elements is above the maximum number of repetitions allowed.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MINOCCURSrepetitions below minimum

**Description:**The number of repeating elements is below the minimum number of repetitions allowed.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0SUPPRESSEDrecord suppressed

Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActAdministrativeRuleDetectedIssueCodeActAdministrativeRuleDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0OBSOLETEobsolete record returned

Description: One or more records in the query response have a status of 'obsolete'.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0KEY206non-matching identification

Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActSuppliedItemDetectedIssueCodeActSuppliedItemDetectedIssueCode

Identifies types of detected issues regarding the administration or supply of an item to a patient.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PATPREFviolates stated preferences

**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PATPREFALTviolates stated preferences, alternate available

**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_AdministrationDetectedIssueCodeAdministrationDetectedIssueCode

Administration of the proposed therapy may be inappropriate or contraindicated as proposed

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DACTdrug action detected issue

**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_AppropriatenessDetectedIssueCodeAppropriatenessDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_InteractionDetectedIssueCodeInteractionDetectedIssueCode
http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FOODFood Interaction Alert

Proposed therapy may interact with certain foods

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TPRODTherapeutic Product Alert

Proposed therapy may interact with an existing or recent therapeutic product

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0DRGDrug Interaction Alert

Proposed therapy may interact with an existing or recent drug therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NHPNatural Health Product Alert

Proposed therapy may interact with existing or recent natural health product therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NONRXNon-Prescription Interaction Alert

Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PREVINEFpreviously ineffective

**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_TimingDetectedIssueCodeTimingDetectedIssueCodeinactive

Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0STRTLATEStart Too Late Alert

Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ENDLATEEnd Too Late Alert

Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TIMEtiming detected issue

**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ALRTSTRTLATEstart too late alert

**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ALRTENDLATEend too late alert

**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_DrugActionDetectedIssueCodeDrugActionDetectedIssueCodeinactive

Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0HISTORICrecord recorded as historical

Description: While the record was accepted in the repository, there is a more recent version of a record of this type.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_SupplyDetectedIssueCodeSupplyDetectedIssueCode

Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TOOLATERefill Too Late Alert

The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FULFILfulfillment alert

**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOTACTNno longer actionable

**Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TIMINGevent timing incorrect alert

**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0MINFREQtoo soon within frequency based on the usage

**Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0INTERVALoutside requested time

**Definition:**The therapy action is being performed outside the bounds of the time period requested

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOTEQUIVnot equivalent alert

**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOTEQUIVGENnot generically equivalent alert

**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0NOTEQUIVTHERnot therapeutically equivalent alert

**Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0HELDheld/suspended alert

**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ALLDONEalready performed

**Definition:**The requested action has already been performed and so this request has no effect

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0TOOSOONRefill Too Soon Alert

The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActFinancialDetectedIssueCodeActFinancialDetectedIssueCodeinactive

Identifies types of detected issues for Act class "ALRT" for the financial acts domain.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ClinicalActionDetectedIssueCodeClinicalActionDetectedIssueCode

Identifies types of issues detected regarding the performance of a clinical action on a patient.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CAREGAPCaregap

Identifies the type of detected issue is a care gap

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CODINGGAPCodinggap

Identifies the type of detected issue is a risk adjustment coding gap

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0ADVERSE_REACTIONAdverse Reaction

Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0CTMOcase transmission mode observation

An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.

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OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0KSUBJknowledge subject

Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0KSUBTknowledge subtopic

Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ActPrivilegeCategorizationTypeActPrivilegeCategorizationTypeinactive

This domain includes observations used to characterize a privilege, under which this additional information is classified.

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*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.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_FDALabelDataFDALabelDatainactive

FDA label data

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDASHAPEshapeinactive

FDA label shape

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDAIMPRINTCDimprint codeinactive

FDA label imprint code

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDALOGOlogoinactive

FDA label logo

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDACOATINGcoatinginactive

FDA label coating

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDASCORINGscoringinactive

FDA label scoring

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDASIZEsizeinactive

FDA label size

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0FDACOLORcolorinactive

FDA label color

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationQueryMatchTypeObservationQueryMatchTypeinactive

Definition: An observation related to a query response.

