v3-ObservationValue
type: CodeSystem
node role: treeRoot
id:
  v: v3-ObservationValue
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CodeSystem v3-ObservationValue Language: en Properties This code system defines the following properties for its concepts Name Code URI Type Description Specializes Specializes Coding The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric. Generalizes Generalizes Coding Inverse of Specializes. Only included as a derived relationship. Status status http://hl7.org/fhir/concept-properties#status code A property that indicates the status of the concept. One of active, experimental, deprecated, or retired. Deprecation Date deprecationDate http://hl7.org/fhir/concept-properties#deprecationDate dateTime The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged. Not Selectable notSelectable http://hl7.org/fhir/concept-properties#notSelectable boolean Indicates that the code is abstract - only intended to be used as a selector for other concepts Concepts This case-insensitive code system http://terminology.hl7.org/CodeSystem/v3-ObservationValue defines the following codes in a Is-A hierarchy: Lvl Code Display Definition Deprecated Status Deprecation Date Not Selectable 1 _ActCoverageAssessmentObservationValue ActCoverageAssessmentObservationValue Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values. active true 2 _ActFinancialStatusObservationValue ActFinancialStatusObservationValue Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses. active true 3 ASSET asset Codes specifying asse…
url:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
  l: v3-ObservationValue
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.5.1063
version:
  v: 4.0.0
name:
  v: ObservationValue
title:
  v: ObservationValue
status:
  v: active
experimental:
  v: false
date:
  v: 2024-02-28T00:00:00.000-07:00
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype.
copyright:
  v: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
case sensitive:
  v: false
hierarchy meaning:
  v: is-a
compositional:
  v: false
version needed:
  v: false
content:
  v: complete
property:
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
      l: ext-mif-relationship-symmetry
    value: Code
      v: antisymmetric
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
      l: ext-mif-relationship-transitivity
    value: Code
      v: transitive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
      l: ext-mif-relationship-reflexivity
    value: Code
      v: irreflexive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
      l: ext-mif-relationship-isNavigable
    value: Boolean
      v: true
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
      l: ext-mif-relationship-relationshipKind
    value: Code
      v: Specializes
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
      l: ext-mif-relationship-inverseName
    value: String
      v: Generalizes
  code:
    v: Specializes
  description:
    v: The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.
  type:
    v: Coding
property:
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
      l: ext-mif-relationship-symmetry
    value: Code
      v: antisymmetric
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
      l: ext-mif-relationship-transitivity
    value: Code
      v: transitive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
      l: ext-mif-relationship-reflexivity
    value: Code
      v: irreflexive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
      l: ext-mif-relationship-isNavigable
    value: Boolean
      v: true
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
      l: ext-mif-relationship-relationshipKind
    value: Code
      v: Generalizes
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
      l: ext-mif-relationship-inverseName
    value: String
      v: Specializes
  code:
    v: Generalizes
  description:
    v: Inverse of Specializes. Only included as a derived relationship.
  type:
    v: Coding
property:
  code:
    v: status
  uri:
    v: http://hl7.org/fhir/concept-properties#status
    l: status
  description:
    v: A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.
  type:
    v: code
property:
  code:
    v: deprecationDate
  uri:
    v: http://hl7.org/fhir/concept-properties#deprecationDate
    l: deprecationDate
  description:
    v: The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.
  type:
    v: dateTime
property:
  code:
    v: notSelectable
  uri:
    v: http://hl7.org/fhir/concept-properties#notSelectable
    l: notSelectable
  description:
    v: Indicates that the code is abstract - only intended to be used as a selector for other concepts
  type:
    v: boolean
concept:
  code:
    v: _ActCoverageAssessmentObservationValue
  display:
    v: ActCoverageAssessmentObservationValue
  definition:
    v: Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: _ActFinancialStatusObservationValue
    display:
      v: ActFinancialStatusObservationValue
    definition:
      v: Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.
    property:
      code:
        v: notSelectable
      value: Boolean
        v: true