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**Example:**The degree of match or match weight returned by a matching algorithm in a response to a query.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_ObservationIssueTriggerMeasuredObservationTypeObservationIssueTriggerMeasuredObservationTypeinactive

Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_SimpleMeasurableClinicalObservationTypeSimpleMeasurableClinicalObservationTypeinactive

Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0_PreferenceObservationType_PreferenceObservationType

Types of observations that can be made about Preferences.

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http://terminology.hl7.org/CodeSystem/v3-ActCode\u00a0\u00a0PREFSTRENGTHpreference strength

An observation about how important a preference is to the target of the preference.

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" }, "url" : "http://terminology.hl7.org/ValueSet/v3-ObservationType", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.1.11.16226" }], "version" : "3.0.0", "name" : "ObservationType", "title" : "ObservationType", "status" : "active", "experimental" : false, "date" : "2014-03-26", "expansion" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/valueset-toocostly", "valueBoolean" : true }], "identifier" : "urn:uuid:cad73f3e-7863-407d-bdc2-87f003a11af3", "timestamp" : "2025-10-28T07:08:00.254Z", "total" : 366, "offset" : 0, "parameter" : [{ "name" : "limitedExpansion", "valueBoolean" : true }, { "name" : "displayLanguage", "valueCode" : "en" }, { "name" : "excludeNested", "valueBoolean" : false }, { "name" : "offset", "valueInteger" : 0 }, { "name" : "count", "valueInteger" : 1000 }, { "name" : "used-codesystem", "valueUri" : "http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0" }, { "name" : "version", "valueUri" : "http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0" }, { "name" : "used-valueset", "valueUri" : "http://terminology.hl7.org/ValueSet/v3-ObservationDiagnosisTypes|3.0.0" }, { "name" : "version", "valueUri" : "http://terminology.hl7.org/ValueSet/v3-ObservationDiagnosisTypes|3.0.0" }], "contains" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_MedicationObservationType", "display" : "MedicationObservationType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLSHAPE", "display" : "shape" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLCOATING", "display" : "coating" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLIMPRINT", "display" : "imprint" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLSCORING", "display" : "scoring" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "REP_HALF_LIFE", "display" : "representative half-life" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLIMAGE", "display" : "image" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLSIZE", "display" : "size" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLCOLOR", "display" : "color" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "SPLSYMBOL", "display" : "symbol" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_ObservationSeriesType", "display" : "ObservationSeriesType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_ECGObservationSeriesType", "display" : "ECGObservationSeriesType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "RHYTHM", "display" : "ECG rhythm waveforms" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "REPRESENTATIVE_BEAT", "display" : "ECG representative beat waveforms" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "inactive" : true, "code" : "_PatientCharacteristicObservationType", "display" : "PatientCharacteristicObservationType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_ObservationSequenceType", "display" : "ObservationSequenceType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "inactive" : true, "code" : "_ECGObservationSequenceType", "display" : "ECGObservationSequenceType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "TIME_ABSOLUTE", "display" : "absolute time sequence" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "TIME_RELATIVE", "display" : "relative time sequence" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "DX", "display" : "ObservationDiagnosisTypes" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "NOI", "display" : "nature of injury" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "ADMDX", "display" : "admitting diagnosis" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "INTDX", "display" : "intermediate diagnosis" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "DISDX", "display" : "discharge diagnosis" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "GENE", "display" : "gene" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_IndividualCaseSafetyReportType", "display" : "Individual Case Safety Report Type" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "PAT_ADV_EVNT", "display" : "patient adverse event" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "VAC_PROBLEM", "display" : "vaccine product problem" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "inactive" : true, "code" : "_ObservationVisionPrescriptionType", "display" : "ObservationVisionPrescriptionType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_AnnotationType", "display" : "AnnotationType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "inactive" : true, "code" : "_ECGAnnotationType", "display" : "ECGAnnotationType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "_ActPatientAnnotationType", "display" : "ActPatientAnnotationType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "ANNGEN", "display" : "general note" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "ANNIMM", "display" : "immunization note" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "ANNDI", "display" : "diagnostic image note" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "ANNLAB", "display" : "laboratory note" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "ANNMED", "display" : "medication note" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "inactive" : true, "code" : "_CommonClinicalObservationType", "display" : "CommonClinicalObservationType" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "GISTIER", "display" : "GIS tier" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "HHOBS", "display" : "household situation observation" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "abstract" : true, "code" : "_PopulationInclusionObservationType", "display" : "PopulationInclusionObservationType" }, { 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