code:
  v: status
value: Code
  v: active

code:
  v: ASSET
display:
  v: asset
definition:
  v: Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: ANNUITY
  display:
    v: annuity
  definition:
    v: Indicator of annuity ownership or status as beneficiary.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PROP
  display:
    v: real property
  definition:
    v: Indicator of real property ownership, e.g., deed or real estate contract.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RETACCT
  display:
    v: retirement investment account
  definition:
    v: Indicator of retirement investment account ownership.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TRUST
  display:
    v: trust
  definition:
    v: Indicator of status as trust beneficiary.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: INCOME
display:
  v: income
definition:
  v: Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: CHILD
  display:
    v: child support
  definition:
    v: Indicator of child support payments received or provided.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: DISABL
  display:
    v: disability pay
  definition:
    v: Indicator of disability income replacement payment.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: INVEST
  display:
    v: investment income
  definition:
    v: Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PAY
  display:
    v: paid employment
  definition:
    v: Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RETIRE
  display:
    v: retirement pay
  definition:
    v: Indicator of retirement payment, e.g., pension check.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SPOUSAL
  display:
    v: spousal or partner support
  definition:
    v: Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SUPPLE
  display:
    v: income supplement
  definition:
    v: Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TAX
  display:
    v: tax obligation
  definition:
    v: Indicator of tax obligation or payment, e.g., statement of taxable income.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LIVEXP
display:
  v: living expense
definition:
  v: Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: CLOTH
  display:
    v: clothing expense
  definition:
    v: Indicator of clothing expenses.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: FOOD
  display:
    v: food expense
  definition:
    v: Indicator of transportation expenses.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: HEALTH
  display:
    v: health expense
  definition:
    v: Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: HOUSE
  display:
    v: household expense
  definition:
    v: Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LEGAL
  display:
    v: legal expense
  definition:
    v: Indicator of legal expenses.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: MORTG
  display:
    v: mortgage
  definition:
    v: Indicator of mortgage amount, interest, and payments.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RENT
  display:
    v: rent
  definition:
    v: Indicator of rental or lease payments.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SUNDRY
  display:
    v: sundry expense
  definition:
    v: Indicator of transportation expenses.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TRANS
  display:
    v: transportation expense
  definition:
    v: Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: UTIL
  display:
    v: utility expense
  definition:
    v: Indicator of transportation expenses.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: ELSTAT
display:
  v: eligibility indicator
definition:
  v: Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: ADOPT
  display:
    v: adoption document
  definition:
    v: Indicator of adoption.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: BTHCERT
  display:
    v: birth certificate
  definition:
    v: Indicator of birth.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: CCOC
  display:
    v: creditable coverage document
  definition:
    v: Indicator of creditable coverage.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: DRLIC
  display:
    v: driver license
  definition:
    v: Indicator of driving status.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: FOSTER
  display:
    v: foster child document
  definition:
    v: Indicator of foster child status.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: MEMBER
  display:
    v: program or policy member
  definition:
    v: Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: MIL
  display:
    v: military identification
  definition:
    v: Indicator of military status.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: MRGCERT
  display:
    v: marriage certificate
  definition:
    v: Indicator of marriage status.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PASSPORT
  display:
    v: passport
  definition:
    v: Indicator of citizenship.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: STUDENRL
  display:
    v: student enrollment
  definition:
    v: Indicator of student status.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: HLSTAT
display:
  v: health status
definition:
  v: Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: DISABLE
  display:
    v: disabled
  definition:
    v: Indication of disability.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: DRUG
  display:
    v: drug use
  definition:
    v: Indication of drug use.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: IVDRG
  display:
    v: IV drug use
  definition:
    v: Indication of IV drug use .
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PGNT
  display:
    v: pregnant
  definition:
    v: Non-clinical report of pregnancy.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LIVDEP
display:
  v: living dependency
definition:
  v: Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: RELDEP
  display:
    v: relative dependent
  definition:
    v: Continued living in private residence requires functional and health care assistance from one or more relatives.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SPSDEP
  display:
    v: spouse dependent
  definition:
    v: Continued living in private residence requires functional and health care assistance from spouse or life partner.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: URELDEP
  display:
    v: unrelated person dependent
  definition:
    v: Continued living in private residence requires functional and health care assistance from one or more unrelated persons.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LIVSIT
display:
  v: living situation
definition:
  v: Code specifying observations related to living situation for a person in a private residence.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: ALONE
  display:
    v: alone
  definition:
    v: Living alone. Maps to PD1-2 Living arrangement (IS) 00742 \[A\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: DEPCHD
  display:
    v: dependent children
  definition:
    v: Living with one or more dependent children requiring moderate supervision.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: DEPSPS
  display:
    v: dependent spouse
  definition:
    v: Living with disabled spouse requiring functional and health care assistance
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: DEPYGCHD
  display:
    v: dependent young children
  definition:
    v: Living with one or more dependent children requiring intensive supervision
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: FAM
  display:
    v: live with family
  definition:
    v: Living with family. Maps to PD1-2 Living arrangement (IS) 00742 \[F\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RELAT
  display:
    v: relative
  definition:
    v: Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 \[R\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SPS
  display:
    v: spouse only
  definition:
    v: Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 \[S\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: UNREL
  display:
    v: unrelated person
  definition:
    v: Living with one or more unrelated persons.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: SOECSTAT
display:
  v: socio economic status
definition:
  v: Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: ABUSE
  display:
    v: abuse victim
  definition:
    v: Indication of abuse victim.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: HMLESS
  display:
    v: homeless
  definition:
    v: Indication of status as homeless.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: ILGIM
  display:
    v: illegal immigrant
  definition:
    v: Indication of status as illegal immigrant.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: INCAR
  display:
    v: incarcerated
  definition:
    v: Indication of status as incarcerated.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PROB
  display:
    v: probation
  definition:
    v: Indication of probation status.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: REFUG
  display:
    v: refugee
  definition:
    v: Indication of refugee status.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: UNEMPL
  display:
    v: unemployed
  definition:
    v: Indication of unemployed status.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _AllergyTestValue
display:
  v: AllergyTestValue
definition:
  v: Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: A0
  display:
    v: no reaction
  definition:
    v: **Description:**Patient exhibits no reaction to the challenge agent.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: A1
  display:
    v: minimal reaction
  definition:
    v: **Description:**Patient exhibits a minimal reaction to the challenge agent.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: A2
  display:
    v: mild reaction
  definition:
    v: **Description:**Patient exhibits a mild reaction to the challenge agent.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: A3
  display:
    v: moderate reaction
  definition:
    v: **Description:**Patient exhibits moderate reaction to the challenge agent.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: A4
  display:
    v: severe reaction
  definition:
    v: **Description:**Patient exhibits a severe reaction to the challenge agent.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _CompositeMeasureScoring
display:
  v: CompositeMeasureScoring
definition:
  v: Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: ALLORNONESCR
  display:
    v: All-or-nothing Scoring
  definition:
    v: Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LINEARSCR
  display:
    v: Linear Scoring
  definition:
    v: Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: OPPORSCR
  display:
    v: Opportunity Scoring
  definition:
    v: Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: WEIGHTSCR
  display:
    v: Weighted Scoring
  definition:
    v: Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _CoverageLimitObservationValue
display:
  v: CoverageLimitObservationValue
definition:
  v: **Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: _CoverageLevelObservationValue
  display:
    v: CoverageLevelObservationValue
  definition:
    v: **Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: ADC
    display:
      v: adult child
    definition:
      v: **Description:**Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: CHD
    display:
      v: child
    definition:
      v: **Description:**Dependent biological, adopted, foster child as specified by coverage policy or program.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: DEP
    display:
      v: dependent
    definition:
      v: **Description:**Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: DP
    display:
      v: domestic partner
    definition:
      v: **Description:**Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: ECH
    display:
      v: employee
    definition:
      v: **Description:**An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: FLY
    display:
      v: family coverage
    definition:
      v: **Description:**As specified by coverage policy or program.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: IND
    display:
      v: individual
    definition:
      v: **Description:**Person as specified by coverage policy or program.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: SSP
    display:
      v: same sex partner
    definition:
      v: **Description:**A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades
    property:
      code:
        v: status
      value: Code
        v: active
concept:
  code:
    v: _CoverageItemLimitObservationValue
  display:
    v: CoverageItemLimitObservationValue
  definition:
    v: **Description:**Coded observation values for types or instances of items for which coverage is provided under a policy or program, e.g., a type of vehicle or a named work of art.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _CoverageLocationLimitObservationValue
  display:
    v: CoverageLocationLimitObservationValue
  definition:
    v: **Description:**Coded observation values for types or instances of locations for which coverage is provided under a policy or program, e.g., in the covered party home, in state or in the country.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired

code:
  v: _CriticalityObservationValue
display:
  v: CriticalityObservationValue
definition:
  v: 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.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: CRITH
  display:
    v: high criticality
  definition:
    v: Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: CRITL
  display:
    v: low criticality
  definition:
    v: Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: CRITU
  display:
    v: unable to assess criticality
  definition:
    v: Unable to assess the worst case result of a future exposure.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _EmploymentStatus
display:
  v: _EmploymentStatus
definition:
  v: Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: Employed
  display:
    v: Employed
  definition:
    v: Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: NotInLaborForce
  display:
    v: Not In Labor Force
  definition:
    v: Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: Unemployed
  display:
    v: Unemployed
  definition:
    v: Persons who currently have no employment, but are available for work and have made specific efforts to find employment.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _GeneticObservationValue
display:
  v: GeneticObservationValue
definition:
  v: **Description:** The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: Homozygote
  display:
    v: HOMO
  definition:
    v: **Description:** An individual having different alleles at one or more loci regarding a specific character
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _MeasurementImprovementNotation
display:
  v: Measurement Improvement Notation
definition:
  v: Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: DecrIsImp
  display:
    v: Decreased score indicates improvement
  definition:
    v: Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: IncrIsImp
  display:
    v: Increased score indicates improvement
  definition:
    v: Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _ObservationMeasureScoring
display:
  v: ObservationMeasureScoring
definition:
  v: Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: COHORT
  display:
    v: cohort measure scoring
  definition:
    v: A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: CONTVAR
  display:
    v: continuous variable measure scoring
  definition:
    v: A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PROPOR
  display:
    v: proportion measure scoring
  definition:
    v: A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RATIO
  display:
    v: ratio measure scoring
  definition:
    v: A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _ObservationMeasureType
display:
  v: ObservationMeasureType
definition:
  v: Observation values used to indicate what kind of health quality measure is used.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: COMPOSITE
  display:
    v: composite measure type
  definition:
    v: A measure that is composed from one or more other measures and indicates an overall summary of those measures.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: EFFICIENCY
  display:
    v: efficiency measure type
  definition:
    v: A measure related to the efficiency of medical treatment.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: EXPERIENCE
  display:
    v: experience measure type
  definition:
    v: A measure related to the level of patient engagement or patient experience of care.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: OUTCOME
  display:
    v: outcome measure type
  definition:
    v: A measure that indicates the result of the performance (or non-performance) of a function or process.
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: INTERM-OM
    display:
      v: intermediate outcome measure type
    definition:
      v: A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: PRO-PM
    display:
      v: patient reported outcome measure type
    definition:
      v: A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.
    property:
      code:
        v: status
      value: Code
        v: active
concept:
  code:
    v: PROCESS
  display:
    v: process measure type
  definition:
    v: A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: APPROPRIATE
    display:
      v: appropriate use process measure
    definition:
      v: A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.
    property:
      code:
        v: status
      value: Code
        v: active
concept:
  code:
    v: RESOURCE
  display:
    v: resource use measure type
  definition:
    v: A measure related to the extent of use of clinical resources or cost of care.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: STRUCTURE
  display:
    v: structure measure type
  definition:
    v: A measure related to the structure of patient care.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _ObservationPopulationInclusion
display:
  v: ObservationPopulationInclusion
definition:
  v: Observation values used to assert various populations that a subject falls into.
property:
  code:
    v: status
  value: Code
    v: deprecated
property:
  code:
    v: deprecationDate
  value: DateTime
    v: 2013-07-26
concept:
  code:
    v: DENEX
  display:
    v: denominator exclusions
  definition:
    v: Patients 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.
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26
concept:
  code:
    v: DENEXCEP
  display:
    v: denominator exceptions
  definition:
    v: Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: * Medical reasons * Patient reasons * System reasons
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26
concept:
  code:
    v: DENOM
  display:
    v: denominator
  definition:
    v: It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population 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.
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26
concept:
  code:
    v: IP
  display:
    v: initial population
  definition:
    v: The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26
  concept:
    code:
      v: IPP
    display:
      v: initial patient population
    definition:
      v: The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified 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.
    property:
      code:
        v: status
      value: Code
        v: deprecated
    property:
      code:
        v: deprecationDate
      value: DateTime
        v: 2013-07-26
concept:
  code:
    v: MSRPOPL
  display:
    v: measure population
  definition:
    v: Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26
concept:
  code:
    v: NUMER
  display:
    v: numerator
  definition:
    v: Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (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).
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26
concept:
  code:
    v: NUMEX
  display:
    v: numerator exclusions
  definition:
    v: Numerator Exclusions are used only in ratio eMeasures to define 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.)
  property:
    code:
      v: status
    value: Code
      v: deprecated
  property:
    code:
      v: deprecationDate
    value: DateTime
      v: 2013-07-26

code:
  v: _PartialCompletionScale
display:
  v: PartialCompletionScale
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: G
  display:
    v: Great extent
  definition:
    v: Value for Act.partialCompletionCode attribute that implies 81-99% completion
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LE
  display:
    v: Large extent
  definition:
    v: Value for Act.partialCompletionCode attribute that implies 61-80% completion
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: ME
  display:
    v: Medium extent
  definition:
    v: Value for Act.partialCompletionCode attribute that implies 41-60% completion
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: MI
  display:
    v: Minimal extent
  definition:
    v: Value for Act.partialCompletionCode attribute that implies 1-20% completion
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: N
  display:
    v: None
  definition:
    v: Value for Act.partialCompletionCode attribute that implies 0% completion
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: S
  display:
    v: Some extent
  definition:
    v: Value for Act.partialCompletionCode attribute that implies 21-40% completion
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _SecurityObservationValue
display:
  v: SecurityObservationValue
definition:
  v: Observation values used to indicate security observation metadata.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: _SECCATOBV
  display:
    v: security category
  definition:
    v: Abstract security observation values used to indicate security category metadata. **Examples:** Codes conveying: * privacy law * information sensitivity * consent directive types
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: _SECCLASSOBV
  display:
    v: security classification
  definition:
    v: Abstract security observation values used to indicate security classification metadata. **Examples:** Confidentiality Codes
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: _SECCONOBV
  display:
    v: security control
  definition:
    v: Abstract security observation values used to indicate security control metadata. **Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: _SECINTOBV
  display:
    v: security integrity
  definition:
    v: Abstract security observation values used to indicate security integrity metadata. **Examples:** Codes conveying integrity status, integrity confidence, and provenance.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: _SECALTINTOBV
    display:
      v: alteration integrity
    definition:
      v: Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)
    property:
      code:
        v: notSelectable
      value: Boolean
        v: true
    property:
      code:
        v: status
      value: Code
        v: active
    concept:
      code:
        v: ABSTRED
      display:
        v: abstracted
      definition:
        v: Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.
      property:
        value: Code
    concept:
      code:
        v: AGGRED
      display:
        v: aggregated
      definition:
        v: Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.
      property:
        value: Code
    concept:
      code:
        v: ANONYED
      display:
        v: anonymized
      definition:
        v: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.
      property:
        value: Code
    concept:
      code:
        v: MAPPED
      display:
        v: mapped
      definition:
        v: Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another. *Usage Note:* "MAP" code does not indicate the semantic fidelity of the transformed content. To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052). Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.
      property:
        value: Code
    concept:
      code:
        v: MASKED
      display:
        v: masked
      definition:
        v: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or "shared secret". *Usage Note:* "MASKED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.
      property:
        value: Code
    concept:
      code:
        v: PSEUDED
      display:
        v: pseudonymized
      definition:
        v: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. *Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization
      property:
        value: Code
    concept:
      code:
        v: REDACTED
      display:
        v: redacted
      definition:
        v: Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed. *Usage Note:* "REDACTED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.
      property:
        value: Code
    concept:
      code:
        v: SUBSETTED
      display:
        v: subsetted
      definition:
        v: Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update *Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.
      property:
        value: Code
    concept:
      code:
        v: SYNTAC
      display:
        v: syntactic transform
      definition:
        v: Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another. *Usage Note:* "SYNTAC" code does not indicate the syntactical correctness of the syntactically transformed IT resource.
      property:
        value: Code
    concept:
      code:
        v: TRSLT
      display:
        v: translated
      definition:
        v: Security metadata observation value used to indicate that the IT resource has been translated from one human language to another. *Usage Note:* "TRSLT" does not indicate the fidelity of the translation or the languages translated. The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation. To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)
      property:
        value: Code
    concept:
      code:
        v: VERSIONED
      display:
        v: versioned
      definition:
        v: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy *Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.
      property:
        value: Code
  concept:
    code:
      v: _SECDATINTOBV

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: data integrity

v: Abstract security observation values used to indicate data integrity metadata. **Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.

code:
  v: notSelectable
value: Boolean
  v: true

code:
  v: status
value: Code
  v: active

code:
  v: CRYTOHASH
display:
  v: cryptographic hash function
definition:
  v: Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit. *Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit. **Examples:** * SHA-1 * SHA-2 (Secure Hash Algorithm)
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: DIGSIG
display:
  v: digital signature
definition:
  v: Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified. *Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: _SECINTCONOBV
display:
  v: integrity confidence
definition:
  v: Abstract security observation value used to indicate integrity confidence metadata. **Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: HRELIABLE
  display:
    v: highly reliable
  definition:
    v: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RELIABLE
  display:
    v: reliable
  definition:
    v: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: UNCERTREL
  display:
    v: uncertain reliability
  definition:
    v: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: UNRELIABLE
  display:
    v: unreliable
  definition:
    v: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _SECINTPRVOBV
display:
  v: provenance
definition:
  v: Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability). **Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: _SECINTPRVABOBV
  display:
    v: provenance asserted by
  definition:
    v: Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability). **Examples:** Codes conveying the provenance metadata about the entity asserting the resource.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: CLINAST
    display:
      v: clinician asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: DEVAST
    display:
      v: device asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: HCPAST
    display:
      v: healthcare professional asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: PACQAST
    display:
      v: patient acquaintance asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: PATAST
    display:
      v: patient asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: PAYAST
    display:
      v: payer asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: PROAST
    display:
      v: professional asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: SDMAST
    display:
      v: substitute decision maker asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: AIAST
    display:
      v: Artificial Intelligence asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: DICTAST
    display:
      v: Dictation asserted
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).
    property:
      code:
        v: status
      value: Code
        v: active
concept:
  code:
    v: _SECINTPRVRBOBV
  display:
    v: provenance reported by
  definition:
    v: Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability). **Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: CLINRPT
    display:
      v: clinician reported
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: DEVRPT
    display:
      v: device reported
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: HCPRPT
    display:
      v: healthcare professional reported
    definition:
      v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.
    property:
      code:
        v: status
      value: Code

Code
v: active

code:
  v: PACQRPT
display:
  v: patient acquaintance reported
definition:
  v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: PATRPT
display:
  v: patient reported
definition:
  v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: PAYRPT
display:
  v: payer reported
definition:
  v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: PRORPT
display:
  v: professional reported
definition:
  v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: SDMRPT
display:
  v: substitute decision maker reported
definition:
  v: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: _SECINTSTOBV
display:
  v: integrity status
definition:
  v: Abstract security observation values used to indicate integrity status metadata. **Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: SECTRSTOBV
display:
  v: security trust observation
definition:
  v: Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: TRSTACCRDOBV
  display:
    v: trust accreditation observation
  definition:
    v: Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TRSTAGREOBV
  display:
    v: trust agreement observation
  definition:
    v: Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \[ISO IEC 10181-1\] \[ISO IEC 10181-1\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TRSTCERTOBV
  display:
    v: trust certificate observation
  definition:
    v: Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\] For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TRSTFWKOBV
  display:
    v: none supplied 5
  definition:
    v: Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: TRSTLOAOBV
  display:
    v: trust assurance observation
  definition:
    v: Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: LOAAN
    display:
      v: authentication level of assurance value
    definition:
      v: The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]
    property:
      code:
        v: notSelectable
      value: Boolean
        v: true
    property:
      code:
        v: status
      value: Code
        v: active
    concept:
      code:
        v: LOAAN1
      display:
        v: low authentication level of assurance
      definition:
        v: Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
      property:
        value: Code
    concept:
      code:
        v: LOAAN2
      display:
        v: basic authentication level of assurance
      definition:
        v: Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) is…
      property:
        value: Code
    concept:
      code:
        v: LOAAN3
      display:
        v: medium authentication level of assurance
      definition:
        v: Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used: * "soft" cryptographic token, which has the key stored on a general-purpose computer, * "hard" cryptographic token, which has the key stored on a special hardware device, and * "one-time password" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST. Authentication req…
      property:
        value: Code
    concept:
      code:
        v: LOAAN4
      display:
        v: high authentication level of assurance
      definition:
        v: Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication. Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prev…
      property:
        value: Code
  concept:
    code:
      v: LOAAP
    display:
      v: authentication process level of assurance value
    definition:
      v: The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]
    property:
      code:
        v: notSelectable
      value: Boolean
        v: true
    property:
      code:
        v: status
      value: Code
        v: active
    concept:
      code:
        v: LOAAP1
      display:
        v: low authentication process level of assurance
      definition:
        v: Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
      property:
        value: Code
    concept:
      code:
        v: LOAAP2
      display:
        v: basic authentication process level of assurance
      definition:
        v: Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
      property:
        value: Code
    concept:
      code:
        v: LOAAP3
      display:
        v: medium authentication process level of assurance
      definition:
        v: Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP). Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.
      property:
        value: Code
    concept:
      code:
        v: LOAAP4
      display:
        v: high authentication process level of assurance
      definition:
        v: Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
      property:
        value: Code
  concept:
    code:
      v: LOAAS
    display:
      v: assertion level of assurance value
    definition:
      v: The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
    property:
      code:
        v: notSelectable
      value: Boolean
        v: true

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

v: status

Code
v: active

code:
  v: status
value: Code
  v: active

code:
  v: LOAAS1
display:
  v: low assertion level of assurance
definition:
  v: Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions and assertion references require protection from modification and reuse attacks. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: LOAAS2
display:
  v: basic assertion level of assurance
definition:
  v: Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: LOAAS3
display:
  v: medium assertion level of assurance
definition:
  v: Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are protected against repudiation by the verifier. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: LOAAS4
display:
  v: high assertion level of assurance
definition:
  v: Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Strongly resistant to man-in-the-middle attacks. "Bearer" assertions are not used. "Holder-of-key" assertions may be used. RP maintains records of the assertions. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: LOACM
display:
  v: token and credential management level of assurance value)
definition:
  v: Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: LOACM1
  display:
    v: low token and credential management level of assurance
  definition:
    v: Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOACM2
  display:
    v: basic token and credential management level of assurance
  definition:
    v: Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOACM3
  display:
    v: medium token and credential management level of assurance
  definition:
    v: Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOACM4
  display:
    v: high token and credential management level of assurance
  definition:
    v: Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LOAID
display:
  v: identity proofing level of assurance
definition:
  v: Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: LOAID1
  display:
    v: low identity proofing level of assurance
  definition:
    v: Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOAID2
  display:
    v: basic identity proofing level of assurance
  definition:
    v: Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOAID3
  display:
    v: medium identity proofing level of assurance
  definition:
    v: Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOAID4
  display:
    v: high identity proofing level of assurance
  definition:
    v: Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LOANR
display:
  v: non-repudiation level of assurance value
definition:
  v: Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: LOANR1
  display:
    v: low non-repudiation level of assurance
  definition:
    v: Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOANR2
  display:
    v: basic non-repudiation level of assurance
  definition:
    v: Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOANR3
  display:
    v: medium non-repudiation level of assurance
  definition:
    v: Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOANR4
  display:
    v: high non-repudiation level of assurance
  definition:
    v: Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LOARA
display:
  v: remote access level of assurance value
definition:
  v: Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: LOARA1
  display:
    v: low remote access level of assurance
  definition:
    v: Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOARA2
  display:
    v: basic remote access level of assurance
  definition:
    v: Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOARA3
  display:
    v: medium remote access level of assurance
  definition:
    v: Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOARA4
  display:
    v: high remote access level of assurance
  definition:
    v: Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: LOATK
display:
  v: token level of assurance value
definition:
  v: Indicator of the digital quality or reliability of single and multi-token authentication. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: LOATK1
  display:
    v: low token level of assurance
  definition:
    v: Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOATK2
  display:
    v: basic token level of assurance
  definition:
    v: Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOATK3
  display:
    v: medium token level of assurance
  definition:
    v: Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: LOATK4
  display:
    v: high token level of assurance
  definition:
    v: Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: TRSTMECOBV
display:
  v: none supplied 6
definition:
  v: Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.
property:
  code:
    v: status
  value: Code
    v: active

code:
  v: _SeverityObservation
display:
  v: SeverityObservation
definition:
  v: Potential values for observations of severity.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: H
  display:
    v: High
  definition:
    v: Indicates the condition may be life-threatening or has the potential to cause permanent injury.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: L
  display:
    v: Low
  definition:
    v: Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: M
  display:
    v: Moderate
  definition:
    v: Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _SubjectBodyPosition
display:
  v: _SubjectBodyPosition
definition:
  v: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: LLD
  display:
    v: left lateral decubitus
  definition:
    v: Lying on the left side.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: PRN
  display:
    v: prone
  definition:
    v: Lying with the front or ventral surface downward; lying face down.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RLD
  display:
    v: right lateral decubitus
  definition:
    v: Lying on the right side.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SFWL
  display:
    v: Semi-Fowler's
  definition:
    v: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SIT
  display:
    v: sitting
  definition:
    v: Resting the body on the buttocks, typically with upper torso erect or semi erect.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: STN
  display:
    v: standing
  definition:
    v: To be stationary, upright, vertical, on one's legs.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SUP
  display:
    v: supine
  property:
    code:
      v: status
    value: Code
      v: active
  concept:
    code:
      v: RTRD
    display:
      v: reverse trendelenburg
    definition:
      v: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.
    property:
      code:
        v: status
      value: Code
        v: active
  concept:
    code:
      v: TRD
    display:
      v: trendelenburg
    definition:
      v: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.
    property:
      code:
        v: status
      value: Code
        v: active

code:
  v: _VerificationOutcomeValue
display:
  v: verification outcome
definition:
  v: Values for observations of verification act results **Examples:** Verified, not verified, verified with warning.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: ACT
  display:
    v: active coverage
  definition:
    v: **Definition:** Coverage is in effect for healthcare service(s) and/or product(s).
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: ACTPEND
  display:
    v: active - pending investigation
  definition:
    v: **Definition:** Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: ELG
  display:
    v: eligible
  definition:
    v: **Definition:** Coverage is in effect for healthcare service(s) and/or product(s).
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: INACT
  display:
    v: inactive
  definition:
    v: **Definition:** Coverage is not in effect for healthcare service(s) and/or product(s).
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: INPNDINV
  display:
    v: inactive - pending investigation
  definition:
    v: **Definition:** Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: INPNDUPD
  display:
    v: inactive - pending eligibility update
  definition:
    v: **Definition:** Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: NELG
  display:
    v: not eligible
  definition:
    v: **Definition:** Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _WorkSchedule
display:
  v: _WorkSchedule
definition:
  v: Concepts that describe an individual's typical arrangement of working hours for an occupation.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: active
concept:
  code:
    v: DS
  display:
    v: daytime shift
  definition:
    v: A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: EMS
  display:
    v: early morning shift
  definition:
    v: Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: ES
  display:
    v: evening shift
  definition:
    v: A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: NS
  display:
    v: night shift
  definition:
    v: Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RSWN
  display:
    v: rotating shift with nights
  definition:
    v: Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: RSWON
  display:
    v: rotating shift without nights
  definition:
    v: Scheduled for work days/times that change periodically between days, but does not include night or evening work.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: SS
  display:
    v: split shift
  definition:
    v: Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: VLS
  display:
    v: very long shift
  definition:
    v: Shifts of 17 or more hours.
  property:
    code:
      v: status
    value: Code
      v: active
concept:
  code:
    v: VS
  display:
    v: variable shift
  definition:
    v: Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available.
  property:
    code:
      v: status
    value: Code
      v: active

code:
  v: _AnnotationValue
display:
  v: AnnotationValue
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired
concept:
  code:
    v: _ECGAnnotationValue
  display:
    v: ECGAnnotationValue
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired

code:
  v: _CommonClinicalObservationValue
display:
  v: common clinical observation
definition:
  v: **Description:**Used in a patient care message to value simple clinical (non-lab) observations.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired
concept:
  code:
    v: _CommonClinicalObservationAssertionValue
  display:
    v: CommonClinicalObservationAssertionValue
  definition:
    v: **Definition:** The non-laboratory, non-DI (diagnostic imaging) coded observation if no value is also required to convey the full meaning of the observation. This may be a single concept code or a complex expression.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _CommonClinicalObservationResultValue
  display:
    v: CommonClinicalObservationResultValue
  definition:
    v: **Definition:** The non-laboratory, non-diagnostic imaging coded result of the coded observable or "question" represented by the paired concept from the the NonLabDICodedObservationType domain. \] **Examples:**An APGAR result, a functional assessment, etc. The value must not require a specific unit of measure.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired

code:
  v: _CoverageChemicalDependencyValue
display:
  v: CoverageChemicalDependencyValue
definition:
  v: **Definition:** The category of addiction used for coverage purposes that may refer to a substance, the consumption of which may result in physical or emotional harm.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired

code:
  v: _IndividualCaseSafetyReportValueDomains
display:
  v: Individual Case Safety Report Value Domains
definition:
  v: This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired
concept:
  code:
    v: _CaseSeriousnessCriteria
  display:
    v: CaseSeriousnessCriteria
  definition:
    v: A code that provides information on the overall effect or outcome of the adverse reaction/adverse event reported in the ICSR. Note the criterion applies to the case as a whole and not to an individual reaction. Example concepts are: death, disability, hospitalization, congenital anomaly/ birth defect, and other medically important condition.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _DeviceManufacturerEvaluationInterpretation
  display:
    v: DeviceManufacturerEvaluationInterpretation
  definition:
    v: A code set that includes codes that are used to characterize the outcome of the device evaluation process. The code defines the manufacturer's conclusions following the evaluation. Examples include: inadequate alarms, device maintenance contributed to event, device failed just prior to use, user error caused event
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _DeviceManufacturerEvaluationMethod
  display:
    v: DeviceManufacturerEvaluationMethod
  definition:
    v: Code assigned to indicate a relevant fact within the context of the evaluation of a reported product. There are a number of concept types including the status of the evaluation, the type of evaluation findings, and the type of activity carried out as part of the evaluation process. Examples include: Actual device involved in incident was evaluated, electrical tests performed, visual examination.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _DeviceManufacturerEvaluationResult
  display:
    v: DeviceManufacturerEvaluationResult
  definition:
    v: Code assigned to indicate an outcome of the manufacturer's investigation of a product for which a defect has been reported. Examples include:.component/subassembly failure: air cleaner, computer-, imaging system-, microprocessor-controlled device problem: cache memory, design -- not fail safe.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _PertinentReactionRelatedness
  display:
    v: Pertinent Reaction Relatedness
  definition:
    v: A code to capture the reporter's assessment of the extent to which the reaction is related to the suspect product reported in the ICSR. Example concepts include: related, not related, possibly related and unlikely related.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _ProductCharacterization
  display:
    v: Product Characterization
  definition:
    v: A code that characterizes the role that the primary reporter felt that the suspect intervention -- either a substance administration or a device related procedure - played in the incident being reported. This code will capture the primary reporter's assessment of the role that the suspect product played in the incident reported in the ICSR. Examples include: Suspect, Concomitant, Interacting, Re-challenge.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _ReactionActionTaken
  display:
    v: ReactionActionTaken
  definition:
    v: Code used to indicate the action taken by practitioner in response to the problem (whether drug or device related) that is reported in the ICSR. Examples include: failing device replaced, medication stopped, medication dose adjusted.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _SubjectReaction
  display:
    v: Subject Reaction
  definition:
    v: A code to capture the kind of reaction that was suffered by the investigated subject, and that is being reported in the ICSR. At this point, SNOMED or MedDRA have been suggested as code systems to be used for providing this information. Example concepts include hives, swelling, rash, anaphylactic shock.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _SubjectReactionEmphasis
  display:
    v: SubjectReactionEmphasis
  definition:
    v: Code that captures the emphasis that the reporter placed on this reaction. Examples include: highlighted by the reporter, NOT serious, Not highlighted by the reporter, NOT serious, Highlighted by the reporter, SERIOUS, Not highlighted by the reporter, SERIOUS.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _SubjectReactionOutcome
  display:
    v: SubjectReactionOutcome
  definition:
    v: Code that captures the type of outcome from an individual outcome of a reaction to the suspect product reported in the ICSR. Examples include: Recovered/resolved. Recovering/resolving, Not recovered/not resolved, Recovered/resolved with sequelae, Fatal.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired

code:
  v: _InjuryObservationValue
display:
  v: InjuryObservationValue
definition:
  v: Values for observations of injuries.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired

code:
  v: _IntoleranceValue
display:
  v: IntoleranceValue
definition:
  v: Codes identifying pariticular groupings of allergens and other agents which cause allergies and intolerances. E.g. the drug, allergen group, food or environmental agent which triggers the intolerance
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired

code:
  v: _IssueTriggerObservationValue
display:
  v: IssueTriggerObservationValue
definition:
  v: The combined domain for different types of coded observation issue triggers, such as diagnoses, allergies, etc.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired

code:
  v: _OtherIndicationValue
display:
  v: OtherIndicationValue
definition:
  v: Indicates an observed reason for a medical action other than an indication or symptom. E.g. Need for a contrast agent prior to a diagnostic image, need for anesthesia prior to surgery, etc.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired

code:
  v: _IndicationValue
display:
  v: IndicationValue
definition:
  v: Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.
property:
  code:
    v: notSelectable
  value: Boolean
    v: true
property:
  code:
    v: status
  value: Code
    v: retired
concept:
  code:
    v: _DiagnosisValue
  display:
    v: DiagnosisValue
  definition:
    v: Diagnosis Value
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired
concept:
  code:
    v: _SymptomValue
  display:
    v: SymptomValue
  definition:
    v: Indicates an observed abnormality in the patientaTMs condition, but does not assert causation. E.g. Runny nose, swelling, flaky skin, etc.
  property:
    code:
      v: notSelectable
    value: Boolean
      v: true
  property:
    code:
      v: status
    value: Code
      v: retired